Dupuytren病引起的伸肌机制功能障碍和手部畸形:外科和康复的观点。

IF 1.8 4区 医学 Q2 ORTHOPEDICS
Jean Paul Brutus, Alison Taylor, Natasha Barone, Elisabet Hagert
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引用次数: 0

摘要

Dupuytren病是一种常见的纤维增生性疾病,主要影响手掌。虽然该疾病以其特征性手掌挛缩而闻名,但它也对手的伸肌机制有潜在的影响,导致胸孔畸形、天鹅颈样畸形的发展,以及由于伸肌囊拉伸和肌腱不稳定导致的持续掌指关节挛缩。这些不平衡在全身或局部麻醉下很难纠正。无止血带的全清醒局部麻醉允许患者活动范围和术中患者协作。通过了解这些畸形的潜在机制和结构,并在不带止血带的局部麻醉下纠正它们,手外科医生可以更有信心纠正畸形,向患者展示,优化康复方案,改善患者的治疗效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Extensor mechanism dysfunction and hand deformities caused by Dupuytren's disease: Surgical and rehabilitation perspectives.

Dupuytren's disease is a common fibroproliferative disorder that primarily affects the palm of the hand. While the disease is known for its characteristic palmar contractures, it also has a potential impact on the extensor mechanism of the hand, resulting in the development of boutonniere deformity, swan-neck deformity, and persistent metacarpophalangeal joint contracture due to extensor capsule stretching and tendon instability. These imbalances are challenging to correct under general or regional anesthesia. Wide awake local anesthesia without a tourniquet allows active range of motion and intraoperative patient collaboration. By understanding the underlying mechanisms and structures involved in these deformities and correcting them under local anesthesia without a tourniquet, hand surgeons can become more confident in correcting the deformity, demonstrating it to the patient, optimizing the rehabilitation protocol, and improving patient outcomes.

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来源期刊
Journal of Hand Therapy
Journal of Hand Therapy 医学-外科
CiteScore
3.50
自引率
10.00%
发文量
65
审稿时长
19.2 weeks
期刊介绍: The Journal of Hand Therapy is designed for hand therapists, occupational and physical therapists, and other hand specialists involved in the rehabilitation of disabling hand problems. The Journal functions as a source of education and information by publishing scientific and clinical articles. Regular features include original reports, clinical reviews, case studies, editorials, and book reviews.
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