Lutz M, Kathrein A, Zimmermann R, Reinhart C, Gabl M, Pechlaner S
Universitätsklinik für Unfallchirurgie Innsbruck.
Handchir Mikrochir Plast Chir. 1996 Sep;28(5):239-41.
Palmar plate injuries of the interphalangeal joints are very common, yet they require careful treatment until full functional recovery is attained. This paper presents the results of follow-up examinations of 76 patients who underwent early functional treatment with a special dynamic splint. All had sustained an injury of the palmar plate of the PIP-joint (Type 1 or 2 according to Hintringer and Leixnering). After a velcro strip is released, the splint enables daily active exercise of the PIP joint with the joint being protected laterally and protected against hyperextension. This splint was worn for four weeks. After removal of the splint, 71% of all patients indicated that they did not have any problems, while 26% achieved the same mobility as the unaffected joint of the other hand after two more weeks of dynamic splinting. In only one case motion was inhibited for several further weeks.
指间关节掌板损伤非常常见，但在实现完全功能恢复之前需要进行仔细治疗。本文介绍了76例接受特殊动态夹板早期功能治疗患者的随访检查结果。所有患者均遭受了近端指间关节（PIP）掌板损伤（根据Hintringer和Leixnering分类为1型或2型）。松开魔术贴条后，夹板可使PIP关节每日进行主动运动，同时关节得到侧向保护并防止过度伸展。该夹板佩戴四周。去除夹板后，71%的患者表示没有任何问题，而26%的患者在再进行两周动态夹板固定后，患侧关节活动度达到了对侧未受伤关节的水平。仅1例患者在接下来的几周内活动受限。
