梯形掌关节全关节置换术后的杜氏肌腱炎:第一伸肌腱区肌腱偏移的生物力学评估。

IF 0.9 4区 医学 Q4 ORTHOPEDICS
T. Philips , L. Van Melkebeke , L. Popleu , B. Van Hove , P. Caekebeke , J. Duerinckx
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引用次数: 0

摘要

德-克万腱鞘炎是全掌置换术后最常见的并发症。病因尚不清楚。球窝内植入物改变了正常梯形掌鞍状关节的生物力学,增加了其活动范围。本研究表明,在拇指屈伸过程中,这种方法也会显著增加拇长肌外展肌腱和拇阔肌外展肌腱的偏移量,而在拇指内收外展过程中则不会。第一伸肌腱区网膜下肌腱滑动的增加可能会导致摩擦性腱鞘炎的发生,并在梯形掌骨关节全置换术后德-夸尔文氏综合征的发生中发挥作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
De Quervain tendinitis after total trapeziometacarpal joint arthroplasty: Biomechanical evaluation of tendon excursion in the first extensor tendon compartment

De Quervain’s tenosynovitis is the most common complication after total trapeziometacarpal joint replacement. Etiology is unclear. Implantation of a ball-in-socket implant changes the biomechanics of the normal trapeziometacarpal saddle joint and increases its range of motion. The present study demonstrates that this procedure also significantly increases excursion of the abductor pollicis longus and extensor pollicis brevis tendons during thumb flexion-extension, and not during thumb abduction-adduction. Increased tendon gliding under the retinaculum of the first extensor tendon compartment could predispose to the development frictional tenosynovitis and play a role in the development of de Quervain’s syndrome after total trapeziometacarpal joint replacement.

Level of evidence

Not applicable (laboratory study).

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来源期刊
CiteScore
1.70
自引率
27.30%
发文量
0
审稿时长
49 days
期刊介绍: As the official publication of the French, Belgian and Swiss Societies for Surgery of the Hand, as well as of the French Society of Rehabilitation of the Hand & Upper Limb, ''Hand Surgery and Rehabilitation'' - formerly named "Chirurgie de la Main" - publishes original articles, literature reviews, technical notes, and clinical cases. It is indexed in the main international databases (including Medline). Initially a platform for French-speaking hand surgeons, the journal will now publish its articles in English to disseminate its author''s scientific findings more widely. The journal also includes a biannual supplement in French, the monograph of the French Society for Surgery of the Hand, where comprehensive reviews in the fields of hand, peripheral nerve and upper limb surgery are presented. Organe officiel de la Société française de chirurgie de la main, de la Société française de Rééducation de la main (SFRM-GEMMSOR), de la Société suisse de chirurgie de la main et du Belgian Hand Group, indexée dans les grandes bases de données internationales (Medline, Embase, Pascal, Scopus), Hand Surgery and Rehabilitation - anciennement titrée Chirurgie de la main - publie des articles originaux, des revues de la littérature, des notes techniques, des cas clinique. Initialement plateforme d''expression francophone de la spécialité, la revue s''oriente désormais vers l''anglais pour devenir une référence scientifique et de formation de la spécialité en France et en Europe. Avec 6 publications en anglais par an, la revue comprend également un supplément biannuel, la monographie du GEM, où sont présentées en français, des mises au point complètes dans les domaines de la chirurgie de la main, des nerfs périphériques et du membre supérieur.
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