Extensor Tendon Repair and Reconstruction

Kelly D. Ledbetter, J. Friedrich
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Abstract

The purpose of this chapter is to review the anatomy and function of extensor tendons, the physiology of tendon healing, and general principles regarding common acute and chronic extensor tendon injuries. Acute injuries are classified according to the modified Verdan system and the presenting symptoms, physical exam findings, and treatment strategies are discussed by zone of injury. Common chronic extensor tendon injuries are discussed as they relate to the dorsal wrist's division into six discrete fibro-osseous compartments. Lastly, this chapter reviews the role of  operative vs non-operative management as well as the use of immobilization vs early protective motion in the post-operative setting. This review contains 7 figures, 1 table and 37 references. Keywords: extensor, tendon, repair, reconstruction, rehabilitation, tendonopathy, surgery, splint
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伸肌腱修复与重建
本章的目的是回顾伸肌腱的解剖和功能,肌腱愈合的生理学,以及关于常见的急性和慢性伸肌腱损伤的一般原则。根据改进的Verdan系统对急性损伤进行分类,并按损伤区域讨论表现症状,体检结果和治疗策略。我们讨论了常见的慢性伸肌腱损伤,因为它们与腕背分裂成六个离散的纤维骨隔室有关。最后,本章回顾了手术与非手术治疗的作用,以及术后固定与早期保护运动的应用。本综述包含7张图,1张表,37篇参考文献。关键词:伸肌,肌腱,修复,重建,康复,肌腱病,手术,夹板
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