期刊文献+
共找到681篇文章
< 1 2 35 >
每页显示 20 50 100
Multiple flexor tendon ruptures due to osteochondroma of the hamate:A case report
1
作者 Tae Young Kwon Young-Keun Lee 《World Journal of Clinical Cases》 SCIE 2023年第13期3038-3044,共7页
BACKGROUND Closed rupture of the little and ring finger flexor tendons caused by the hamate is mostly associated with a fracture or nonunion of the hamate hook.Only one case of a closed rupture of the finger flexor te... BACKGROUND Closed rupture of the little and ring finger flexor tendons caused by the hamate is mostly associated with a fracture or nonunion of the hamate hook.Only one case of a closed rupture of the finger flexor tendon caused by osteochondroma in the hamate has been reported.Here,we present a case study to highlight the possibility of hamate osteochondroma as a rare cause of finger closed flexor tendon rupture based on our clinical experience and literature review.CASE SUMMARY A 48-year-old man who had been a rice-field farmer for 7–8 h a day for the past 30 years visited our clinic due to the loss of right little finger and ring finger flexion involving both the proximal and distal interphalangeal joints.The patient was diagnosed with a complete rupture of the ring and little finger flexors because of the hamate and was pathologically diagnosed with an osteochondroma.Exploratory surgery was performed,and a complete rupture of the ring and little finger flexors due to an osteophyte-like lesion of the hamate was observed,which was pathologically diagnosed as an osteochondroma.CONCLUSION One should consider that osteochondroma in the hamate may be the cause of closed tendon ruptures. 展开更多
关键词 flexor tendon FINGER Closed tendon rupture HAMATE OSTEOCHONDROMA Case report
下载PDF
Multiple tendons of the additional belly of flexor pollicis longus in the carpal tunnel: Embryological perspective and their clinical significance
2
作者 Ravindra Swamy Shantakumar Srinivasa Rao Sirasanagandla +3 位作者 Satheesha Badagabettu Nayak Mohandas Rao Kappettu Gadahad Shiroor Nagabhushan Somayaji Naveen Kumar 《Forensic Medicine and Anatomy Research》 2013年第4期70-73,共4页
Although the flexor pollicis longus is known to show the additional head of the origin, the occurrence of its additional tendons in the carpal tunnel are seldom reported. The presence of such additional tendons in the... Although the flexor pollicis longus is known to show the additional head of the origin, the occurrence of its additional tendons in the carpal tunnel are seldom reported. The presence of such additional tendons in the carpal tunnel cannot be overlooked during the radiological and surgical procedures in this region. Herein, we report a rare case of additional muscle belly of flexor pollicis longus. The additional muscle belly after a short course divided into three tendons. All three tendons entered the carpal tunnel along with flexor pollicis longus, passing deep to the flexor retinaculum. Within the carpal tunnel, two of these tendons fused and terminated by merging with the undersurface of the flexor retinaculum. The third tendon terminated by joining the flexor digitorum superficialis tendon for the index finger, in the palm. An additional slip of the first lumbrical muscle took origin from the third tendon of the additional muscle belly of flexor pollicis longus. Further, the embryological basis and clinical significance of current case is discussed. 展开更多
关键词 flexor Pollicis Longus Additional MUSCLE Belly flexor RETINACULUM CARPAL TUNNEL First Lumbrical
下载PDF
Acute Calcific Tendinitis of the Flexor Digitorum Superficialis of the Finger: A Case Report
3
作者 Young Sung Kim Ho Min Lee Jong Pil Kim 《Open Journal of Orthopedics》 2014年第3期45-47,共3页
Acute calcific tendinitis of the shoulder is a well-known condition, but it is rare in the hand or finger. It is often misdiagnosed when it occurs outside the shoulder. We report an unusual case of acute calcific tend... Acute calcific tendinitis of the shoulder is a well-known condition, but it is rare in the hand or finger. It is often misdiagnosed when it occurs outside the shoulder. We report an unusual case of acute calcific tendinitis of the flexor digitorum superficialis insertion of the 4th finger in a young female martial art athlete after minor trauma history, and discuss with a review of the literature. 展开更多
关键词 Calcific TENDINITIS flexor Digitorum Superficialis FINGER
下载PDF
Numerical Investigation of Flexural Bending in Biaxial Braided Structures for Flexor Tendon Repair
4
作者 Jerry Ochola Benny Malengier Lieva Van Langenhove 《Journal of Biomedical Science and Engineering》 2020年第6期93-101,共9页
Flexor tendon repair has conventionally been done by suturing techniques. However, in recent times, there have been attempts of using fibrous braided structures for the repair of ruptured tendons. In this regard, the ... Flexor tendon repair has conventionally been done by suturing techniques. However, in recent times, there have been attempts of using fibrous braided structures for the repair of ruptured tendons. In this regard, the numerical analysis of the flexural stiffness of a braided structure under bending moments is vital for understanding its capabilities in the repair of flexor tendons. In this paper, the bending deflection, curvature, contact stresses and flexural bending stiffness in the braided structure due to bending moments are simulated using Finite Element (FE) techniques. Three dimensional geometry and FE models of five sets of biaxial braided structures were developed using a python programming script. The FE models of the hybrid biaxial braids were imported into ABAQUS (v17) for post-processing and analysis. It was established that the braided fabric with largest braid angle, <em>θ</em> = 52.5<span style="white-space:nowrap;">&#176;</span> had the highest flexural deflection while the lowest deflection was seen in the results of the braided structure with the least braid angle, <em>θ</em> = 38.5<span style="white-space:nowrap;">&#176;</span>. The results in this study also portrayed that the curvature in biaxial braids will increase with a decrease in the angle between the braided yarns. This was also consistent with the change of bending angle of the biaxial structures under a bending moment. The deformation of the structures increased with increase in the braid angles. This implies that the flexural bending stiffness decreased with increase in braid angle. The stress limits during bending of the braided structures were established to be within the range that could be handled by flexor tendons during finger bending. 展开更多
关键词 BRAID BIAXIAL BENDING flexor TENDONS
下载PDF
Zone II Flexor Tendon Repair in a 13-Month-Old: Report of a Complication
5
作者 Joao B. Panattoni Mohammed M. Ahmed 《Open Journal of Orthopedics》 2014年第1期15-20,共6页
Despite early cautions against the primary repair of zone II flexor tendon injuries, recent advances in surgical technique and suture materials have allowed such repairs to become commonplace. The 6-strand repair tech... Despite early cautions against the primary repair of zone II flexor tendon injuries, recent advances in surgical technique and suture materials have allowed such repairs to become commonplace. The 6-strand repair technique is rarely applied to the young pediatric population, however, to our knowledge, no English-language articles have described this method of primary repair in zone II of children less than 2 years old. A 13-month-old male presented flexor digitorum profundus repair after lacerating it in zone II on a sharp aluminum can. The tendon was repaired with a 6-strand technique, using a 4.0 Fiberloop for the core suture and 6.0 Prolene for the epitendinous suture. Approximately four months after surgery, the patient developed a palmar collection at the level of his middle phalanx and a serosanguinous sinus tract at the distal interphalangeal crease. During the revision surgery, the inspection of the repaired tendon revealed a small gap filled with scar tissue. There was no evidence of new fistula formation at his final visit one month after the second procedure. After the revision, the patient could move his digit with minimal loss of range of motion at the distal interphalangeal joints. Unfortunately, he was subsequently lost to follow up. This surgical technique was selected to provide a strong repair that would allow the early postoperative movement. In retrospect, a 6-strand repair with braided suture is not ideal in young children as the bulky suture can cause a foreign-body reaction and possibly extrude through the skin. Additionally, the immobilization with a long-arm cast remains a valuable tool after tendon repair in infants who cannot voluntarily restrict their movements. 展开更多
关键词 flexor TENDON Repair PEDIATRICS COMPLICATIONS
下载PDF
Late Secondary Rupture of Flexor Tendons in the Palm of the Hand
6
作者 Toshitaka Okabayashi Hiroshi Arino Koichi Nemoto 《Case Reports in Clinical Medicine》 2015年第10期334-336,共3页
Normal tendon substance is strong and is unlikely to break before the muscle origin, muscle, musculotendinous junction or the insertion yield. In almost all the cases, closed ruptures of the flexor tendon within the t... Normal tendon substance is strong and is unlikely to break before the muscle origin, muscle, musculotendinous junction or the insertion yield. In almost all the cases, closed ruptures of the flexor tendon within the tendinous portion have been described in association with distinct underlying pathologies. We report a case of flexor tendon rupture of the index finger which seems to be associated with previous trauma occurred more than 40 years ago and abnormal healing. 展开更多
关键词 flexor TENDON RUPTURE PREVIOUS TRAUMA Abnormal HEALING TENDON Transfer Quadriga Syndrome
下载PDF
TREATMENT OF TENOVAGINITIS OF FLEXOR DIGITORUM WITH ACUPUNCTOMY
7
作者 刘昱彰 李一飞 《World Journal of Acupuncture-Moxibustion》 2005年第1期50-51,共2页
In the present paper, the authors treated 26 cases of tenovaginitis of flexor di gitorum with acupunctomy (needle-knife technique). After 1~3 treatments , 2 0 cases were cured, 5 experienced improvement and one faile... In the present paper, the authors treated 26 cases of tenovaginitis of flexor di gitorum with acupunctomy (needle-knife technique). After 1~3 treatments , 2 0 cases were cured, 5 experienced improvement and one failed, the total cure ra te was 76.92%, improvement rate 96.15%, and the failure rate 0.04%. 展开更多
关键词 Tenovaginitis of flexor digitorum Acup unctomy
下载PDF
Clinical Value of Musculoskeletal Ultrasound in Rehabilitation After Flexor Tendon Rupture Repair of the Hand
8
作者 Rui Wang 《Proceedings of Anticancer Research》 2022年第1期38-42,共5页
Objective:To explore the application effect and clinical value of musculoskeletal ultrasound in the rehabilitation of hand function after flexor tendon rupture repair.Methods:In this study,72 patients were selected fr... Objective:To explore the application effect and clinical value of musculoskeletal ultrasound in the rehabilitation of hand function after flexor tendon rupture repair.Methods:In this study,72 patients were selected from among patients who underwent flexor tendon rupture repair of the hand in Yancheng Third People’s Hospital from May 2018 to May 2020;the patients were randomly divided into the control group(routine hand rehabilitation training)and the experimental group(musculoskeletal ultrasound and targeted hand rehabilitation training based on examination results)by die roll,with 34 cases in each group;the hand rehabilitation of the two groups were compared.Results:The excellent and good rate of the total active motion(TAM)of the experimental group(94.44%)was significantly higher than that of the control group(69.44%)(P<0.05);before treatment,there was no significant difference in the diameter and degree of stenosis of the artery in the finger between the two groups(P>0.05);after treatment,the degree of stenosis and the diameter of the artery of the experimental group were significantly better than those of the control group(P<0.05).Conclusion:For patients treated with flexor tendon rupture repair of the hand,the use of musculoskeletal ultrasound in the rehabilitation process can significantly improve the functional recovery of the hand;therefore,it is worthy of in-depth research,promotion,and application in clinical rehabilitation. 展开更多
关键词 Musculoskeletal ultrasound HAND flexor tendon rupture REPAIR Hand rehabilitation Clinical value
下载PDF
There is more to the knee joint than just the quadriceps:A systematic review with meta-analysis and evidence gap map of hamstring strength,flexibility,and morphology in individuals with gradual-onset knee disorders 被引量:1
9
作者 Helder S.Lopes Marina C.Waiteman +4 位作者 Liliam B.Priore Neal R.Glaviano David M.Bazett-Jones Ronaldo V.Briani Fabio M.Azevedo 《Journal of Sport and Health Science》 SCIE CAS CSCD 2024年第4期521-536,共16页
Background:Impairments in hamstring strength,flexibility,and morphology have been associated with altered knee biomechanics,pain,and function.Determining the presence of these impairments in individuals with gradual-o... Background:Impairments in hamstring strength,flexibility,and morphology have been associated with altered knee biomechanics,pain,and function.Determining the presence of these impairments in individuals with gradual-onset knee disorders is important and may indicate targets for assessment and rehabilitation.This systematic review aimed to synthesize the literature to determine the presence of impairments in hamstring strength,flexibility,and morphology in individuals with gradual-onset knee disorders.Methods:Five databases(MEDLINE,Embase,CINAHL,SPORTDiscus,and Web of Science)were searched from inception to September 2022.Only studies comparing hamstring outcomes(e.g.,strength,flexibility,and/or morphology)between individuals with gradual-onset knee disorders and their unaffected limbs or pain-free controls were included.Meta-analyses for each knee disorder were performed.Outcome-level certainty was assessed using the Grading of Recommendations Assessment,Development,and Evaluation,and evidence gap maps were created.Results:Seventy-nine studies across 4 different gradual-onset knee disorders(i.e.,knee osteoarthritis(OA),patellofemoral pain(PFP),chondromalacia patellae,and patellar tendinopathy)were included.Individuals with knee OA presented with reduced hamstring strength compared to pain-free controls during isometric(standard mean difference(SMD)=-0.76,95%confidence interval(95%CI):-1.32 to-0.21)and concentric contractions(SMD=-0.97,95%CI:-1.49 to-0.45).Individuals with PFP presented with reduced hamstring strength compared to painfree controls during isometric(SMD=-0.48,95%CI:-0.82 to-0.14),concentric(SMD=-1.07,95%CI:-2.08 to-0.06),and eccentric contractions(SMD=-0.59,95%CI:-0.97 to-0.21).No differences were observed in individuals with patellar tendinopathy.Individuals with PFP presented with reduced hamstring flexibility when compared to pain-free controls(SMD=-0.76,95%CI:-1.15 to-0.36).Evidence gap maps identified insufficient evidence for chondromalacia patellae and hamstring morphology across all gradual-onset knee disorders.Conclusion:Our findings suggest that assessing and targeting impairments in hamstring strength and flexibility during rehabilitation may be recommended for individuals with knee OA or PFP. 展开更多
关键词 Chondromalacia patellae Knee flexors Knee osteoarthritis Patellar tendinopathy Patellofemoral pain
下载PDF
镰刀状小针刀微创治疗对手指屈肌腱狭窄性腱鞘炎的效果
10
作者 范文潮 陈章妹 +3 位作者 徐剑 杨洪军 王森 刘园 《实用临床医药杂志》 CAS 2024年第11期79-83,共5页
目的探讨自制式镰刀状小针刀微创治疗对手指屈肌腱狭窄性腱鞘炎患者疼痛程度及总治愈率的影响。方法选取手指屈肌腱狭窄性腱鞘炎患者100例,按随机数字表法分为对照组和观察组,每组50例。对照组采用开放手术治疗,观察组采用自制式镰刀状... 目的探讨自制式镰刀状小针刀微创治疗对手指屈肌腱狭窄性腱鞘炎患者疼痛程度及总治愈率的影响。方法选取手指屈肌腱狭窄性腱鞘炎患者100例,按随机数字表法分为对照组和观察组,每组50例。对照组采用开放手术治疗,观察组采用自制式镰刀状小针刀微创治疗。比较2组手术指标、疼痛程度、炎性因子、并发症发生率以及总治愈率。结果观察组各项手术指标改善均优于对照组;2组手术后视觉模拟评分法(VAS)评分均低于手术前,手术后即刻、手术后7 d、手术后6个月观察组VAS评分均低于对照组;手术后2组血清白细胞介素-6(IL-6)、超敏C反应蛋白(hs-CRP)、肿瘤坏死因子-α(TNF-α)均降低,且观察组低于对照组;观察组并发症发生率低于对照组,总治愈率高于对照组,以上差异均有统计学意义(P<0.05)。结论手指屈肌腱狭窄性腱鞘炎患者应用自制式镰刀状小针刀微创治疗的总治愈率较高,可减轻患者疼痛程度和机体炎症反应,降低并发症发生率,加快术后恢复。 展开更多
关键词 手指屈肌腱狭窄性腱鞘炎 镰刀状小针刀 疼痛程度 总治愈率 炎症反应
下载PDF
Evaluation of hand infections in the emergency department using point-of-care ultrasound
11
作者 David Ahmad Haidar David Mintz +2 位作者 Brandon M Wubben Omar Rizvi Srikar Adhikari 《World Journal of Emergency Medicine》 SCIE CAS CSCD 2024年第4期283-288,共6页
BACKGROUND:We aimed to evaluate the utility of point-of-care ultrasound(POCUS)in the assessment of hand infections that present to the emergency department(ED)and its impact on medical decision making and patient mana... BACKGROUND:We aimed to evaluate the utility of point-of-care ultrasound(POCUS)in the assessment of hand infections that present to the emergency department(ED)and its impact on medical decision making and patient management.METHODS:We conducted a retrospective review of patients who presented to two urban academic EDs with clinical presentations concerning for skin and soft tissue infections(SSTI)of the hand between December 2015 and December 2021.Two trained POCUS fellowship physicians reviewed an ED POCUS database for POCUS examinations of the hand.We then reviewed patients’electronic health records(EHR)for demographic characteristics,history,physical examination findings,ED course,additional imaging studies,consultations,impact of POCUS on patient care and final disposition.RESULTS:We included a total of 50 cases(28 male,22 female)in the final analysis.The most common presenting symptoms and exam findings were pain(100%),swelling(90%),and erythema(74%).The most common sonographic findings were edema(76%),soft tissue swelling(78%),and fluid surrounding the tendon(57%).POCUS was used in medical decision making 68%of the time(n=34),with the use of POCUS leading to changes in management 38%of the time(n=19).POCUS use led to early antibiotic use(11/19),early consultation(10/19),and led to the performance of a required procedure(8/19).The POCUS diagnosis was consistent with the discharge diagnosis of flexor tenosynovitis 8/12 times,abscess 12/16 times,and cellulitis 14/20 times.CONCLUSION:POCUS is beneficial for evaluating of hand infections that present to the ED and can be used as an important part of medical decision making to expedite patient care. 展开更多
关键词 ULTRASOUND Point-of-care ultrasound CELLULITIS ABSCESS flexor tenosynovitis
下载PDF
Brachioradialis tendon transfer and palmaris longus tendon graft for thumb avulsion:A case report and review of literature
12
作者 Pierre Curings Sonia Ramos-Pascual +4 位作者 Kinga Michalewska Nicolas Gibert Lionel Erhard Mo Saffarini AlexisNogier 《World Journal of Clinical Cases》 SCIE 2025年第4期48-55,共8页
BACKGROUND Thumb replantation following complete traumatic avulsion requires complex techniques to restore function,especially in cases of avulsion at the level of the metacarpophalangeal joint(MCP I)and avulsion of t... BACKGROUND Thumb replantation following complete traumatic avulsion requires complex techniques to restore function,especially in cases of avulsion at the level of the metacarpophalangeal joint(MCP I)and avulsion of the flexor pollicis longus(FPL)at the musculotendinous junction.Possible treatments include direct tendon suture or tendon transfer,most commonly from the ring finger.To optimize function and avoid donor finger complications,we performed thumb replantation with flexion restoration using brachioradialis(BR)tendon transfer with palmaris longus(PL)tendon graft.CASE SUMMARY A 20-year-old left-handed male was admitted for a complete traumatic left thumb amputation following an accident while sliding from the top of a handrail.The patient presented with skin and bone avulsion at the MCP I,avulsion of the FPL tendon at the musculotendinous junction(zone 5),avulsion of the extensor pollicis longus tendon(zone T3),and avulsion of the thumb’s collateral arteries and nerves.The patient was treated with two stage thumb repair.The first intervention consisted of thumb replantation with MCP I arthrodesis,resection of avulsed FPL tendon and implantation of a silicone tendon prosthesis.The second intervention consisted of PL tendon graft and BR tendon transfer.Follow-up at 10 months showed good outcomes with active interphalangeal flexion of 70°,grip strength of 45 kg,key pinch strength of 15 kg and two-point discrimination threshold of 4 mm.CONCLUSION Flexion restoration after complete thumb amputation with FPL avulsion at the musculotendinous junction can be achieved using BR tendon transfer with PL tendon graft. 展开更多
关键词 Brachioradialis tendon transfer flexor pollicis longus Palmaris longus tendon graft REPLANTATION Thumb amputation Thumb avulsion Case report
下载PDF
头部电针结合屈伸肌交替经皮穴位电刺激治疗脑卒中偏瘫患者平衡及步行能力的临床研究 被引量:1
13
作者 张译尹 张健 +4 位作者 王东岩 董旭 冯丽媛 霍宏 张虹岩 《针灸临床杂志》 2024年第3期7-12,共6页
目的:观察头部电针结合屈伸肌交替经皮穴位电刺激治疗脑卒中(CVA)偏瘫患者平衡及步行能力的临床疗效。方法:将60例符合纳入标准的CVA偏瘫患者作为本试验研究对象,运用随机数字表法将患者分为常规组与联合组。两组患者均给予CVA基础治疗... 目的:观察头部电针结合屈伸肌交替经皮穴位电刺激治疗脑卒中(CVA)偏瘫患者平衡及步行能力的临床疗效。方法:将60例符合纳入标准的CVA偏瘫患者作为本试验研究对象,运用随机数字表法将患者分为常规组与联合组。两组患者均给予CVA基础治疗;常规组额外给予患肢足三里、阳陵泉、阴陵泉、三阴交、丘墟及太冲进行电针治疗;联合组额外给予百会、病灶侧运动区和双侧平衡区进行电针治疗,同时给予患肢浮郄、殷门、血海及箕门进行屈伸肌交替经皮穴位电刺激治疗。治疗前后采用5次椅子坐立测试(5-TSST)、四阶段平衡测试(4-STB)、简明平衡评价系统测试(Brief-BESTest)、功能性步态评估(FGA)、脑卒中专用生存质量量表(SS-QOL)及表面肌电信号最大肌电幅值(MAX)对患者进行疗效评估。结果:两组患者5-TSST评分治疗后降低,4-STB评分、Brief-BESTest评分、FGA评分、SS-QOL评分及表面肌电信号MAX值治疗后均升高,治疗后两组患者各项评分组间比较差异有统计学意义(P<0.01)。结论:头部电针联合屈伸肌交替经皮穴位电刺激治疗能有效改善CVA偏瘫患者的平衡及步行能力,上下协同同步刺激疗效显著,值得临床推广。 展开更多
关键词 脑卒中 偏瘫 电针 屈伸肌交替经皮穴位电刺激 平衡及步行能力
下载PDF
第三趾趾深屈肌腱Ⅱ区损伤模型肌腱粘连的功能锻炼 被引量:1
14
作者 程杰 王继宏 张沛 《中国组织工程研究》 CAS 北大核心 2024年第8期1161-1167,共7页
背景:前期研究显示,改良津下缝合法可用于修复鸡肌腱损伤,由于未进行修复后的功能锻炼,使得肌腱出现较明显的粘连,体现了肌腱修复术后进行功能锻炼的重要性。目的:探讨预防改良津下缝合法修复鸡屈趾肌腱断裂模型肌腱粘连被动功能锻炼的... 背景:前期研究显示,改良津下缝合法可用于修复鸡肌腱损伤,由于未进行修复后的功能锻炼,使得肌腱出现较明显的粘连,体现了肌腱修复术后进行功能锻炼的重要性。目的:探讨预防改良津下缝合法修复鸡屈趾肌腱断裂模型肌腱粘连被动功能锻炼的方案。方法:取10月龄三黄鸡100只,建立右足第三趾Ⅱ区趾深屈肌腱断裂模型后,采用随机数字表法分为5组,每组20只:A组术后石膏固定3周,并且每天给予1次的被动功能锻炼,连续3周;B组术后石膏固定3周,并且每天给予2次的被动功能锻炼,连续3周;C组术后石膏固定3周,并且每天给予3次的被动功能锻炼,连续3周;D组术后石膏固定3周;E组不进行石膏固定也不进行被动功能锻炼。3周后,观察鸡爪的大体形态、肌腱吻合端的形态及腱周粘连程度,检测第三趾屈趾深肌腱滑移距离和所有关节的屈曲角度、肌腱吻合端病理形态和羟脯氨酸含量。结果与结论:①E组肌腱在术后6 d左右完全断裂,从实验中剔除;B、C组鸡爪有较好的抓握形态,D组鸡爪几乎无抓握形态,A组鸡爪抓握形态差于B、C组;②B、C组肌腱吻合端膨大不明显,质地和正常腱性组织差别不大,相对于C组,B组肌腱粘连程度相对轻;D组肌腱吻合端膨大明显,质地较硬,腱周组织瘢痕明显,粘连程度重;A组的表现介于B、C组和D组之间;③B、C组鸡第三趾屈趾深肌腱滑移距离和所有关节的屈曲角度均优于A、D组(P<0.05),B组鸡肌腱中羟脯氨酸含量高于A、C、D组(P<0.05);④苏木精-伊红与天狼星红染色显示,A、C、B组肌腱胶原纤维排列逐渐有方向性,鲜红粗大的Ⅰ型胶原纤维逐渐增多,绿色细小的Ⅲ型胶原纤维逐渐减少;E组肌腱胶原纤维排列方向性差,Ⅰ型和Ⅲ型胶原纤维交叉分布;⑤结果表明,改良津下缝合法修复鸡屈趾肌腱断裂模型术后,每天2次充分的被动功能锻炼既能有效减轻肌腱粘连又能减少肌腱断裂的发生。 展开更多
关键词 腱损伤 动物实验 肌腱粘连 被动功能锻炼 趾深屈肌腱 石膏固定
下载PDF
指屈肌腱狭窄性腱鞘炎治疗的研究进展 被引量:1
15
作者 吴煌超 孙劲 张忠文 《中国医药导报》 CAS 2024年第1期68-71,共4页
指屈肌腱狭窄性腱鞘炎是最常见的手部疾患之一,目前临床上多以保守治疗、注射及手术为主。保守治疗包括口服或局部应用非甾体抗炎药、局部制动、物理治疗等;注射治疗包括皮质类固醇、局部臭氧、富血小板血浆注射;手术治疗包括内镜技术... 指屈肌腱狭窄性腱鞘炎是最常见的手部疾患之一,目前临床上多以保守治疗、注射及手术为主。保守治疗包括口服或局部应用非甾体抗炎药、局部制动、物理治疗等;注射治疗包括皮质类固醇、局部臭氧、富血小板血浆注射;手术治疗包括内镜技术、经皮松解术、针刀治疗、开放式手术等。近年,干细胞衍生物疗法成为研究热点,或将为该病的治疗提供新方案。本文总结分析了指屈肌腱狭窄性腱鞘炎的主要治疗方案进展,并按其病情分度推荐不同疗法,以期为个体化治疗提供一定的参考。 展开更多
关键词 指屈肌腱狭窄性腱鞘炎 保守治疗 注射治疗 手术治疗 研究进展
下载PDF
体外冲击波联合超声波治疗拇指屈指肌腱狭窄性腱鞘炎的疗效观察
16
作者 费奥 孙华 +1 位作者 李松涛 郭永馨 《海军医学杂志》 2024年第3期260-264,共5页
目的观察并探讨应用体外冲击波联合超声波疗法治疗拇指屈指肌腱狭窄性腱鞘炎的临床效果。方法选取2019年1月至2022年12月期间在解放军总医院诊治的拇指屈指肌腱狭窄性腱鞘炎患者138例作为研究对象,随机将患者分为2组(对照组与研究组),... 目的观察并探讨应用体外冲击波联合超声波疗法治疗拇指屈指肌腱狭窄性腱鞘炎的临床效果。方法选取2019年1月至2022年12月期间在解放军总医院诊治的拇指屈指肌腱狭窄性腱鞘炎患者138例作为研究对象,随机将患者分为2组(对照组与研究组),每组各69例。对照组采用药物注射疗法,研究组采用体外冲击波联合超声波疗法,记录2组患者在治疗前、治疗后3个月的临床疗效、Quinnell评级、视觉模拟量表(VAS)评分相关数据。结果随访3个月,研究组(95.65%)患者治疗总有效率上高于对照组(69.56%),差异有统计学意义(P<0.05);2组患者治疗后Quinnell分级较治疗前均有所改善,而研究组较对照组改善程度更大,差异有统计学意义(P<0.05);VAS评分结果显示2组患者治疗后疼痛较治疗前均有所减轻,而研究组的VAS评分在治疗后1周、1个月、3个月低于对照组(P<0.05)。结论体外冲击波联合超声波疗法治疗拇指屈指肌腱狭窄性腱鞘炎临床效果明显,具有安全、易接受、有效和非侵入性的特点,值得推广应用。 展开更多
关键词 拇指屈指肌腱狭窄性腱鞘炎 体外冲击波 超声波
下载PDF
胫腓骨远端骨折致[足母]长屈肌腱挛缩1例
17
作者 刘龙刚 吴清华 +2 位作者 王秋生 岳海领 张小然 《临床骨科杂志》 2024年第4期579-579,共1页
患者,男,25岁,4年前外伤致左胫腓骨远端骨折,行切开内固定治疗后骨折愈合良好,术后6个月出现[足母]趾屈曲畸形,功能锻炼后恢复不理想,且症状逐渐加重,[足母]趾屈曲明显,影响正常活动。于2023年2月5日至我院就诊。入院查体:[足母]趾体屈... 患者,男,25岁,4年前外伤致左胫腓骨远端骨折,行切开内固定治疗后骨折愈合良好,术后6个月出现[足母]趾屈曲畸形,功能锻炼后恢复不理想,且症状逐渐加重,[足母]趾屈曲明显,影响正常活动。于2023年2月5日至我院就诊。入院查体:[足母]趾体屈曲畸形明显(见图1A)。行硬膜外麻醉下手术治疗。 展开更多
关键词 胫腓骨骨折 [足母]长屈肌腱挛缩 趾畸形
下载PDF
显微外科手术治疗屈指肌腱损伤的效果及对手功能和炎症的影响
18
作者 王志炜 蓝贤峰 吴学军 《中外医学研究》 2024年第5期39-43,共5页
目的:观察显微外科手术治疗屈指肌腱损伤的效果及对手功能和炎症的影响。方法:回顾性分析2020年9月—2023年3月福州市第二医院收治的98例屈指肌腱损伤患者的临床资料。根据不同治疗方式将其分为研究组和对照组,各49例。研究组采用显微... 目的:观察显微外科手术治疗屈指肌腱损伤的效果及对手功能和炎症的影响。方法:回顾性分析2020年9月—2023年3月福州市第二医院收治的98例屈指肌腱损伤患者的临床资料。根据不同治疗方式将其分为研究组和对照组,各49例。研究组采用显微外科手术治疗,对照组采用常规修复手术治疗。比较两组术前和术后2个月手功能、疼痛程度,指关节活动度及握力力度,术前和术后3 d炎症因子,临床疗效。结果:术后2个月,两组Carroll上肢功能评分升高,视觉模拟评分法(visual analogue score,VAS)评分降低,研究组Carroll上肢功能评分和握力力度均高于对照组,VAS评分低于对照组,差异有统计学意义(P<0.05)。研究组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。术后2个月,研究组拇指、示指、中指和环指、小指指关节活动度均高于对照组,差异有统计学意义(P<0.05)。术后3 d,两组C反应蛋白(C-reactive protein,CRP)、降钙素原(procalcitonin,PCT)和白细胞介素-6(interleukin-6,IL-6)水平均降低,研究组PCT、IL-6、CRP水平均低于对照组,差异有统计学意义(P<0.05)。研究组优良率高于对照组,差异有统计学意义(P<0.05)。结论:显微外科手术治疗屈指肌腱损伤效果较好,可有效提升患者手功能和关节活动度,缓解炎症刺激和疼痛程度,改善临床症状和预后表现,术式实用性和安全性较高。 展开更多
关键词 显微外科手术 常规修复术 屈指肌腱损伤 手功能 炎症刺激 关节活动度
下载PDF
六字诀与抗痉挛手法对比作用于脑卒中偏瘫患者上肢屈肌痉挛的临床疗效研究
19
作者 单园菲 陈碧华 +4 位作者 周鹏 唐征泳 卫静怡 崔蓉 张颖 《上海医药》 CAS 2024年第12期33-36,42,共5页
目的:评价健身功法“六字诀”应用于中风偏瘫患者上肢屈肌痉挛的临床有效性,综合评价对患者整体功能的受益程度。方法:选取2020年1月至2021年1月收治的脑卒中偏瘫患者40例,采用随机数字表法分为对照组和治疗组各20例。两组都进行常规康... 目的:评价健身功法“六字诀”应用于中风偏瘫患者上肢屈肌痉挛的临床有效性,综合评价对患者整体功能的受益程度。方法:选取2020年1月至2021年1月收治的脑卒中偏瘫患者40例,采用随机数字表法分为对照组和治疗组各20例。两组都进行常规康复训练,治疗组同时采用六字诀,对照组用常规抗痉挛技术。两组疗程均为4周,5次/周,1次/d,40 min/次。研究以反应痉挛的改良Tardieu量表(modifiled Tardieu scale,MTS)作为主要观察指标;以改良Ashworth评价法(modified Ashworth scale,MAS)、上肢运动功能Fugl-Meyer评分(Fugl-Meyer assessment,FMA)、Berg平衡量表(Berg balance scale,BBS)、躯干损伤量表(Trunk impairment scale,TIS)、日常生活活动能力Barthel指数量表(The barthel index,BI)作为次要指标。入组0 d、4周进行主要和次要指标评估。结果:两组患者MTS的R1角度值(快速)和R2角度值(慢速)及BBS评分均较干预前明显改善(P<0.05),且治疗后治疗组的MTS的R1角度值(快速)及BBS评分改善情况亦显著优于对照组水平(P<0.05)。结论:六字诀可以更好地改善偏瘫患者上肢屈肌痉挛,并改善平衡能力,值得临床推广应用。 展开更多
关键词 六字诀 脑卒中 上肢屈肌痉挛 抗痉挛手法 常规康复训练
下载PDF
两种4股交叉屈肌腱缝合方法的生物力学比较
20
作者 丁皓 王继宏 《内蒙古医学杂志》 2024年第2期133-135,共3页
目的探究运用Mclarney与Adelaide缝合法在猪趾屈肌腱生物力学中的性能。方法取新鲜冷冻猪前蹄趾深屈肌腱40条,按随机数表法分为两组。A组采用Adelaide法缝合肌腱,B组采用McLarney法缝合肌腱。在生物力学机上拉伸肌腱,记录肌腱2 mm间隙... 目的探究运用Mclarney与Adelaide缝合法在猪趾屈肌腱生物力学中的性能。方法取新鲜冷冻猪前蹄趾深屈肌腱40条,按随机数表法分为两组。A组采用Adelaide法缝合肌腱,B组采用McLarney法缝合肌腱。在生物力学机上拉伸肌腱,记录肌腱2 mm间隙时的负荷与肌腱断裂时最大拉伸负荷,检查记录肌腱失效模式。结果两组2 mm间隙负荷分别为(50.06±4.47)N、(31.26±2.67)N,最大负荷分别为(69.09±5.11)N、(48.58±4.41)N;两组2 mm间隙负荷、最大负荷之间差异有统计学意义(P=0.001,P<0.05);A组有17例缝线断裂、3例肌腱撕脱;B组有4例缝线断裂、16例肌腱撕脱。结论Adelaide缝合法比Mclarney缝合法有更好的力学性能,可以提供更大的抗张强度,能够为患者术后早期主动功能锻炼提供安全保障。 展开更多
关键词 屈肌腱 缝合方法 生物力学
下载PDF
上一页 1 2 35 下一页 到第
使用帮助 返回顶部