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类风湿性手部的屈肌腱断裂:双侧拇长屈肌腱断裂

Flexor tendon ruptures in the rheumatoid hand: bilateral flexor pollicis longus rupture.

作者信息

Spar I

出版信息

Clin Orthop Relat Res. 1977(127):186-8.

PMID:912977
Abstract

In a 42-year-old male with a 15-year history of rheumatoid arthritis, bilateral rupture of the flexor pollicis longus was associated with subluxation with radial deviation of the carpus and increased angulation of the tendon in relation to the navicular. Flexor tenosynovitis in the rheumatoid hand may present as carpal tunnel syndrome or ruptured flexor tendons. The condition is associated with invasive rheumatoid granulation tissue, vasculitis, ischemic necrosis due to compartment compression, and attrition rupture due to navicular bony protuberance.

摘要

在一名患有15年类风湿性关节炎病史的42岁男性中,双侧拇长屈肌断裂与腕骨向桡侧半脱位以及肌腱相对于舟状骨的角度增加有关。类风湿性手部的屈肌腱腱鞘炎可能表现为腕管综合征或屈肌腱断裂。这种情况与侵袭性类风湿性肉芽组织、血管炎、间隔压迫导致的缺血性坏死以及舟状骨骨质增生引起的磨损性断裂有关。

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