Recurrent dislocation of the extensor carpi ulnaris tendon
Recurrent dislocation of the extensor carpi ulnaris tendon
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DOI：
10.1136/bjsm.32.2.172
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发表时间：
1998-06-01
影响因子：
18.4
通讯作者：
Tamura, Y
中科院分区：
文献类型：
--
作者：
Inoue, G;Tamura, Y
对5例因运动损伤而复发性尺侧腕伸肌腱脱位的患者进行了尺侧腕伸肌腱鞘重建，均获得满意效果。发现两种类型的纤维骨鞘断裂。在两例纤维骨鞘放射状断裂的病例中，撕裂的鞘位于ECU肌腱下方的尺骨沟内。这些患者接受了ECU肌腱鞘直接缝合的治疗。在3例纤维骨鞘尺侧断裂的病例中，撕裂的鞘位于ECU肌腱的浅层。这些患者接受了用一段伸肌支持带重建鞘的治疗。我们认为，对于有症状的ECU肌腱脱位，即使在急性情况下，也应该考虑手术重建ECU肌腱的纤维质鞘。
Five patients with recurrent dislocation of the extensor carpi ulnaris (ECU) tendon resulting from an athletic injury vr ere treated by reconstruction of the ECU tendon sheath, and each had a satisfactory result. Two types of disruption of the fibro-osseous sheath were found. In two cases in which the fibro-osseous sheath ruptured radially, the torn sheath lay on its ulnar groove beneath the ECU tendon. These patients were treated by direct suture of the sheath over the ECU tendon. In three cases in which the fibro-osseous sheath ruptured ulnarly, the torn sheath lay superficial to the ECU tendon. These patients were treated by reconstruction of the sheath using a piece of the extensor retinaculum. We believe that surgical reconstruction of the fibro-oseous sheath of the ECU tendon should be considered for symptomatic dislocation of the ECU tendon, even in an acute case.