双用途延伸器pollicis longus转移用于I型和IV型风湿性指综合变形
Sébastien Durand1, Yves Harder1, Jessica Billy1
1Department of Plastic, Reconstructive and Aesthetic Surgery and Hand Surgery, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland.
JPRAS open
|January 15, 2026
概括
这项研究引入了一种新的延伸器长 (EPL) 肌转移技术,用于联合类风湿性指形. 双重目的的转移有效地恢复了指伸展和大手指 (MP) 关节的稳定性.
科学领域:
- 整形外科 整形外科 整形外科
- 手术手术手术手术手术
- 类风湿病学 类风湿病学
背景情况:
- 纳勒巴夫分类详细介绍了六种指变形模式.
- 组合形的报告不足,但影响了外科选择.
- 类风湿性指形常常会带来复杂的挑战.
研究的目的:
- 为了呈现一种新的双重用途延伸器pollicis longus (EPL) 转移.
- 为了解决I型布托尼尔形症和IV型甲手腕关节 (MP) 关节的联合不稳定性.
- 为复杂的类风湿指形提供解决方案.
主要方法:
- 在近接的底部创建了一个横骨道.
- 通过道通过EPL肌进行背部固定.
- 该EPL肌被固定在甲手腕头部,以重建腰侧带.
主要成果:
- 该技术成功地恢复了主动指的延伸.
- 甲 (MP) 关节的关节不稳定性得到稳定.
- 在第一个 carpometacarpal 关节的补偿 adduction 被消除了.
结论:
- 双重用途的EPL转移对联合类风湿性指形有效.
- 这种技术解决了延伸器功能和MP关节稳定性的问题.
- 它为复杂的病例提供了可行的手术选择.
相关概念视频
Muscles of the Forearm that Move the Hand and Fingers
2.4K
The muscles of the forearm that move the wrist, hand, and digits are numerous and diverse. They can be classified into two groups based on their location and function — the anterior and posterior compartment muscles.
Anterior Compartment
The anterior compartment muscles originate from the humerus. They primarily function as flexors and are also known as flexor muscles. They typically insert on the carpals, metacarpals, and phalanges. The superficial layer includes the flexor carpi...
Anterior Compartment
The anterior compartment muscles originate from the humerus. They primarily function as flexors and are also known as flexor muscles. They typically insert on the carpals, metacarpals, and phalanges. The superficial layer includes the flexor carpi...
2.4K
Muscles that Move the Forearm
3.7K
The muscles that move the forearms can be divided into four groups: forearm flexors, forearm extensors, forearm pronators, and forearm supinators. The flexors and extensors act on the elbow joint, while the pronators and supinators act on the radioulnar joints.
Forearm Flexors
The biceps brachii, brachialis, and brachioradialis are forearm flexors. The biceps brachii is made up of two heads. Its long head originates at the supraglenoid tubercle of the scapula, whereas that of the short head is...
Forearm Flexors
The biceps brachii, brachialis, and brachioradialis are forearm flexors. The biceps brachii is made up of two heads. Its long head originates at the supraglenoid tubercle of the scapula, whereas that of the short head is...
3.7K
Bones of the Upper Limb: Ulna
4.2K
The ulna and radius are parallel bones of the antebrachium or the forearm. The ulna lies medially and consists of a bony tip called the olecranon process at its proximal end. This hook-like projection articulates with the olecranon fossa of the humerus and forms the "hinged" ulnohumeral part of the elbow joint. This joint facilitates forearm extension and flexion while preventing its hyperextension. Similarly, the coronoid process, another bony projection on the proximal/anterior side...
4.2K
Spinal Nerves: Plexus I
2.4K
Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
2.4K
Bones of the Upper Limb: Radius
4.5K
The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a...
The radius has a nail-shaped head, and a...
4.5K
Ankle Joint
2.8K
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
2.8K


