[Close injury of the tendon at wrist].
Because of the complicated causes and variable clinical signs, closed injury of tendons at wrist is difficult to diagnosis and treat. Twenty-six cases of tendon ruptur were reported. Among them, 11 cases were caused by bone fracture or dislocation, 8 cases were caused by rheumatoid synovitis, 5 cases were caused by synovial tuberculosis, and 2 cases caused by other. The pathogenesis and clinical signs were analyzed. Twenty-three cases were treated by tendon transfer and 3 cases were treated by tendon transplantation. By average follow-up of 16 months (ranged 6 months to 4 years), the results were as follows: the clip strength and both active and positive motion of fingers were restored in 19 caese, 75% of those were restored in 7 cases and 50% of those were restored in 2 cases. It was suggested that diagnosis, treatment and function rehabilitation should be carried out early, and tendon transfer or tendon transplatation were the method on priority.
Lu
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Department of Hand Surgery, First Clinical Hospital, Norman Bethune University of Medical Sciences, Changchun, P.R. China.
Li
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Xin
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D000293:Adolescent; D000328:Adult; D000368:Aged; D003100:Colles' Fracture / Q000150:complications*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures; D012421:Rupture; D013708:Tendon Injuries / Q000601:surgery*; D013710:Tendons / Q000637:transplantation; D014949:Wounds, Nonpenetrating; D014954:Wrist Injuries / Q000175:diagnosis / Q000601:surgery