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尺神经损伤后爪形手畸形矫治和功能重建

The deformity correction and function reconstruction after ulnar nerve injuried with the clawing deformity

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【作者】 王方朱冬胜陈德松陈富强沈珊安葛旻潘峥

【Author】 WANG Fang1,ZHU Dongsheng1,CHEN Desong2,CHEN Fuqiang1,SHEN Shan’an1,GE Min1,PAN Zheng1(1.Department of Orthopaedics,the Second People’s Hospital of Shanghai,Shanghai 200011,China;2.Department of Hand Surgery,Huashan Affiliated Hospital of Fudan University,Shanghai 200040,China)

【机构】 上海市第二人民医院骨科复旦大学附属华山医院手外科

【摘要】 目的:探讨不同方法矫治尺神经损伤后爪形手畸形和功能重建。方法:对12例尺神经损伤后爪形手畸形,采用掌长肌腱反折移位11例,环指浅屈肌腱移位1例(其中示指固有伸肌腱→第一背侧骨间肌,重建示指外展功能1例)。结果:爪形指畸形矫正和功能重建优良率为91.6%(11/12)。结论:掌长肌腱移位等方法,是矫治尺神经损伤后爪形手畸形和重建功能简便、有效的方法。

【Abstract】 Objective:To discuss various procedures of deformity correction and function reconstruction of the ulnar nerve injury with the clawing deformity.Methods:12 cases of intrinsic muscles paralysis in the hand caused by ulnar nerve in-jury were corrected.The clawing deformity were treated by palmaris longus tendon reversal transfer in 11 cases,by ring superficial flexor tendon transfer in 1 case.Results:Correcting the clawing deformity and function reconstruction,the ex-cellent and good rate was 91.6%(11/12).Conclusion:The palmaris longus tendon reversal transfer is a simple and valid method for correcting the clawing deformity and function reconstruction after the ulnar nerve injury.

【关键词】 尺神经损伤爪形指矫正重建
【Key words】 Ulnar nerveInjuryClaw fingerCorrectionReconstruction
  • 【文献出处】 中国医药导报 ,China Medical Herald , 编辑部邮箱 ,2009年15期
  • 【分类号】R651.3
  • 【被引频次】1
  • 【下载频次】221
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