Joist A, Probst A, Böhm A, Sprakel B, Joosten U
Klinik und Poliklinik für Unfall- und Handchirurgie, Westfälische Wilhelms-Universität Münster.
Nervenarzt. 1998 Apr;69(4):335-7. doi: 10.1007/s001150050279.
The differential diagnosis of the rupture of flexor pollicis longus tendon and profundus tendon to index finger to the interosseus anterior nerve syndrome can be difficult and can lead to misinterpretation of the clinical impression. Two cases are reported to demonstrate this problem. In the first case a spontaneous rupture of flexor pollicis longus was found, when first an interosseus anterior nerve syndrome was suspected. In a second case surgical exploration of flexor pollicis longus tendon and profundus tendon to index finger was done on the assumption of a rupture, that revealed intact tendons. In a second operation neurolysis of the interosseus anterior nerve was carried out with full recovery of flexion of the thumb and index finger.
拇长屈肌腱和示指深屈肌腱断裂与骨间前神经综合征的鉴别诊断可能很困难，可能导致对临床印象的错误解读。报告两例以说明此问题。第一例中，最初怀疑是骨间前神经综合征，后来发现是拇长屈肌自发性断裂。第二例中，基于断裂的假设对拇长屈肌腱和示指深屈肌腱进行了手术探查，结果显示肌腱完好无损。在第二次手术中对骨间前神经进行了神经松解术，拇指和示指的屈曲功能完全恢复。
