Rayan G M, Saccone P G
Orthopaedic Surgery Department, University of Oklahoma Health Sciences Center, Oklahoma City, USA.
J Hand Surg Am. 1996 Sep;21(5):834-9. doi: 10.1016/S0363-5023(96)80200-0.
Fourteen patients (15 hands) with spastic thumb-in-palm deformities were treated with a modified technique of extensor pollicis longus tendon rerouting. Twelve patients obtained satisfactory correction of their deformities. Although functional improvement was not always anticipated, it was achieved to some degree in 12 patients. Extensor pollicis longus tendon rerouting can provide satisfactory correction of severe thumb-in-palm deformity especially when combined with other procedures such as metacarpophalangeal joint arthrodesis and thumb intrinsic muscle release. The modified rerouting technique can be done with a single incision and allows easy adjustment of tension.
14例（15只手）患有拇指内收畸形的患者接受了改良的拇长伸肌腱改道术治疗。12例患者的畸形得到了满意矫正。虽然功能改善并非总能预期，但12例患者在一定程度上实现了功能改善。拇长伸肌腱改道术能够为严重的拇指内收畸形提供满意的矫正效果，尤其是与其他手术如掌指关节融合术和拇指固有肌松解术联合应用时。改良的改道技术可通过单一切口完成，且便于轻松调整张力。
