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屈曲指畸形矫正术

2016-01-06 MedSci MedSci原创

屈曲指畸形矫正术   畸形特点为:   1.该屈曲畸形常发生在小指,偶尔累及环指,一半以上为双侧。   2.屈曲常发生在近端指间关节,时伴有掌指关节或腕部对抗性背伸。   3.在10岁前进行性出现手指的屈曲,常有家族史,开始不明显,渐渐屈曲加重而被家长重视。   4.常伴有其他全身性综合征如 Doun综合征,Klinef

屈曲指畸形矫正术

  畸形特点为:

  1.该屈曲畸形常发生在小指,偶尔累及环指,一半以上为双侧。

  2.屈曲常发生在近端指间关节,时伴有掌指关节或腕部对抗性背伸。

  3.在10岁前进行性出现手指的屈曲,常有家族史,开始不明显,渐渐屈曲加重而被家长重视。

  4.常伴有其他全身性综合征如 Doun综合征,Klinefelfer综合征,几种常见的颜面综合征,时伴有歪斜畸形。

  5.主要表现为屈指浅肌短缩,畸形原因不清,多因浅肌起点不规则所致,可起于屈环指浅肌或蚓状肌等。常伴皮肤短缩,伸指功能也会受到一定限制。

  [适应证]

  重度畸形。

  [手术步骤]

  可行Z成形,成片移植术,屈指浅肌腱及关节囊松解术等。现介绍常用的屈指浅肌腱切断术。

  在环指和小指掌侧远端沿横纹作横切口,显露滑车,同时显露异常小指的屈指浅肌腱。分离该腱并加以切断,伸直小指。术后功能练习。如有软组织缺损可行 Z成形,皮片移植等[图1 ⑴~⑶]。

⑴切口
⑵切断屈指浅肌腱
⑶屈指矫正后
图1 屈曲指屈指浅腱切断术

  [术后处理]

  同并指分开术。

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  1. [GetPortalCommentsPageByObjectIdResponse(id=144380, encodeId=2e40144380f0, content=最关键还是切断屈指浅肌腱, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151226/IMG567EB873985DE3928.jpg, createdBy=ea941622301, createdName=inter158, createdTime=Tue Oct 11 15:04:31 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=139508, encodeId=bdfc139508cb, content=好详细的手术介绍!学习了!梅斯医学真的是良心医学软件啊!, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160923/IMG57E54D670B3C08868.jpg, createdBy=e90b1956497, createdName=Carlos007, createdTime=Mon Oct 03 12:01:12 CST 2016, time=2016-10-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1800784, encodeId=e4791800e845d, content=<a href='/topic/show?id=e839e3179f6' target=_blank style='color:#2F92EE;'>#矫正术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73179, encryptionId=e839e3179f6, topicName=矫正术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=18fc139, createdName=一闲, createdTime=Thu Nov 17 10:21:00 CST 2016, time=2016-11-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1362130, encodeId=1b3f1362130bf, content=<a href='/topic/show?id=9857e03444b' target=_blank style='color:#2F92EE;'>#畸形#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70344, encryptionId=9857e03444b, topicName=畸形)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ca20190, createdName=wushaoling, createdTime=Fri Jan 08 01:21:00 CST 2016, time=2016-01-08, status=1, ipAttribution=)]
    2016-10-11 inter158

    最关键还是切断屈指浅肌腱

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=144380, encodeId=2e40144380f0, content=最关键还是切断屈指浅肌腱, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151226/IMG567EB873985DE3928.jpg, createdBy=ea941622301, createdName=inter158, createdTime=Tue Oct 11 15:04:31 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=139508, encodeId=bdfc139508cb, content=好详细的手术介绍!学习了!梅斯医学真的是良心医学软件啊!, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160923/IMG57E54D670B3C08868.jpg, createdBy=e90b1956497, createdName=Carlos007, createdTime=Mon Oct 03 12:01:12 CST 2016, time=2016-10-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1800784, encodeId=e4791800e845d, content=<a href='/topic/show?id=e839e3179f6' target=_blank style='color:#2F92EE;'>#矫正术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73179, encryptionId=e839e3179f6, topicName=矫正术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=18fc139, createdName=一闲, createdTime=Thu Nov 17 10:21:00 CST 2016, time=2016-11-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1362130, encodeId=1b3f1362130bf, content=<a href='/topic/show?id=9857e03444b' target=_blank style='color:#2F92EE;'>#畸形#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70344, encryptionId=9857e03444b, topicName=畸形)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ca20190, createdName=wushaoling, createdTime=Fri Jan 08 01:21:00 CST 2016, time=2016-01-08, status=1, ipAttribution=)]
    2016-10-03 Carlos007

    好详细的手术介绍!学习了!梅斯医学真的是良心医学软件啊!

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=144380, encodeId=2e40144380f0, content=最关键还是切断屈指浅肌腱, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151226/IMG567EB873985DE3928.jpg, createdBy=ea941622301, createdName=inter158, createdTime=Tue Oct 11 15:04:31 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=139508, encodeId=bdfc139508cb, content=好详细的手术介绍!学习了!梅斯医学真的是良心医学软件啊!, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160923/IMG57E54D670B3C08868.jpg, createdBy=e90b1956497, createdName=Carlos007, createdTime=Mon Oct 03 12:01:12 CST 2016, time=2016-10-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1800784, encodeId=e4791800e845d, content=<a href='/topic/show?id=e839e3179f6' target=_blank style='color:#2F92EE;'>#矫正术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73179, encryptionId=e839e3179f6, topicName=矫正术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=18fc139, createdName=一闲, createdTime=Thu Nov 17 10:21:00 CST 2016, time=2016-11-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1362130, encodeId=1b3f1362130bf, content=<a href='/topic/show?id=9857e03444b' target=_blank style='color:#2F92EE;'>#畸形#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70344, encryptionId=9857e03444b, topicName=畸形)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ca20190, createdName=wushaoling, createdTime=Fri Jan 08 01:21:00 CST 2016, time=2016-01-08, status=1, ipAttribution=)]
    2016-11-17 一闲
  4. [GetPortalCommentsPageByObjectIdResponse(id=144380, encodeId=2e40144380f0, content=最关键还是切断屈指浅肌腱, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151226/IMG567EB873985DE3928.jpg, createdBy=ea941622301, createdName=inter158, createdTime=Tue Oct 11 15:04:31 CST 2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=139508, encodeId=bdfc139508cb, content=好详细的手术介绍!学习了!梅斯医学真的是良心医学软件啊!, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160923/IMG57E54D670B3C08868.jpg, createdBy=e90b1956497, createdName=Carlos007, createdTime=Mon Oct 03 12:01:12 CST 2016, time=2016-10-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1800784, encodeId=e4791800e845d, content=<a href='/topic/show?id=e839e3179f6' target=_blank style='color:#2F92EE;'>#矫正术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73179, encryptionId=e839e3179f6, topicName=矫正术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=18fc139, createdName=一闲, createdTime=Thu Nov 17 10:21:00 CST 2016, time=2016-11-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1362130, encodeId=1b3f1362130bf, content=<a href='/topic/show?id=9857e03444b' target=_blank style='color:#2F92EE;'>#畸形#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70344, encryptionId=9857e03444b, topicName=畸形)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ca20190, createdName=wushaoling, createdTime=Fri Jan 08 01:21:00 CST 2016, time=2016-01-08, status=1, ipAttribution=)]
    2016-01-08 wushaoling
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