拇指的完全延伸和长伸肌腱(EPL)肌腱的激活是确保最大功能的基础。文献中描述了许多EPL修复技术。
作者提出了一种使用肱桡肌(BR)肌腱的替代技术。研究了30例8区EPL肌腱损伤的患者。在所有情况下,直接缝合修复和传统肌腱转移均不可能.
所有患者的拇指伸展均恢复,伸展恢复满意。所有患者均达到良好的延伸;2例观察到良好的功能效果,在1例中,使用Geldmacher评估和Kapandji评估获得了令人满意的结果。总体结果被评为优秀,不错,公平,或者根据手臂的快速残疾,肩膀,手刻度。
BR肌腱适用于治疗所有病例,特别是在李斯特结节附近发生的伤害,由于其适当的长度,虽然有一个短的远端头。
Complete extension of the thumb and activation of the extensor pollicis longus (EPL) tendon are fundamental to ensure maximum function. Many EPL repair techniques are described in the literature.
The authors present an alternative technique using the brachioradialis (BR) tendon. Thirty patients with injuries of the EPL tendon in zone 8 were studied. In all cases, neither direct suture repair nor traditional tendon transfer was possible.
Thumb extension was restored in all patients with satisfactory extension recovery. All patients achieved excellent extension; good functional results were observed in 2 cases, and in 1 case satisfactory results were achieved using the Geldmacher assessment and the Kapandji assessment. The overall results were rated as excellent, good, fair, or poor according to the Quick Disabilities of the Arm, Shoulder, and Hand Scale.
The BR tendon was suitable to treat all cases, in particular injuries occurring near Lister\'s tubercle, due to its appropriate length for tenorrhaphy albeit with a short distal head.