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首页> 外文期刊>The Journal of hand surgery, European volume >Severe hand injuries resulting from Samurai sword assaults: a Dublin case series
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Severe hand injuries resulting from Samurai sword assaults: a Dublin case series

机译：武士剑袭击造成的严重手部受伤：都柏林案例系列

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摘要

Dear Sir, Samurai swords are highly prized collectors' items that played a unique role in the culture and history of Japan. For over 1000 years these swords have been associated with the Samurai warriors and the Shogun, who adhered to a strict code of ethics and honour. Central to this was a profound respect for their handcrafted swords. We present three cases of serious hand injuries resulting from sword assaults. A 27-year-old right-hand dominant electrical fitter was assaulted with a sword, resulting in injuries to both knees and the left upper limb. He presented with an ischaemic left thumb and compromised vascularity of the other digits in the left hand. There was an oblique laceration through the base of the thumb extending across the palm to the little finger (Fig 1). At surgical exploration there was transection of the radial artery in the anatomical snuffbox and the ulnar artery at the proximal superficial palmar arch. The flexor pollicis longus and the flexor digitorum sublimis and profundus tendons to all four fingers were divided. The median nerve and the common digital nerve to the ring and little fingers were also completely divided. Extensor pollicis longus and brevis and extensor carpi radialis longus and brevis tendons were divided in zone V and the extensor digitorum tendons to the index, middle and ring fingers were divided in zone VII. The patient also required open reduction and internal fixation of the left ofecranon and left tibial plateau.
机译：尊敬的先生，武士剑是极受珍视的收藏品，在日本的文化和历史中发挥了独特的作用。这些剑与武士和幕府将军有着1000多年的历史，他们遵守严格的道德和荣誉守则。对此的核心是对他们手工制作的剑的深刻尊重。我们介绍了三起因袭击剑而造成的严重手伤的案例。一名27岁的右手主要电工钳工用剑殴打，导致膝盖和左上肢受伤。他表现出缺血性左手拇指，左手其他手指的血管受损。拇指的根部有倾斜的撕裂伤，从手掌一直延伸到小指（图1）。在外科手术探查中，解剖鼻烟盒中有the动脉横断，而近端浅手掌弓处有尺动脉横断。将四只手指的长屈肌，趾上屈肌和深肌腱分开。正中神经和无名指和小指的普通指神经也被完全分开。在V区划分长伸肌，短肌和and腕伸肌和短肌腱，在VII区划分指指伸肌腱，中指和无名指。该患者还需要开放复位并固定左腓骨和左胫骨平台。

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