Phelps P E, Weeks P M
Am J Occup Ther. 1976 Oct;30(9):543-50.
This paper focuses on the management of the thumb-index web space contracture, a contracture that can interfere significantly with hand function. The anatomy of the thumb-index web space and the contracture mechanism are reviewed. Contractures frequently result from traumatic hand injuries involving the web space or peripheral nerves. Exercises and splinting techniques for preventing or correcting these contractures are directed at achieving and maintaining maximum range of motion and strength of the thumb. Case reviews are reported that show improvements in range of motion measurements of 31 patients treated with the described techniques.
本文聚焦于拇指-示指指蹼间隙挛缩的管理，这种挛缩会严重影响手部功能。本文回顾了拇指-示指指蹼间隙的解剖结构及挛缩机制。挛缩常由涉及指蹼间隙或周围神经的手部创伤引起。预防或纠正这些挛缩的锻炼和夹板固定技术旨在实现并维持拇指的最大活动范围和力量。报告了病例回顾情况，显示采用所述技术治疗的31例患者的活动范围测量结果有所改善。
