CLINICAL AND MICROANGIOGRAPHIC STUDIES ON RUPTURE OF THE EPL TENDON AFTER DISTAL RADIAL FRACTURES

被引:68
作者
HIRASAWA, Y
KATSUMI, Y
AKIYOSHI, T
TAMAI, K
TOKIOKA, T
机构
[1] Department of Orthopaedic Surgery, Kyoto Prefectural University of Medicine, Kamigyo-ku, Kyoto
关键词
D O I
10.1016/0266-7681(90)90048-9
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The authors have treated 14 cases of spontaneous rupture of extensor pollicis longus tendon after fractures of the distal end of the radius, most of which were undisplaced or only slightly displaced. A microvascular study on five cadavers revealed that this tendon is subject to mechanical bending and attrition, has no mesotenon and has a poorly vascularised portion about 5 mm in length, which may be a cause of spontaneous rupture of the tendon. © 1990.
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页码:51 / 57
页数:7
相关论文
共 13 条
[1]  
Akiyoshl, A study of microangiography on the extensor pollicis longus tendon, Journal of Kyoto Prefectural University Medicine, 95, 2, pp. 177-188, (1986)
[2]  
Ashhurst, Rupture of Tendon of Extensor Pollicis Longus Following A Colles Fracture, Annals of Surgery, 78, pp. 398-400, (1923)
[3]  
Chmell, Light, Blair, Rupture of the Extensor Pollicis Longus Tendon, Orthopedics, 6, pp. 565-570, (1983)
[4]  
Duplay, Rupture sous-cutanée du tendon du long extenseur du pouce de le main droite, an niveau de la tabatière anatomique. Flexion permanente du pouce. Rétablissement de la faculté d'extension par une operation (suture de l'extrémité du tendon rompu avec le premier radial externe), Bulletins et Mémoires de la Society de Chirurgie de Paris, 2, pp. 788-791, (1876)
[5]  
Engvist, Lundborg, Rupture of the extensor pollicis longus tendon after fracture of the lower end of the radius-a clinical and microangiographic study, The Hand, 11, 1, pp. 76-86, (1979)
[6]  
Helal, Chen, Iwegbu, Rupture of the extensor pollicis longus tendon in undisplaced Colles' type of fracture, The Hand, 14, 2, pp. 41-47, (1982)
[7]  
Hirasawa, Uchiza, Kusswetter, EMG-Biofeedback Therapy for Rupture of the Extensor Pollicis Longus Tendon, Archives of Orthopaedic and Traumatic Surgery, 104, pp. 342-345, (1986)
[8]  
Riddell, Spontaneous Rupture of the Extensor Pollicis Longus. The results of Tendon Transfer, Journal of Bone and Joint Surgery, 45 B, pp. 506-510, (1963)
[9]  
Strandell, Post-Traumatic Rupture of the Extensor Pollicis Longus Tendon—Pathogenesis and Treatment. Survey Based on 207 Cases, Including 14 Personal Cases, Acta Chirurgica Scandinavia, 109, pp. 81-96, (1955)
[10]  
Tamai, Et al., Rupture of the Extensor Pollicis Longus Tendon after Fracture of the Distal End of Radius, Journal of the Japanese Society for Surgery of the Hand, 1, pp. 103-107, (1984)