骨科英文书籍精读(153)|屈肌腱撕脱
Avulsion of the flexor tendon
This injury is caused by sudden hyperextension of the distal joint, typically when a game player catches his finger on an opponent’s shirt. The ring finger is most commonly affected. The flexor digitorum profundus tendon is avulsed, either rupturing the tendon itself or taking a fragment of bone with it. If the bone fragment is small, or if only the tendon is ruptured, it can recoil into the palm. If the lesion is detected within a few days (and the diagnosis is easily missed if not thought about), then the tendon can be re-attached.
If the diagnosis is much delayed, repair is likely to be unsuccessful. Two-stage tendon reconstruction is possible but difficult, and the finger may end up stiff. Thus, for late cases, tenodesis or fusion of the distal joint is usually preferable.
---from 《Apley’s System of Orthopaedics and Fractures》
重点词汇整理:
hyperextension/ˌhaɪpərɪksˈtenʃən/ n. 过伸;伸展过度;腹背训练凳
opponent /əˈpoʊnənt/n. 对手;反对者;敌手adj. 对立的;敌对的
shirt/ʃɜːrt/n. 衬衫;汗衫,内衣
recoil /rɪˈkɔɪl/vi. 畏缩;弹回;报应n. 畏缩;弹回;反作用
tenodesisn. 腱固定术;肌腱固定术
fusion of the joint 关节融合
arthrodesis /ɑ:'θrɔdəsis/关节融合术
百度翻译:
屈肌腱撕脱
这种损伤是由远端关节突然过度伸展引起的,通常是当游戏玩家的手指碰到对手的衬衫时。无名指最常受到影响。指深屈肌肌腱撕裂,或是肌腱本身断裂,或是带着一块骨头碎片。如果骨头碎片很小,或者只有肌腱断裂,它会反冲到手掌中。如果在几天内发现病变(如果不考虑的话很容易漏诊),那么肌腱可以重新附着。
如果诊断耽搁太久,修理很可能不成功。两阶段肌腱重建是可能的,但困难,手指可能最终僵硬。因此,对于晚期病例,肌腱松解或远端关节融合通常更为可取。