Verletzungen des Ringbandapparates bei Sportkletterern

Autor:	Volker Schöffl, I. Roloff, Wolf Strecker, H.-P. Winkelmann, Thomas Hochholzer
Rok vydání:	2004
Předmět:	medicine.medical_specialty business.product_category genetic structures Flexor tendon business.industry Radiography Ultrasound Functional therapy eye diseases Surgery Pulley Conservative treatment Functional Treatment medicine Injury Severity Score Orthopedics and Sports Medicine business
Zdroj:	Handchirurgie · Mikrochirurgie · Plastische Chirurgie. 36:224-230
ISSN:	1439-3980 0722-1819
DOI:	10.1055/s-2004-821033
Popis:	The closed traumatic rupture of finger flexor tendon pulleys in rock-climbers represents a new complex finger trauma first observed in the mid 1980s. While initially the diagnostic and therapeutic approaches varied, nowadays a standard proceeding is being applied. After clinical suspicion and eliminating the possibility of a fracture by normal radiographs, pulley strains as well as singular or multiple pulley ruptures can be diagnosed using ultrasound. If the ultrasound fails to give a definitive diagnosis, an MRI should be performed. In the case of a singular rupture, a conservative treatment with initial immobilisation and early functional therapy is indicated. In the case of a multiple pulley rupture, a surgical reconstruction is mandatory. We favour the "loop and a half" technique of Widstrom and colleagues 1989 and, alternatively, the Weilby repair 1978. Post-operative initial immobilisation and early functional treatment under external pulley protection should be performed.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::2fa4bdcd203ae7a1ba2fb85d9bdde097 https://doi.org/10.1055/s-2004-821033 Zobrazit plný text záznamu