【签约第一手连合的治疗:文献综述及自身经验】。

IF 0.4 4区 医学 Q4 SURGERY
Elmar Fritsche, Dorrit Winterholer, Urs Hug
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引用次数: 0

摘要

可自由活动的拇指对人手的功能至关重要。这种灵活性必然与拇指和食指之间的连合功能不受干扰有关,如果食指缺失,则与中指有关。无论是什么原因引起的第一连合的严重挛缩,都不可避免地会导致功能的严重丧失,几乎完全无法使用。第一连合的外科治疗通常只影响收缩的皮肤。然而,在某些情况下,它需要对筋膜、肌肉和关节进行多阶段治疗,最后是拇指和食指之间的棘突间软组织扩张。我们提到了对该主题的旧见解,对文献进行了概述,根据5个病例介绍了我们自己的经验,并根据挛缩的严重程度提出了治疗建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Treatment of the contracted first Commissure of the Hand: Literature Overview and own Experiences].

The freely movable thumb is of central importance for the function of the human hand. This mobility is necessarily linked to an undisturbed function of the commissure between the thumb and the index finger or, if the index finger is missing, the middle finger. A significant contracture of the first commissure, caused by whatever genesis, inevitably results in a significant loss of function up to almost complete inability to use. The surgical treatment of the first commissure often only affects the contracted skin. In some cases, however, it requires a multi-stage approach to fascia, muscles and joints, at the end of which there is the soft tissue expansion of the interspatium between the thumb and index finger. We mention old insights on the subject, give an overview of the literature, present our own experiences based on 5 cases and - according to the severity of the contracture - make a therapy recommendation.

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来源期刊
CiteScore
1.00
自引率
16.70%
发文量
85
审稿时长
6-12 weeks
期刊介绍: In Originalarbeiten und Fallberichten finden Sie die neuesten Informationen über: Diagnostik Verfahrenswahl state of the art / neueste Techniken rekonstruktive Verfahren Behandlung infolge von Traumata oder OP Bewertung der Ergebnisse Klinische Forschung Interessante Darstellung der neuesten Erkenntnisse in Originalarbeiten und Fallberichten. Exzellent veranschaulicht durch ein klares Layout und reiche Bebilderung. Überzeugen Sie sich selbst! Organschaften Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie, Deutschen Gesellschaft für Handchirurgie und Österreichischen Gesellschaft für Handchirurgie Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der peripheren Nerven und Gefäße Organ der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen
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