Smrcka V, Dylevský I
Ambulatory Centre of Locomotor System, Prague, Czech Republic.
Acta Chir Plast. 1998;40(4):109-11.
The authors describe a case of an inborn contracture of the superficial flexors of the three-phalangeal fingers in a 15-year-old girl and treatment of the condition. For clinical purposes a classification on congenital deformities in the proximal part of the flexor complex was proposed in which the described case is included. The classification was derived from the ontogenetic development of flexor tendons. There are three types of deformities: S1--the muscular belly of the superficial flexor of the fingers is only in the palm; S2--the muscle is attached to the area between the wrist and medial epicondyle; S3--the palmaris longus of the fingers is on the medial epicondyle, however the m. palmaris longus is lacking; Pl-1 the superficial flexor exists only in the form of a proximal muscular belly of varying length; Pl-2--the palmaris longus is on the wrist and the insertion tendon may be thinner than on the contralateral side. The described contracture deformity was classified as type S2.
作者描述了一名15岁女孩三指浅屈肌先天性挛缩的病例及该病症的治疗情况。为了临床应用，提出了屈肌复合体近端先天性畸形的分类方法，所描述的病例包含在其中。该分类源自屈肌腱的个体发育。有三种畸形类型：S1型——手指浅屈肌的肌腹仅位于手掌；S2型——肌肉附着于腕部与内上髁之间的区域；S3型——手指掌长肌位于内上髁，但掌长肌缺失；Pl-1型——浅屈肌仅以不同长度的近端肌腹形式存在；Pl-2型——掌长肌位于腕部，且插入肌腱可能比对侧细。所描述的挛缩畸形被归类为S2型。
