CAJ | 학술논문

目的探讨应用掌板关节囊松解术治疗手掌严重压砸伤造成的掌指关节屈曲障碍.方法 2005年9月-2008年6月,应用掌板关节囊松解术治疗8例严重压砸伤术后掌指关节被动屈曲障碍的患者,并进行随访,结合蜡疗及功能锻炼观察掌指关节屈曲功能的恢复情况.结果 8例患者均为第3掌指关节被动屈曲障碍,术后关节屈曲功能均获明显改善.屈曲失能角度(F)减小,达到0°～30°;失能值降低,达到0%～18%.结论应用掌板关节囊松解术治疗手掌严重压砸伤造成的掌指关节屈曲障碍,是一种操作简便、疗效可靠的良好方法.
목적 탐토응용장판관절낭송해술치료수장엄중압잡상조성적장지관절굴곡장애.방법 2005년9월-2008년6월,응용장판관절낭송해술치료8례엄중압잡상술후장지관절피동굴곡장애적환자,병진행수방,결합사료급공능단련관찰장지관절굴곡공능적회복정황.결과 8례환자균위제3장지관절피동굴곡장애,술후관절굴곡공능균획명현개선.굴곡실능각도(F)감소,체도0°～30°;실능치강저,체도0%～18%.결론 응용장판관절낭송해술치료수장엄중압잡상조성적장지관절굴곡장애,시일충조작간편、료효가고적량호방법.
Objective To discuss the application of volar plate joint capsule release to treat metacarpophalangeal joint flexion contracture caused by severe crush injury to the palm. Methods From September 2005 to June 2008, 8 cases with post-traumatic metacarpophalangcal joint flexion contracture caused by severe crush injury was treated with volar plate joint capsule release. Postoperatively the patients underwent keritherapy and functional exercise. They were followed up to evaluate recovery of metacarpopha]angeal joint flexion. Results All 8 patients had metacarpophalangeal joint flexion contracture of the middle finger. The joint flexion function was improved remarkably after the surgery. The joint movement limitation decreased to 0° to30°and the functional impairment reduced to 0% to 18%. Conclusion V olar plate joint capsule release is an excenent method to treat metacarpophalangeal joint flexion eontraeture caused by severe palm crush injuiy. It is easy to operate and leads to reliable results.