牵张法矫正手部长期关节挛缩。病例报告

P. Natividade da Silva, R. Barbosa, P. Ferreira, A. Ferreira, E. Malheiro, A. Silva, J. Reis, J. Amarante
{"title":"牵张法矫正手部长期关节挛缩。病例报告","authors":"P. Natividade da Silva,&nbsp;R. Barbosa,&nbsp;P. Ferreira,&nbsp;A. Ferreira,&nbsp;E. Malheiro,&nbsp;A. Silva,&nbsp;J. Reis,&nbsp;J. Amarante","doi":"10.1016/j.bjps.2005.04.028","DOIUrl":null,"url":null,"abstract":"<div><p>Joint contractures are a common complication of hand trauma. The conventional treatment consists of arthrolysis, tenolysis and occasionally arthrodesis. Frequently, this does not achieve a good result, particularly when there has been a long delay in presentation. Progressive lengthening of a joint by distraction (joint distraction) allows the release of joint contractures even in cases of failure of traditional methods.</p><p>We present a case of a delayed (20 years) work related traumatic flexion deformity of the PIP joint of the left index and middle fingers. This was the result of a complete division of both flexor tendons of both fingers.</p><p>The range of movements, both active and passive, was limited to 90/100° in the index finger and 95/100° in the middle finger. Following joint distraction using our lengthening device (Antão™, Portugal) the patient was able to achieve an active and passive range of movements of 10/100° for the PIP joint of the index finger and 40/100° of the middle.</p><p>This clinical case shows the simplicity and application of our technique for the correction of joint contractures.</p></div>","PeriodicalId":9252,"journal":{"name":"British journal of plastic surgery","volume":"58 8","pages":"Pages 1148-1151"},"PeriodicalIF":0.0000,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.bjps.2005.04.028","citationCount":"8","resultStr":"{\"title\":\"Correction of long term joint contractures of the hand by distraction. A case report\",\"authors\":\"P. Natividade da Silva,&nbsp;R. Barbosa,&nbsp;P. Ferreira,&nbsp;A. Ferreira,&nbsp;E. Malheiro,&nbsp;A. Silva,&nbsp;J. Reis,&nbsp;J. Amarante\",\"doi\":\"10.1016/j.bjps.2005.04.028\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>Joint contractures are a common complication of hand trauma. The conventional treatment consists of arthrolysis, tenolysis and occasionally arthrodesis. Frequently, this does not achieve a good result, particularly when there has been a long delay in presentation. Progressive lengthening of a joint by distraction (joint distraction) allows the release of joint contractures even in cases of failure of traditional methods.</p><p>We present a case of a delayed (20 years) work related traumatic flexion deformity of the PIP joint of the left index and middle fingers. This was the result of a complete division of both flexor tendons of both fingers.</p><p>The range of movements, both active and passive, was limited to 90/100° in the index finger and 95/100° in the middle finger. Following joint distraction using our lengthening device (Antão™, Portugal) the patient was able to achieve an active and passive range of movements of 10/100° for the PIP joint of the index finger and 40/100° of the middle.</p><p>This clinical case shows the simplicity and application of our technique for the correction of joint contractures.</p></div>\",\"PeriodicalId\":9252,\"journal\":{\"name\":\"British journal of plastic surgery\",\"volume\":\"58 8\",\"pages\":\"Pages 1148-1151\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2005-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.bjps.2005.04.028\",\"citationCount\":\"8\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"British journal of plastic surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0007122605001384\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"British journal of plastic surgery","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0007122605001384","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 8

摘要

关节挛缩是手部外伤的常见并发症。常规治疗包括关节松解、肌腱松解和偶尔的关节融合术。通常情况下,这并不能取得好的结果,特别是在演示过程中有很长时间的延迟。通过牵张(关节牵张)逐步延长关节,即使在传统方法失败的情况下,也可以解除关节挛缩。我们提出了一个延迟(20年)的工作相关的外伤性屈曲畸形的左食指和中指PIP关节。这是两个手指的屈肌腱完全分裂的结果。主动和被动活动范围均限制在食指90/100°和中指95/100°。使用我们的延长装置(ant™,葡萄牙)进行关节牵引后,患者能够实现食指PIP关节10/100°和中指40/100°的主动和被动活动范围。这个临床病例显示了我们的技术在矫正关节挛缩方面的简单和应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Correction of long term joint contractures of the hand by distraction. A case report

Joint contractures are a common complication of hand trauma. The conventional treatment consists of arthrolysis, tenolysis and occasionally arthrodesis. Frequently, this does not achieve a good result, particularly when there has been a long delay in presentation. Progressive lengthening of a joint by distraction (joint distraction) allows the release of joint contractures even in cases of failure of traditional methods.

We present a case of a delayed (20 years) work related traumatic flexion deformity of the PIP joint of the left index and middle fingers. This was the result of a complete division of both flexor tendons of both fingers.

The range of movements, both active and passive, was limited to 90/100° in the index finger and 95/100° in the middle finger. Following joint distraction using our lengthening device (Antão™, Portugal) the patient was able to achieve an active and passive range of movements of 10/100° for the PIP joint of the index finger and 40/100° of the middle.

This clinical case shows the simplicity and application of our technique for the correction of joint contractures.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信