Closed rupture of the deep transverse metacarpal ligament: Diagnosis and management

被引:7
作者
Wheatley, MJ [1 ]
Layman, C [1 ]
Burke, JB [1 ]
机构
[1] Oregon Hlth & Sci Univ, Portland Vet Adm Med Ctr, Div Plast & Reconstruct Surg, Portland, OR 97201 USA
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1998年 / 23A卷 / 03期
关键词
D O I
10.1016/S0363-5023(05)80472-1
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Closed rupture of the deep transverse metacarpal ligament (DTML) is an unusual injury. We have managed 2 patients with closed rupture of the DTML between the ring and small fingers resulting from crush injuries to the hand. Both patients presented with painful ulnar deviation of the small finger with extension. The diagnosis was confirmed by exploration through a volar incision. Repair of the ligament with use of the adjacent Al pulleys to butress the repair was successful in both patients and restored a painless finger flexion-extension are. Closed rupture of the DTML can be confused with a metacarpophalangeal joint collateral ligament rupture due to the characteristic deviation of the small finger. Copyright (C) 1998 by the American Society for Surgery of the Hand.
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页码:524 / 528
页数:5
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