Functional Improvement of Upper Extremity in Cervical Spinal Cord Injured Patient After Tendon Transfer : A Case Report

頸脊髓損傷病患肌腱轉移手術後之上肢功能改善：病例報告

陳智光(Chih-Kuang Chen) ； 鄧復旦(Fuk-Tan Tang) ； 陳妙旼(Meao-Ming Chen) ； 朱岳喬(Ngok-Kiu Chu)

《中華民國復健醫學會雜誌》 27卷2期 (1999/06) Pp. 85-90

摘要

外傷性四肢癱瘓是因頸脊髓損傷而造成四肢之運動及感覺神經功能障礙，其中上肢功能喪失是影響病患生活品質最重要因素。早期及完整的復健治療有助於功能恢復並預防可能發生的併發症。此外，近二十年來逐漸發展的手部重建手術亦已成為四肢癱瘓病患增加上肢功能的另一選擇，然而在台灣仍未普遍運用。在此我們報告一四肢癱瘓病患例，因接受肌腱轉移手術，而在日常生活及輪椅活動獲致明顯功能改善之病例。經由術前詳細的評估及合適病患的選擇，我們認為重建手術應被考慮作為完整復健計劃之一部份。

關鍵字

四肢癱瘓 ； 脊髓損傷 ； 肌腱轉移

並列摘要

Traumatic tetraplegia is a devastating malady caused by cervical spinal cord injury, leading to motor and sensory impairment of the four limbs. Loss of the upper extremities function severely impacts life quality of the victim. Early and comprehensive rehabilitation can provide good functional recovery and prevent long-term complications. Furthermore, the advanced reconstructive hand surgery that has been developed in the past two decades has become a viable alternative to enhance the function of paralyzed upper extremities. However, this surgical procedure is still rarely performed on tetraplegic patients in Taiwan. This article describes a cervical spinal cord injured patient receiving a tendon transfer from right brachioradialis to flexor digitorum profundus. Consequently, the patient markedly improved in daily activities and wheelchair mobility. After optimal candidate selection, we believe that reconstructive surgery should be considered as a part of comprehensive rehabilitation programs.

並列關鍵字

tetraplegia ； spinal cord injury ； tendon transfer