桡骨远端骨折术后合并拇长伸肌腱断裂的临床病因分析

发布时间：2018-08-20 14:03

【摘要】：目的探讨分析桡骨远端骨折术后合并拇长伸肌腱断裂的相关病因。方法收集2005—2015年桡骨远端骨折术后合并拇长伸肌腱断裂患者5例,其中男2例,女3例。5例患者均为摔伤,且为闭合性骨折。均于入院3日内行掌侧入路切开复位内固定术。术后恢复期出现拇指背伸障碍,分别行对应治疗。总结患者的诊疗经过、手术过程、术中所见及术后随诊情况,分析造成桡骨远端骨折术后发生拇长伸肌腱断裂的原因。结果术后第5个月所有患者拇指背伸功能均满意。5例桡骨远端骨折术后拇长伸肌腱断裂患者的病因分别为:1例因血运因素造成,2例患者因桡骨远端特殊解剖因素造成,1例患者因手术内固定物因素造成,1例患者因疾病、年龄等综合因素造成。结论造成桡骨远端骨折术后合并拇长伸肌腱断裂的病因有:血运因素、解剖因素、内固定物因素、年龄因素、疾病因素等,也可能是多因素共同作用所致。
[Abstract]:Objective to investigate the etiology of distal radius fracture associated with extensor pollicis longus tendon fracture. Methods five cases of distal radius fracture complicated with extensor pollicis longus tendon rupture were collected from 2005 to 2015, including 2 males and 3 females. All patients were treated with open reduction and internal fixation via palmar approach within 3 days of admission. Postoperative recovery period of the thumb back extension disorder, respectively, corresponding treatment. The diagnosis and treatment process, operation process, intraoperative findings and postoperative follow-up were summarized, and the causes of rupture of extensor pollicis longus tendon after distal radius fracture were analyzed. Results at the 5th month after operation, all the patients were satisfied with the function of thumb dorsal extension. The etiology of the rupture of extensor pollicis longus tendon after distal radius fracture was: 1 case was caused by blood circulation, 2 cases were caused by special anatomical factors of distal radius. One patient was caused by the factors of internal fixation, and one patient was caused by disease. Age and other comprehensive factors. Conclusion the causes of distal radius fracture associated with extensor pollicis longus tendon rupture are: blood circulation factors, anatomical factors, internal fixation factors, age factors, disease factors and so on, which may also be caused by multiple factors.
【作者单位】：大连医科大学附属第二医院创伤骨科;
【分类号】：R687.3

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