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Ritka szalagsérülés a kézen: a mély metacarpalis szalag fedett szakadása ,[object Object],[object Object],[object Object],[object Object]
lig. metacarpi transversum profundum =  deep transverse metacarpal ligament =   DTML az MP izületek által képzett arcus stabilitása markolás, kulcsfogás
extenzor apparátus
m. interosseus dors. IV.
m. interosseus palmaris III.
DTML
lig. natatoricum lig. metacarpi transv. spf.
a. et n. digitalis comm. m. lumbricalis IV. tend. flex. spf. et prof. dig. V.
DTML
DTML   izolált, fedett sérülése ,[object Object],[object Object],[object Object],[object Object]
 
az MP izületek  dorsovolaris mozgathatósága  fokozott és fájdalmas
Elkülönítés : MP izület collateralis szalag sérüléstől ,[object Object],[object Object],[object Object]
sérült ép
A DTML fedett sérülése konzervatív kezelésre rendszerint nem gyógyul meg, ezért a diagnózis felállítása  műtéti   indikációt  jelent.
dorsalis feltárás
a metacarpus fejecseket egymáshoz közelítjük
temporer fixatio
Köszönöm  a  figyelmet !

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