822 results match your criteria Extensor Tendon Repair


Prognostic Factors for Nonsurgically Treated Sagittal Band Injuries of the Metacarpophalangeal Joint.

J Hand Surg Am 2019 Jan 16. Epub 2019 Jan 16.

Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, South Korea.

Purpose: The aim of this study was to evaluate the factors that influence the prognosis for patients with sagittal band injuries who were treated nonsurgically.

Methods: A total of 94 patients who had been diagnosed with traumatic sagittal band injury and initially treated with 7 weeks of metacarpophalangeal (MCP) joint extension orthosis wear (5 weeks of full-time followed by 2 weeks of part-time use) were studied. The response to treatment, including finger range of motion (ROM), extensor tendon instability, grip strength, and functional outcome measured as Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score were assessed at 24-week follow-up. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.11.011DOI Listing
January 2019

Combined Tibial Tubercle Fracture and Patellar Tendon Avulsion: Surgical Technique and Case Report.

J Orthop Case Rep 2018 May-Jun;8(3):18-22

Department of Orthopaedic Surgery, NYU Langone Medical Center, Hospital for Joint Diseases, New York, USA.

Introduction: Isolated tibial tubercle fractures or patellar tendon ruptures are common injuries in adolescents. However, combined tubercle fractures with patellar tendon ruptures are rare, and hence, there are no definitive methods of surgical fixation or post-operative protocols.

Case Report: A 13-year-old healthy girl sustained an extensor mechanism injury after the left knee hyperflexion during a fall from skateboarding. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1090DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6298703PMC
December 2018
10 Reads

Repair of the Deltoid Ligament Using Posterior Tibial Tendon Autograft:A Novel Technique.

J Foot Ankle Surg 2019 Jan;58(1):165-170

Faculty, Division of Foot & Ankle Surgery, West Penn Hospital, Allegheny Health Network, Pittsburgh, PA. Electronic address:

Posterior tibial tendon dysfunction (PTTD) is a progressive disorder secondary to advanced degeneration of the posterior tibial tendon, leading to the abduction of the forefoot, valgus rotation of the hindfoot, and collapse of the medial longitudinal arch. Eventually, the disease becomes so advanced that it begins to affect the deltoid ligament over time. This attenuation and eventual tear of the deltoid ligament leads to valgus deformity of the ankle. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.07.002DOI Listing
January 2019

Management of Isolated Anterior Tibial Tendon Rupture: A Systematic Review and Meta-Analysis.

J Foot Ankle Surg 2018 Dec 13. Epub 2018 Dec 13.

Medical Writer, Scriptum Medica, University Place, WA. Electronic address:

Rupture of the tibialis anterior tendon is a rare condition reported to occur most often spontaneously in patients >45 years of age. Diagnosis is often delayed due to transient pain at the time of rupture and the ability of the long extensors to compensate for the lost action of the tibialis anterior. Treatment has been proposed to be based on the activity level of the individual; however, no consensus has been reached on the optimal treatment modality for this rare condition. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10672516183031
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http://dx.doi.org/10.1053/j.jfas.2018.08.001DOI Listing
December 2018
3 Reads

Utility of early active motion for flexor tendon repair with concomitant injuries: A multivariate analysis.

Injury 2018 Dec 22;49(12):2248-2251. Epub 2018 Oct 22.

Department of Orthopaedic Surgery, Nagoya Ekisaikai Hospital, 4-66 Shonen-Cho, Nakagawa-Ku, Nagoya, 454-8502, Japan.

Introduction: Flexor tendon injury often occurs with concomitant injuries such as fracture, vascular injury, and extensor tendon injury. These injuries are repaired independently, without a comprehensive strategy. We aimed to identify the effect of concomitant injuries and treatment choice on the outcome of flexor tendon repair. Read More

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http://dx.doi.org/10.1016/j.injury.2018.10.022DOI Listing
December 2018
2 Reads

Reattachment of the flexor and extensor tendons at the epicondyle in elbow instability: a biomechanical comparison of techniques.

BMC Musculoskelet Disord 2018 Dec 3;19(1):432. Epub 2018 Dec 3.

Department of Orthopedic Sports Medicine, Technical University of Munich, Klinikum rechts der Isar, Ismaninger Str. 22, 81675, Munich, Germany.

Background: Elbow dislocation represents a common injury, especially in the younger population. If treated surgically, the reattached tendons require a high amount of primary stability to allow for an early rehabilitation to avoid postoperative stiffness. The purpose of this study was to assess the biomechanical properties of a single and a double row technique for reattachment of the common extensor and common flexor muscles origin. Read More

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http://dx.doi.org/10.1186/s12891-018-2341-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6278143PMC
December 2018
2 Reads

First clinical experience with a new injectable recombinant human collagen scaffold combined with autologous platelet-rich plasma for the treatment of lateral epicondylar tendinopathy (tennis elbow).

J Shoulder Elbow Surg 2018 Nov 26. Epub 2018 Nov 26.

Department of Orthopedic Surgery, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.

Background: Lateral epicondylitis is a tendinopathy of the common extensor origin at the elbow. When traditional conservative treatment fails, more effective therapies are needed. Vergenix Soft Tissue Repair (STR) Matrix (CollPlant Ltd. Read More

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http://dx.doi.org/10.1016/j.jse.2018.09.007DOI Listing
November 2018
1 Read

Reconstruction of chronic proximal hamstring avulsion injuries using ipsilateral distal hamstring tendons results in good clinical outcomes and patient satisfaction.

Knee Surg Sports Traumatol Arthrosc 2018 Nov 23. Epub 2018 Nov 23.

Perth Orthopaedic and Sports Medicine Centre, West Perth, Western Australia, 6005, Australia.

Purpose: To report outcomes following proximal hamstring reconstruction employing an ipsilateral distal hamstring tendon autograft, in patients with chronic proximal ruptures.

Methods: Six patients presenting with a chronic proximal hamstring avulsion and a medial time from injury of 11.0 months (range 7-18), confirmed via magnetic resonance imaging, underwent proximal hamstring repair using a free graft harvested from the ipsilateral distal hamstrings. Read More

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http://dx.doi.org/10.1007/s00167-018-5310-yDOI Listing
November 2018
7 Reads

Lessons Learned in the Authors' First Years of Wide-Awake Hand Surgery at the W Hospital in Korea.

Hand Clin 2019 Feb;35(1):59-66

W Institute for Hand & Reconstructive Microsurgery, W General Hospital, 1632 Dalgubeol-daero, Dalseo-Gu, Daegu 42642, Korea.

Wide-awake local anesthesia no tourniquet (WALANT) is a promising development for surgeons and patients through improved operation outcomes in hand and wrist surgery. The authors have mostly used WALANT for flexor and extensor tendon repair, tenolysis, and tendon transfer. Its application at W Hospital in korea has bolstered surgeon confidence in tendon repair integrity, gliding ability, and transfer tension via direct observation and patient feedback. Read More

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http://dx.doi.org/10.1016/j.hcl.2018.08.006DOI Listing
February 2019
1 Read

Does Patellar Tendon Repair With Gastrocnemius Flap Augmentation Effectively Restore Active Extension After Proximal Tibial Sarcoma Resection?

Clin Orthop Relat Res 2018 Nov 9. Epub 2018 Nov 9.

C. A. Cipriano, D. J. McDonald , Department of Orthopedic Surgery, Washington University, St Louis, MO, USA J. Dalton , School of Medicine, Washington University School of Medicine, St Louis, MO, USA.

Background: A rotational gastrocnemius flap is often used for soft tissue reconstruction after proximal tibia sarcoma resection. However, little is known about the frequency and severity of complications and the recovery of extensor function after this procedure.

Questions/purposes: After gastrocnemius flap reconstruction with split-thickness skin grafting (STSG) to augment the extensor mechanism repair after proximal tibial resection for sarcoma, we asked: (1) What ROM was achieved (including extensor lag and active flexion)? (2) How often did complications and reoperations occur and what caused them?

Methods: Between 1991 and 2014, one surgeon treated 26 patients with proximal tibial resections for primary bone sarcoma. Read More

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http://dx.doi.org/10.1097/CORR.0000000000000564DOI Listing
November 2018
2 Reads

Growth Factor and Intense Pulse Light in Flexor Tendon Repair: A Biomechanical Study at Strength and Gap Resistance.

J Hand Surg Asian Pac Vol 2018 Dec;23(4):463-468

† School of Biochemistry, Swansea University, Swansea, UK.

Background: Flexor tendon injuries are extremely common and they are usually the result of incised traumatic glass or knife injury. The process of tendon healing is a complicated and exceptionally-regimented mechanism that is originated and monitored by a vast number of diverse molecules. One of the most pivotal groups of mediators that are crucial to the healing process are growth factors (GF). Read More

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http://dx.doi.org/10.1142/S2424835518500431DOI Listing
December 2018

Spontaneous Rupture of the Extensor Pollicis Longus Tendon With Repair and Contralateral Prophylactic Decompression: A Case Report and Review of the Literature.

J Hand Surg Am 2018 Oct 30. Epub 2018 Oct 30.

Department of Orthopedics, Shaare Zedek Medical Center, Jerusalem, Israel.

Ruptures of the extensor pollicis longus (EPL) tendon are known to occur primarily from local mechanical causes at Lister's tubercle. Other reasons for ruptures have been proposed including local steroid or even distant steroid injections that might have weakened the tendon, leading to rupture. There have been rare cases in the literature that describe ruptures without any known causes. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.09.011DOI Listing
October 2018
1 Read

Constrained Implant Arthroplasty for Distal Radioulnar Joint Arthrosis: Evaluation and Management of Soft Tissue Complications.

J Hand Surg Am 2018 Oct 18. Epub 2018 Oct 18.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN. Electronic address:

Purpose: Distal radioulnar joint (DRUJ) prostheses designed as semiconstrained devices aiming to replace the function of the ulnar head, sigmoid notch of the radius, and triangular fibrocartilage complex have demonstrated the capacity to restore the functional status of the DRUJ. However, soft tissue complications including tendons, nerves, and wounds, although documented, have not been the primary focus of prior reports. This study investigated short- to medium-term soft tissue complications after DRUJ semiconstrained implant arthroplasty. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03635023173174
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http://dx.doi.org/10.1016/j.jhsa.2018.09.003DOI Listing
October 2018
9 Reads

Iterative Rupture of the Patellar Tendon: A Case Report of an Original Technique for Revision Reconstruction Using an Adjustable Loop and an Artificial Ligament.

Case Rep Orthop 2018 17;2018:6107287. Epub 2018 Sep 17.

Clinique du Sport de Bordeaux-Mérignac, 33700 Mérignac, France.

Chronic rupture of the patellar tendon is a severe injury that leads to dramatic functional consequences including lack of extension and walking difficulty. Surgery is the gold standard to treat this type of injury, but revision reconstructions are problematic because an ipsilateral graft was often harvested for the initial surgery. Because fibrotic tissues on the patellar tendon need to be debrided, another graft must be added to reinforce the tendon. Read More

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https://www.hindawi.com/journals/crior/2018/6107287/
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http://dx.doi.org/10.1155/2018/6107287DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6166387PMC
September 2018
2 Reads

Extensor hallucis longus-transfer for tibialis anterior tendon rupture repair.

Oper Orthop Traumatol 2018 Oct 9. Epub 2018 Oct 9.

Orthopädie Chirurgie Würzburg, Oeggstraße 3, 97070, Würzburg, Germany.

Objective: Restore the function of the tibialis anterior muscle, which is responsible for dorsiflexion and inversion of the foot.

Indications: Spontaneous or traumatic rupture of the tibialis anterior tendon.

Contraindications: Patients with multimorbidity or lack of functional demands. Read More

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http://link.springer.com/10.1007/s00064-018-0571-7
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http://dx.doi.org/10.1007/s00064-018-0571-7DOI Listing
October 2018
1 Read

[Treatment of Acute and Chronic Ruptures of the Extensor Mechanism of the Knee Joints].

Z Orthop Unfall 2018 Oct 5;156(5):593-607. Epub 2018 Oct 5.

Ruptures of the extensor mechanism of the knee joint are rare but disabling injuries. Injuries occur on the basis of degeneration or acute trauma. The understanding of anatomy and biomechanical function plays an essential role for choosing the right diagnostic methods and initiating successful treatment. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-123410
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http://dx.doi.org/10.1055/s-0043-123410DOI Listing
October 2018
2 Reads

Concomitant injuries affect prognosis in patients with central slip tear.

J Plast Reconstr Aesthet Surg 2018 Oct 8;71(10):1440-1445. Epub 2018 Jun 8.

Department of Orthopaedic Surgery, Nagoya Ekisaikai Hospital, 4-66 Shonen-Cho, Nakagawa-Ku, Nagoya city, Aichi prefecture, 454-8502, Japan.

Central slip tears often occur with concomitant hand injuries. However, the outcome of a central slip tear and the effect of concomitant injuries are rarely reported. We evaluated 67 fingers in 63 patients with central slip tears who underwent primary surgery in our hospital between April 2009 and June 2017. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17486815183018
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http://dx.doi.org/10.1016/j.bjps.2018.05.031DOI Listing
October 2018
2 Reads

Reconstruction of Traumatic Central Slip Injuries: Technique Using a Slip of Flexor Digitorum Superficialis.

Tech Hand Up Extrem Surg 2018 Dec;22(4):150-155

Florida Orthopaedic Institute, Hand and Upper Extremity Service, Tampa, FL.

Multiple reconstruction techniques have been described for correction of boutonniere deformities including direct repair, central slip reconstruction, lateral band reconstruction, transverse retinacular ligament reconstruction, staged reconstruction, and extensor tenotomy. Each technique has been reported to have variable results with complications including capsular contracture, loss of proximal interphalangeal flexion, and residual deformity. We describe a surgical technique for central slip reconstruction using a slip of the flexor digitorum superficialis tendon through a bone tunnel. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000205DOI Listing
December 2018

Management of Patellar Tendon Rupture after Total Knee Arthroplasty using Hamstring graft: A Case Report.

J Orthop Case Rep 2018 Mar-Apr;8(2):57-60

Department of Orthopaedics, AIIMS, New Delhi, India.

Introduction: The disruption of extensor mechanism during or after total knee arthroplasty is a rare but disabling complication for the patients. The results of various methods of managing patellar ligament rupture are not predictable and favorable.

Case Report: We report a case of patellar ligament rupture which occurred 6 months after the primary total knee replacement. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1050DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6114200PMC
September 2018

Complication rates by surgeon type after open treatment of distal radius fractures.

Eur J Orthop Surg Traumatol 2018 Jun 19. Epub 2018 Jun 19.

Stanford University Orthopaedic Surgery, Stanford, USA.

Background: In distal radius fracture repair, complications often lead to reoperation and increased cost. We examined the trends and complications in open reduction internal fixation of distal radius fractures across hand specialist and non-hand specialist surgeons.

Methods: We examined claims data from the Humana administrative claims database between 2007 and 2016. Read More

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http://dx.doi.org/10.1007/s00590-018-2236-5DOI Listing
June 2018
2 Reads

A Locked Intraosseous Nail for Transverse Patellar Fractures: A Biomechanical Comparison with Tension Band Wiring Through Cannulated Screws.

J Bone Joint Surg Am 2018 Jun;100(12):e83

Department of Orthopaedics and Traumatology, University Medical Center Mainz, Johannes Gutenberg-University, Mainz, Germany.

Background: Displaced transverse patellar fractures require open reduction and internal fixation. State-of-the-art stabilization techniques are tension band wiring (TBW) using Kirschner wires or cannulated screws. These techniques are associated with high rates of secondary fracture displacement, implant migration, implant prominence, wound-healing disturbances, and the need for implant removal. Read More

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http://dx.doi.org/10.2106/JBJS.17.00272DOI Listing
June 2018
39 Reads

Antegrade Percutaneous Intramedullary Fixation Technique for Metacarpal Fractures: Prospective Study on 150 Cases.

Tech Hand Up Extrem Surg 2018 Sep;22(3):104-109

Institute of Orthopedics, Catholic University of the Sacred Heart of Rome, Roma, Italy.

Objectives: The aim of our study was to assess the results of antegrade percutaneous intramedullary Kirschner wire (K-wire) fixation, for the treatment of unstable displaced metacarpal fractures in a large number of cases, in order to support the usage of this mini-invasive technique in the largest variety of fractures as possible.

Material And Methods: Every patient meeting the inclusion criteria was treated with closed reduction and antegrade intramedullary fixation with 1 or 2 K-wire from January 2013. A total of 150 patients with 165 metacarpal fractures were evaluated until February 2016. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000198DOI Listing
September 2018
9 Reads

Acute flexor tendon injury following midshaft radius and ulna fractures in a paediatric patient.

Trauma Case Rep 2018 Jun 26;15:1-3. Epub 2018 Apr 26.

Department of Paediatric Hand Surgery, Chelsea and Westminster Hospital NHS Foundation Trust, United Kingdom.

Delayed rupture of the extensor and flexor tendons are recognised complications of distal radius fractures. However, acute flexor tendon rupture in the context of forearm fractures is rare. A twelve-year-old female sustained midshaft fractures of the radius and ulna. Read More

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http://dx.doi.org/10.1016/j.tcr.2018.04.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5987260PMC
June 2018
1 Read

Treatment of distal radioulnar joint dislocation with spontaneous rupture of extensor tendon by Sauve-Kapandji osteotomy assisted by wrist arthroscopy: A case series and literature review.

Medicine (Baltimore) 2018 Jun;97(22):e10752

People's First Hospital of Zhangjiagang, Jiangsu, China.

Rationale: Dislocation of the distal radioulnar joint and injury to distal forearm are commonly encountered. However, delayed diagnosis or misdiagnosis has been relatively rare due to improved diagnosis and treatment. Treatment of old dislocation of radioulnar joint is challenging due to development of secondary chronic instability and difficulties in restoration of joint function. Read More

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http://dx.doi.org/10.1097/MD.0000000000010752DOI Listing
June 2018
12 Reads

[Clinical application of anterolateral thigh polyfoliate perforator flap for vascular pedicle protection].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Aug;31(10):1245-1249

Department of Burns and Plastic Surgery, the Affiliated Hospital of Zunyi Medical College, Zunyi Guizhou, 563000, P.R.China.

Objective: To evaluate the effectiveness of anterolateral thigh polyfoliate perforator flap plus pedicle with one foliate flap for repairing extremities soft tissue defect.

Methods: Between January 2014 and January 2017, 24 patients with extremities soft tissue defects were treated by anterolateral thigh polyfoliate perforator flap plus pedicle with one foliate flap. There were 15 males and 9 females, with a median age of 33. Read More

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http://dx.doi.org/10.7507/1002-1892.201703048DOI Listing
August 2017
9 Reads

[Short-term effectiveness of Kirschner wire elastic fixation in treatment of Doyle type and mallet finger].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Nov;31(11):1287-1290

Department of Orthopedics, the 454th Hospital of Chinese PLA, Nanjing Jiangsu, 210001,

Objective: To evaluate the short-term effectiveness of Kirschner wire (K-wire) elastic fixation in the treatment of Doyle type Ⅰ and Ⅱ mallet finger.

Methods: Between July 2016 and March 2017, 18 patients with Doyle type Ⅰ and Ⅱ mallet finger were treated. There were 12 males and 6 males, with an average age of 45 years (range, 16-61 years). Read More

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http://www.rrsurg.com/article/10.7507/1002-1892.201706051
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http://dx.doi.org/10.7507/1002-1892.201706051DOI Listing
November 2017
4 Reads

Treatment of mallet finger deformity with a modified palmaris longus tendon graft through a bone tunnel.

Int J Burns Trauma 2018 5;8(2):34-39. Epub 2018 Apr 5.

Department of Orthopaedics, Southern Medical University, Guangdong No.2 Province People's Hospital Guangdong, China.

Objective: To investigate the clinical effect of treating mallet finger deformity using a modified palmaris longus tendon graft through a bone tunnel.

Methods: Altogether, 21 patients with mallet finger deformity (16 men, 5 women; average age 31 years, range 19-47 years) were treated with a modified palmaris longus tendon graft through a bone tunnel during 18 months (2014-2016). Four index fingers, seven middle fingers, eight ring fingers, and two little fingers were treated for four cutting injuries, eleven finger sprains, four crush injuries, and two twist injuries (7 open and 14 closed injuries). Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5943617PMC
April 2018
3 Reads

Morphological and morphometric evaluation of intertendinous connections among extensor tendons in fetal hands.

Surg Radiol Anat 2018 Sep 5;40(9):979-988. Epub 2018 Apr 5.

Department of Anatomy, Health Sciences Institute, Vocational School of Health Science, Karadeniz Technical University, 61040, Trabzon, Turkey.

Purpose: The purpose of this study was to determine morphometry and morphology of intertendinous connection on fetal cadavers and perform an evidence on tendon relationships.

Methods: Thirty dorsal fetal cadaveric hands were dissected. Morphometric measurements (length, width, beginning-ending angles and areas) of intertendinous connections were performed. Read More

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http://dx.doi.org/10.1007/s00276-018-2011-7DOI Listing
September 2018

Optimal early active mobilisation protocol after extensor tendon repairs in zones V and VI: A systematic review of literature.

Hand Ther 2018 Mar 12;23(1):3-18. Epub 2017 Sep 12.

Health and Rehabilitation Research Institute, School of Clinical Sciences, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.

Introduction: Early mobilisation protocols after repair of extensor tendons in zone V and VI provide better outcomes than immobilisation protocols. This systematic review investigated different early active mobilisation protocols used after extensor tendon repair in zone V and VI. The purpose was to determine whether any one early active mobilisation protocol provides superior results. Read More

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http://dx.doi.org/10.1177/1758998317729713DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5846744PMC
March 2018
20 Reads

[Rupture of the extensor pollicis longus secondary to distal radius fracture repaired with partial tendineous graft from the extensor carpi radialis longus with good functional result].

Pan Afr Med J 2017 18;28:152. Epub 2017 Oct 18.

Service de Chirurgie Orthopédique et de Traumatologie, Centre Hospitalier de Beauvais, France.

We report the case of a 36-year old female patient injured in a fall from a horse. Radiological assessment showed closed comminuted fracture of the lower extremity of the left radius with extensive displacement (A & B). Initial management was based on open osteosynthesis with screwed anterior plate and nails (C) followed by functional rehabilitation. Read More

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http://www.panafrican-med-journal.com/content/article/28/152
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http://dx.doi.org/10.11604/pamj.2017.28.152.12362DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5847133PMC
March 2018
2 Reads

Suture and Splint Compared With K-Wire Fixation for Open Zone 1 Extensor Tendon Injuries.

Ann Plast Surg 2018 Aug;81(2):176-177

From the Orthopaedic Department, John Hunter Hospital, Newcastle, New South Wales, Australia.

Extensor tendon injuries are classified as per the zone of injury. Zone 1 injuries disrupt the lateral bands with resultant inability to extend the distal interphalangeal joint. Open Zone 1 injuries have many well-described treatment options. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001394DOI Listing
August 2018
4 Reads

Knotless Tape Suture Fixation of Quadriceps Tendon Rupture: A Novel Technique.

Am J Orthop (Belle Mead NJ) 2018 Jan;47(1)

Department of Orthopaedic Surgery, Stony Brook University School of Medicine, Stony Brook, NY.

Quadriceps tendon ruptures disrupt the extensor mechanism of the knee and require urgent surgical management. Traditional repair techniques have had mixed biomechanical and clinical results risking weakness and extensor lag. We describe a novel technique using tape suture and knotless anchors, which has performed superiorly during biomechanical testing and yielded terrific early clinical results. Read More

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http://dx.doi.org/10.12788/ajo.2018.0002DOI Listing
January 2018

[Experimental study on staphylococcal enterotoxin promoting tendon-bone healing after reconstruction of anterior cruciate ligament in rabbits].

Zhongguo Gu Shang 2017 Jun;30(6):538-544

Department of Orthopaedics, General Hospital of PLA, Beijing 100853, China;

Objective: To explore highly agglutinative staphylococcin (HAS) pomoting on tendon-bone healing after reconstruction of anterior cruciate ligament(ACL) in rabbits.

Methods: Animal model of ACL reconstruction in 24 mature New Zealand white rabbits(3 months, 2.56 kg on average, either gender) were established using autologous digital long extensor tendon and randomly classified into 2 groups(HAS and control group), 12 rabbits for each group. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2017.06.011DOI Listing
June 2017
3 Reads

Multiple Tophaceous Gout of Hand with Extensor Tendon Rupture.

Case Rep Orthop 2017 20;2017:7201312. Epub 2017 Dec 20.

Department of Orthopedic Surgery, Institute of Rheumatology, Tokyo Women's Medical University, 10-22 Kawada-cho, Shinjuku-ku, Tokyo 162-0054, Japan.

A 45-year-old man presented with painless subcutaneous masses bilaterally on his hands and loss of motion or contracture of the fingers. Initially, drug therapy to reduce the serum uric acid was administered and was expected to reduce the tophi. However, during observation at the clinic, spontaneous rupture of an extensor tendon occurred, and surgical repair of the tendon and resection of the masses were performed. Read More

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http://dx.doi.org/10.1155/2017/7201312DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5750497PMC
December 2017
3 Reads

Technique of Dynamic Flexor Digitorum Superficialis Transfer to Lateral Bands for Proximal Interphalangeal Joint Deformity Correction in Severe Dupuytren Disease.

J Hand Surg Am 2018 02;43(2):192.e1-192.e6

Department of Orthopaedic Surgery, Wake Forest School of Medicine, Winston-Salem, NC.

Pseudo-boutonniere deformity is an uncommon complication from long-standing proximal interphalangeal (PIP) joint contracture in Dupuytren disease. Prolonged flexion contracture of the PIP joint can lead to central slip attenuation and resultant imbalances in the extensor mechanism. We present a technique of flexor digitorum superficialis (FDS) tendon transfer to the lateral bands to correct pseudo-boutonniere deformity at the time of palmar fasciectomy for the treatment of Dupuytren disease. Read More

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http://dx.doi.org/10.1016/j.jhsa.2017.11.010DOI Listing
February 2018
6 Reads

Technique tip: EDL-to-EHL double loop transfer for extensor hallucis longus reconstruction.

Foot Ankle Surg 2017 Dec 6. Epub 2017 Dec 6.

Foot and Ankle Unit, Hospital Clínico Universidad de Chile, Santiago, Chile; Department of Orthopedic Surgery, Clínica Las Condes, Santiago, Chile; Department of Orthopedic Surgery, Facultad de Medicina, Universidad de Chile, Santiago, Chile. Electronic address:

Background: Extensor hallucis longus (EHL) tendon injuries often occur in the setting of lacerations to the dorsum of the foot. End-to-end repair is advocated in acute lacerations, or in chronic cases when the tendon edges are suitable for tension free repair. Reconstruction with allograft or autograft is advocated for cases not amenable to a primary direct repair. Read More

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http://dx.doi.org/10.1016/j.fas.2017.11.005DOI Listing
December 2017
2 Reads

Early quadriceps tendon rupture after primary total knee arthroplasty.

Knee 2018 Jan;25(1):192-194

Bone and Joint Institute, Sunshine Hospital, Penderghast Road, Hyderabad, India.

Background: Extensor mechanism disruption following total knee arthroplasty (TKA) is a rare complication and results in significant morbidity and severe functional limitations. Quadriceps tendon rupture in the early postoperative period after TKA is one limitation about which there is a significant paucity of available information.

Methods: In this retrospective study of 2404 patients who underwent primary TKA between June 2015 to May 2016, there were 10 quadriceps tendon ruptures in seven patients (three bilateral, four unilateral) presented within 3 months after surgery. Read More

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http://dx.doi.org/10.1016/j.knee.2017.12.002DOI Listing
January 2018
2 Reads
1.700 Impact Factor

Mechanics of Metacarpophalangeal Joint Extension.

J Hand Surg Am 2018 Jul 1;43(7):681.e1-681.e5. Epub 2018 Feb 1.

Department of Hand Surgery and Peripheral Nerve Surgery, Royal North Shore Hospital, University of Sydney, New South Wales, Australia. Electronic address:

Purpose: It is a common belief that extension of the metacarpophalangeal (MCP) joint of the finger is achieved via the sagittal bands acting as a sling or lasso to attach the extensor tendon to the base of the proximal phalanx. The aim of this study was to test the hypotheses that (1) division of the sagittal bands reduces extension force or torque of the MCP joint, and (2) division of the extensor tendon distal to the sagittal band will not affect the extension force or torque of the MCP joint.

Methods: Ten cadaver limbs were secured to a jig to allow for testing of the extension force of the MCP joints of the index, middle, and ring fingers. Read More

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http://dx.doi.org/10.1016/j.jhsa.2017.12.010DOI Listing
July 2018
2 Reads

Quadriceps Tendon Repair Using Knotless Anchors and Suture Tape.

Authors:
Michael H Amini

Arthrosc Tech 2017 Oct 11;6(5):e1541-e1545. Epub 2017 Sep 11.

Southwest Orthopaedic Surgery Specialists, Tucson, Arizona, U.S.A.

Repair of a torn quadriceps tendon is necessary to restore the extensor mechanism of the knee. Traditional repair involves transosseous sutures tied over bone bridges on the inferior pole of the patella. Suture anchor repair has been shown to be stronger than transosseous repair and facilitates a smaller incision. Read More

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http://dx.doi.org/10.1016/j.eats.2017.06.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5709721PMC
October 2017
1 Read

Augmentation of Patellar Tendon Repair With Autologous Semitendinosus Graft-Porto Technique.

Arthrosc Tech 2017 Dec 27;6(6):e2271-e2276. Epub 2017 Nov 27.

Clínica do Dragão, Espregueira-Mendes Sports Centre-FIFA Medical Centre of Excellence, Porto, Portugal.

Patellar tendon ruptures can lead to significant functional deficiency of the extensor mechanism of the knee. These injuries, because of their inherent nature and associated complications, may require a complex treatment and remains a challenge for orthopaedic surgeons. Current surgical techniques present significant complications, including patellar fracture, damage to patellar articular cartilage, and abnormal patella height. Read More

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http://dx.doi.org/10.1016/j.eats.2017.08.035DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5765904PMC
December 2017
3 Reads

Patellar Tendon Repair With Ipsilateral Semitendinosus Autograft Augmentation.

Arthrosc Tech 2017 Dec 13;6(6):e2177-e2181. Epub 2017 Nov 13.

Department of Orthopedic Surgery and Sports Medicine Center, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, U.S.A.

Patellar tendon ruptures are rare but potentially devastating injuries. Acute repair after patellar tendon rupture affords the best opportunity for tension-free restoration of the extensor mechanism. Biological augmentation of primary repair is believed to decrease strain across the repair site and reduce the risk of rerupture. Read More

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http://dx.doi.org/10.1016/j.eats.2017.08.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5765631PMC
December 2017
4 Reads

Open Repair of Quadriceps Tendon With Suture Anchors and Semitendinosus Tendon Allograft Augmentation.

Arthrosc Tech 2017 Dec 6;6(6):e2071-e2077. Epub 2017 Nov 6.

The Steadman Clinic, Vail, Colorado, U.S.A.

Quadriceps tendinopathy in an increasingly recognized diagnosis can lead to quadriceps tendon rupture, especially in the older population. It can be caused by repeated micro trauma or also predisposed by systemic diseases such as diabetes mellitus and connective tissue disorders that can in turn lead to extensor mechanism deficits. Although a trial of conservative treatment is advocated, operative treatment should be performed in cases of persistent pain, extension deficit, or complete rupture of the tendon. Read More

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http://dx.doi.org/10.1016/j.eats.2017.08.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5766257PMC
December 2017
5 Reads

[The Primary Metatarsalgia: Pathogenesis, Biomechanics and Surgical Treatment].

Vestn Ross Akad Med Nauk 2017 ;72(1):53-8

This paper presents a comprehensive review on the current concept of the diagnosis and treatment of central metatarsalgia on the basis of medical literature analyses. Metatarsalgia is the term for pain in the forefoot. This is a set of symptoms corresponding to a wide range of diseases. Read More

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http://dx.doi.org/10.15690/vramn756DOI Listing
February 2018
3 Reads

Two-stage extensor tendon graft using the Paneva-Holevitch procedure: A new technique.

Hand Surg Rehabil 2018 02 5;37(1):12-15. Epub 2018 Jan 5.

Hand and upper extremity surgery unit, European Hospital Georges Pompidou, AP-HP, 20, rue Leblanc, 75908 Paris cedex 15, France.

Reconstruction of the extensor tendons remains a therapeutic challenge. Tendon transfers and grafts are a potential source of morbidity at the donor site, and the graft stock is limited. In the index finger, the tendon of the extensor indicis proprius can be anastomosed to the tendon of the extensor digitorum, and then the extensor digitorum tendon turned over after being cut at the forearm. Read More

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http://dx.doi.org/10.1016/j.hansur.2017.09.006DOI Listing
February 2018
1 Read

Fixation Strength of Polyetheretherketone Sheath-and-Bullet Device for Soft Tissue Repair in the Foot and Ankle.

J Foot Ankle Surg 2018 Jan - Feb;57(1):60-64

Associate Professor, Milwaukee School of Engineering, Milwaukee, WI.

Tendon transfers are often performed in the foot and ankle. Recently, interference screws have been a popular choice owing to their ease of use and fixation strength. Considering the benefits, one disadvantage of such devices is laceration of the soft tissues by the implant threads during placement that potentially weaken the structural integrity of the grafts. Read More

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http://dx.doi.org/10.1053/j.jfas.2017.08.004DOI Listing
August 2018
6 Reads

Is There Any Role for Direct Repair of Extensor Mechanism Disruption Following Total Knee Arthroplasty?

J Arthroplasty 2018 07 2;33(7S):S244-S248. Epub 2017 Dec 2.

Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois.

Background: Extensor mechanism disruption remains a challenging problem in total knee arthroplasty (TKA) with historically poor outcomes. The purpose of our study is to determine if patients undergoing acute extensor mechanism repair had different outcomes than patients undergoing allograft reconstruction.

Methods: We reviewed a series of 126 total knee arthroplasty patients requiring surgical repair or reconstruction of an extensor mechanism injury from 2005 to 2014 with a minimum of 24 months of follow-up. Read More

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http://dx.doi.org/10.1016/j.arth.2017.11.045DOI Listing
July 2018
14 Reads

Accessory extensor pollicis longus: A rare tendon anomaly.

Hand Surg Rehabil 2018 02 14;37(1):60-63. Epub 2017 Dec 14.

Department of hand, upper limb and peripheral nerve surgery, Georges-Pompidou European Hospital (HEGP), AP-HP, 20, rue Leblanc, 75908 Paris cedex 15, France; Paris-Descartes University, Sorbonne-Paris-Cité, 12, rue de l'École-de-Médecine, 75006 Paris, France.

This report provides a complete review of a rare anatomical variation, the accessory extensor pollicis longus (EPL) tendon and its clinical significance. We will describe a case of an asymptomatic accessory EPL that was found incidentally during surgery with a tendon located in the fourth extensor compartment. Pulling on it induced extension of the thumb interphalangeal joint. Read More

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http://dx.doi.org/10.1016/j.hansur.2017.10.234DOI Listing
February 2018
1 Read

Total bilateral ruptures of the knee extensor apparatus.

Rev Bras Ortop 2017 Nov-Dec;52(6):663-669. Epub 2016 Dec 30.

Coimbra University Hospital, Orthopedics Department, Coimbra, Portugal.

Objective: Bilateral extensor tendon ruptures of the knee are rare and have only been published in the form of case reports or small series.

Methods: Seven patients corresponding to 14 extensor tendon ruptures of the knee were evaluated by the same examiner after a minimum one year post-surgery. Clinical and radiographic evaluations were performed; for statistical analysis, the level of significance was set at 0. Read More

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http://dx.doi.org/10.1016/j.rboe.2016.11.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5720844PMC
December 2016
6 Reads

Obtaining Adequate Tension for Extensor Hallucis Longus Tendon Rupture Repair Using Wide-Awake Surgery: A Case Report.

J Foot Ankle Surg 2018 Mar - Apr;57(2):414-417. Epub 2017 Dec 7.

Professor and Chairman, Department of Orthopaedic Surgery, Nara Medical University, Nara, Japan.

Wide-awake surgery has potential advantages for treating extensor or flexor tendon injury. We present a case of chronic extensor hallucis longus injury treated with turn-down reconstruction using wide-awake surgery with a selective nerve block. To the best of our knowledge, this is the first such case reported. Read More

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http://dx.doi.org/10.1053/j.jfas.2017.08.025DOI Listing
September 2018
2 Reads