橈神經麻痺肌腱轉移後的處理

Management of Tendon Transfers for Radial Nerve Palsy

林季芳(Chi-Fang Lin)

《職能治療學會雜誌》 8卷 (1990/11) Pp. 45-50

https://doi.org/10.6594/JTOTA.1990.08.06

摘要

由於手指及腕關節無法伸直，橈神經麻痺患者抓握物品能力大受影響，造成手功能嚴重障礙。以肌腱轉移來維持橈神經麻痺後之手部功能，是目前較為流行的治療方式。本文描述橈神經受傷後的不同表徵和肌腱轉移的時機。另外介紹三種不同的肌腱轉移方式，以及手術前、後的處置。如果手外科醫師、治療師和患者能夠密切配合，將促使手術後的肌腱黏連減至最低；則肌腱轉移的成效，將是可預期的。

並列摘要

Loss of radial nerve function in the hand is a significant disabi1ity. With The loss of finger and thumb extension, the patient cannot stabilize the wrist, and cannot satisfactorily grasp, especially power grip. In radial nerve damage, tendon transfer is the best and most popular method to restore the function of the injuried upper extremity. Function loss from radial nerve damage at various levels, timing of tendon transfers, non-operative, preoperative and postoperative management are described. Tendon adhesion is probably the most common cause for transfer failure. With a careful preoperative evaluation and an intensive postoperative therapy program, a good recovery functional will be predicted at 3 to 6 months.

並列關鍵字

nerve palsy ； tendon transfers ； tendon adhesion