合并低位正中神经-尺神经麻痹时拇指指间关节过度屈曲和掌指关节过度伸展的治疗
Treatment of interphalangeal hyperflexion and metacarpophalangeal hyperextension of the thumb in combined low median-ulnar nerve palsy.
作者信息
Goloborod'ko S A
机构信息
Department of Traumatology and Vertebrology, Kharkov Institute for Advanced Medical Studies, Ukraine.
出版信息
J Hand Surg Am. 1998 Nov;23(6):1059-62. doi: 10.1016/S0363-5023(98)80016-6.
A method of treatment of interphalangeal hyperflexion and metacarpophalangeal hyperextension of the thumb in combined low median-ulnar nerve palsy is described. The flexor pollicis longus tendon is divided longitudinally into 2 slips. One tendon strip is cut distally, extracted from the fibro-osseous canal, passed superficial to the tendon sheath, and attached to its previous insertion. An extensor indicis proprius opposition transfer was simultaneously performed. Eleven patients were monitored for 1 to 4 years after surgery. All results were positive, and there were no recurrences of either Froment's or Jeanne's sign.
描述了一种治疗合并低位正中-尺神经麻痹时拇指指间关节过度屈曲和掌指关节过度伸展的方法。拇长屈肌腱纵向分为2条束带。一条肌腱束带在远端切断，从纤维骨管中抽出，穿过腱鞘表面，并附着于其先前的止点。同时进行示指固有伸肌对掌移位术。11例患者术后随访1至4年。所有结果均为阳性，Froment征和Jeanne征均无复发。
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