Digital flexor sheath: repair and reconstruction of the annular pulleys and membranous sheath.

J G Seiler, F J Leversedge
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Abstract

Rupture or transection of the digital pulley may necessitate repair or reconstruction to treat symptomatic flexor tendon bowstringing. When reconstruction is necessary, intrasynovial tendon grafts may provide superior gliding characteristics when compared with traditional extrasynovial tendon grafts. Lacerations of the membranous portion of the digital sheath and of noncritical annular pulleys usually do not require operative repair.

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指屈肌鞘:环形滑轮和膜鞘的修复和重建。
手指滑轮断裂或横断可能需要修复或重建治疗症状性屈肌腱弓弦。当需要重建时,与传统的滑膜外肌腱移植物相比,滑膜内肌腱移植物可以提供更好的滑动特性。指鞘的膜性部分和非临界环形滑带的撕裂通常不需要手术修复。
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