211 results match your criteria Hand Flexor Tendon Lacerations


Flexor Tendon Lacerations Secondary to Closed Proximal Phalangeal Fracture.

J Hand Surg Asian Pac Vol 2019 Mar;24(1):123-126

1 Hand Unit, Sydney Hospital, Sydney, Australia.

We report a case of complete laceration of both flexor tendons in the dominant ring finger of a young male caused by a closed volar fracture fragment of the proximal phalanx. Careful clinical examination, reasonable index of suspicion and ultrasound confirmation play a pivotal role in the diagnosis and surgical planning of this rare yet consequential injury. Good outcomes can be achieved from the surgical management and rehabilitation of both soft tissue and bony injuries when planning of surgical approaches and fixation techniques are facilitated by an accurate pre-operative diagnosis. Read More

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http://dx.doi.org/10.1142/S2424835519720093DOI Listing

Comparison Of Outcome Of 1- And 2-Knot, 4-Strand, Doublemodified Kessler Flexor Tendon Repair With Early Active Mobilization Protocol In Patients With Flexor Tendon Lacerations Of Hand.

J Ayub Med Coll Abbottabad 2018 Oct-Dec;30(4):544-547

Jinnah Burn and Reconstructive Surgery Centre Lahore, Pakistan.

Background: Hand is unique for the dexterity of its function and flexor tendons have most important function in hand. Its injury is a challenging treatment. Purpose of this study is to compare the success of 1- and 2-knot, flexor tendon repair (good to excellent results) with early active mobilization in terms of total active motion (TAM) of affected hand postoperatively. Read More

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February 2019
1 Read

Trigger finger secondary to a neglected flexor tendon rupture.

Medicine (Baltimore) 2019 Jan;98(1):e13980

Department of Orthopedic Surgery, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Chonbuk, Republic of Korea.

Secondary trigger finger caused by trauma to the hand, especially associated with partial flexor tendon rupture, is not a common condition. Thus, the clinical manifestations of these patients are not well-known. The aim of this study is to present secondary trigger finger caused by a neglected partial flexor tendon rupture including discussion of the mechanism and treatment. Read More

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http://dx.doi.org/10.1097/MD.0000000000013980DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6344173PMC
January 2019
2 Reads

The FDP-FDS-FDP Dual Tendon Transfer: A Simple, Single-stage Reconstruction Technique for Chronic, Isolated Flexor Digitorum Profundus Tendon Injuries.

Authors:
Nathan T Morrell

Tech Hand Up Extrem Surg 2018 Dec 5. Epub 2018 Dec 5.

Department of Orthopaedics and Rehabilitation, University of Vermont, Burlington, VT.

The reconstruction of chronic flexor tendon injuries remains one of the more challenging injuries facing the hand and upper extremity surgeon. In the setting of an intact flexor digitorum superficialis (FDS), there are few indications for isolated flexor digitorum profundus (FDP) reconstruction. Because of the interplay of the FDP system, the reestablishment of normal tension of the FDP tendons and lumbricals is particularly challenging, and postoperative stiffness, quadriga, or lumbrical plus phenomena can actually lead to a deterioration of digital function with surgery. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000224DOI Listing
December 2018
4 Reads

Relative Motion Flexion Splinting for Flexor Tendon Lacerations: Proof of Concept.

Hand (N Y) 2017 Oct 1:1558944717732063. Epub 2017 Oct 1.

1 New York University, New York City, USA.

Background: The principle of relative motion has allowed patients to regain a higher degree of hand function, while protecting extensor tendon repairs. The purpose of this study was to determine whether the principle of relative motion could be a viable method to protect a flexor tendon repair.

Methods: Four fresh-frozen cadaver arms were each mounted on a testing apparatus (wrist in 30° of extension, metacarpophalangeal [MCP] joints blocked to 70°-80°). Read More

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http://journals.sagepub.com/doi/10.1177/1558944717732063
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http://dx.doi.org/10.1177/1558944717732063DOI Listing
October 2017
8 Reads

Ultrasonographic Evaluation of Zone II Partial Flexor Tendon Lacerations of the Fingers: A Cadaveric Study.

J Ultrasound Med 2018 Apr 29;37(4):941-948. Epub 2017 Sep 29.

Departments of Radiology, Musculoskeletal Imaging, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Objectives: Accurate assessment of zone II partial flexor tendon lacerations in the finger is clinically important. Surgical repair is recommended for lacerations of greater than 50% to 60%. Our goal was to evaluate ultrasonographic test characteristics and accuracy in identifying partial flexor tendon lacerations in a cadaveric model. Read More

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http://dx.doi.org/10.1002/jum.14435DOI Listing
April 2018
8 Reads

Partially Divided Flexor Tendon Injuries: Should They Be Repaired or Not?

Surg J (N Y) 2016 Jul 14;2(3):e89-e90. Epub 2016 Sep 14.

Clinic of Pediatric Surgery, University Clinical Center of Kosovo, Prishtina, Kosovo.

The correct management of partially divided flexor tendon injuries is still controversial. Opinions vary regarding whether partially divided flexor tendon injuries should be repaired. Flexor tendon injuries are common because the tendons lie close to the skin. Read More

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http://dx.doi.org/10.1055/s-0036-1593356DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5553474PMC
July 2016
3 Reads

Polymicrobial pyogenic flexor tenosynovitis of the index finger and first ray resulting from autophagia.

J Orthop 2017 Sep 30;14(3):403-405. Epub 2017 Jun 30.

Department of Orthopaedics,Alpert Medical School of Brown University, Providence, RI, United States.

Pyogenic flexor tenosynovitis (PFT) is a well known infectious condition of the hand, involving the inoculation of the flexor tendon sheath with microorganisms. Many cases have been reported, common causes including direct inoculation by a puncture wound and deep lacerations extending into the flexor tendon sheath. In this report, we present a case of a 50 year old female with PFT resulting from autophagia (consuming one's own body parts, in our case, fingers) successfully treated with irrigation and debridement, amputation of the index finger at the metacarpophalangeal joint and antibiotic therapy. Read More

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http://dx.doi.org/10.1016/j.jor.2017.06.014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5502698PMC
September 2017
10 Reads

Evidence-Based Medicine: Surgical Management of Flexor Tendon Lacerations.

Plast Reconstr Surg 2017 Jul;140(1):130e-139e

Redwood City, Calif. From the Division of Hand and Upper Limb Surgery, Department of Orthopaedic Surgery, Stanford University.

Learning Objectives: After reading this article, the participant should be able to: 1. Accurately diagnose a flexor tendon injury. 2. Read More

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http://dx.doi.org/10.1097/PRS.0000000000003476DOI Listing
July 2017
40 Reads

Outcomes of repair of the lacerated A2 pulley with extensor retinaculum during primary flexor tendon repair.

J Hand Surg Eur Vol 2017 Nov 11;42(9):903-908. Epub 2017 Jun 11.

1 Plastic & Reconstructive Surgery Department, Mansoura University, Mansoura, Egypt.

We report outcomes of repairing the lacerated A2 pulley with extensor retinaculum graft in ten patients (ten fingers) during primary flexor tendon repair in zone 2. Complete A2 pulley lacerations were found in eight fingers and partial A2 pulley laceration in two. We extended the laceration in the sheath to the middle of the A4 or A1 pulley to allow tendon repair with a four-strand core suture. Read More

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http://dx.doi.org/10.1177/1753193417711596DOI Listing
November 2017
4 Reads

Acute Isolated Flexor Tendon Laceration Associated With a Distal Radius Fracture.

Hand (N Y) 2017 05 28;12(3):NP39-NP42. Epub 2016 Sep 28.

1 Keck School of Medicine of the University of Southern California, Los Angeles, USA.

Background: Subacute rupture of the flexor tendons secondary to distal radius fractures is well documented. Recently, accounts of flexor tendon rupture following open reduction internal fixation have been associated with volar plate fixation. However, discovery of an occult traumatic flexor tendon laceration during fixation of an acute distal radius fracture is not well described. Read More

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http://dx.doi.org/10.1177/1558944716668850DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5480671PMC
May 2017
16 Reads

A Comparison of Two Monofilament Suture Materials for Repair of Partial Flexor Tendon Lacerations: A Controlled In-vitro Study.

J Hand Surg Asian Pac Vol 2017 Mar;22(1):18-22

* Department of Orthopaedic Surgery, Leicester General Hospital, Leicester, LE5 4PW, UK.

Background: Surgical repair is advocated for flexor tendon lacerations deeper than 70%. Repair can be undertaken with different suturing techniques and using different materials. Different materials used for tendon repair will have a different gliding resistance (GR) at the joint. Read More

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http://dx.doi.org/10.1142/S0218810417500034DOI Listing
March 2017
8 Reads

Improving Outcomes in Tendon Repair: A Critical Look at the Evidence for Flexor Tendon Repair and Rehabilitation.

Plast Reconstr Surg 2016 Dec;138(6):1045e-1058e

Manchester, United Kingdom; and Münster, Germany From the University Hospital South Manchester, Wythenhawe Hospital; Blond McIndoe Laboratories, Division of Cell Matrix Biology and Regenerative Medicine, University of Manchester; and the Klinik und Poliklinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster.

Learning Objectives: After reading this article, the participant should be able to: 1. Appreciate the variation and evolution of flexor tendon management 2. Know how to assess the patient who presents with a flexor tendon laceration. Read More

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http://dx.doi.org/10.1097/PRS.0000000000002769DOI Listing
December 2016
30 Reads

Hand trauma: A prospective observational study reporting diagnostic concordance in emergency hand trauma which supports centralised service improvements.

J Plast Reconstr Aesthet Surg 2016 Oct 9;69(10):1397-402. Epub 2016 Jul 9.

Plastic Surgery Department, St George's University Hospitals NHS Foundation Trust, Blackshaw Road, London, SW17 0QT, UK.

Background: Hand injuries are common, contributing up to 30% of accident and emergency (A&E) attendances. The aim of this study was to prospectively analyse the pathological demographics of hand injuries in a level 1 trauma centre with a Hand Trauma Unit and direct A&E links, and compare clinical and intra-operative findings. The null hypothesis was that there would be no differences between clinical and intra-operative findings (100% diagnostic concordance). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17486815163014
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http://dx.doi.org/10.1016/j.bjps.2016.06.030DOI Listing
October 2016
4 Reads

Evaluation of Percutaneous First Annular Pulley Release: Efficacy and Complications in a Perfused Cadaveric Study.

J Hand Surg Am 2016 Jul 13;41(7):e165-73. Epub 2016 May 13.

Department of Orthopedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA. Electronic address:

Purpose: Trigger finger is the most common entrapment tendinopathy, with a lifetime risk of 2% to 3%. Open surgical release of the flexor tendon sheath is a commonly performed procedure associated with a high rate of success. Despite reported success rates of over 94%, percutaneous trigger finger release (PFTR) remains a controversial procedure because of the risk of iatrogenic digital neurovascular injury. Read More

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http://dx.doi.org/10.1016/j.jhsa.2016.04.009DOI Listing
July 2016
15 Reads

Partial Flexor Tendon Laceration Assessment: Interobserver and Intraobserver Reliability.

Am J Orthop (Belle Mead NJ) 2016 Mar-Apr;45(3):E127-31

OrthoNeuro, Columbus, OH.

Accurate assessment of partial-thickness flexor tendon lacerations in the hand is difficult owing to the subjectivity of evaluation. In this study, we created 12 partial-thickness flexor tendon lacerations in a cadaveric hand, evaluated the accuracy of 6 orthopedic residents and 4 fellowship-trained hand surgeons in estimating the percentage thickness of each laceration, and assessed the groups' interobserver and intraobserver agreement. The 10 participants estimated each laceration independently and on 2 separate occasions and indicated whether they would repair it. Read More

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August 2016
4 Reads

Flexor Digitorum Superficialis and Flexor Digitorum Profundus with separated sheaths: a new normal variation in human.

Colomb Med (Cali) 2015 Dec 30;46(4):199-201. Epub 2015 Dec 30.

Department of Orthopedic Surgery, Shahid Beheshti Hospital, Babol University of Medical Sciences, Babol, Iran.

Case Description: A 25 years old man presented with a laceration on radial side of proximal phalanx of 4(th) finger (zone II flexor) which was due to cut with glass.

Clinical Findings: The sheaths of Tendons of flexor digitorum superficialis and profundus were not the same and each tendon had a separate sheath.

Treatment And Outcome: The tendons were reconstructed by modified Kessler sutures, after 15 months the patient had a 30 degrees of extension lag even after physiotherapy courses. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4732511PMC
December 2015
14 Reads

Flexor Tendon Reconstruction.

J Am Acad Orthop Surg 2016 Jan;24(1):28-36

Improved methods of primary flexor tendon repair have diminished the need for tendon reconstruction. Nonetheless, reconstruction remains an option for neglected digital flexor tendon lacerations and for failed flexor tendon repair in patients who have a supple, sensate finger and who are able to comply with an extensive rehabilitation program. Preoperative and intraoperative findings dictate whether a one-stage or two-stage procedure is appropriate. Read More

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http://dx.doi.org/10.5435/JAAOS-D-14-00195DOI Listing
January 2016
3 Reads

Use of the Volar Plate of the Distal Interphalangeal Joint as a Distally Based Flap in Flexor Tendon Surgery.

J Hand Surg Am 2016 Feb 10;41(2):287-90. Epub 2015 Dec 10.

Department of Surgery, King Saud University, Riyadh, Saudi Arabia. Electronic address:

The usual treatment for flexor digitorum profundus (FDP) avulsions as well as FDP lacerations in the distal part of zone I is tendon reinsertion into bone. Although there are several different techniques of FDP tendon reinsertion into bone, they are generally complex and have a weak tensile strength. A technique for treating these injuries is to use the volar plate of the distal interphalangeal joint as a distally based flap for tendon repair. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03635023150145
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http://dx.doi.org/10.1016/j.jhsa.2015.11.004DOI Listing
February 2016
5 Reads

Suturing of the flexor digitorum profundus tendon to the entire volar plate in distal zone I injuries.

Authors:
M M Al-Qattan

J Plast Surg Hand Surg 2016 23;50(2):119-24. Epub 2015 Nov 23.

a Division of Plastic Surgery , King Saud University , Riyadh , Saudi Arabia.

Purpose: The author conducted an anatomical and a prospective clinical study to address the technique and complications of using the entire volar plate (VP) as a distally-based flap for distal Zone I flexor digitorum profundus (FDP) tendon repair.

Methods: In the anatomical study, eight fresh finger specimens were dissected to study the anatomy of the VP as well as the stability of the distal interphalangeal joint (DIPJ) after raising the entire VP as a distally-based flap. In the clinical series, six patients underwent repair of distal Zone I FDP lacerations using the VP flap technique and were assessed at a mean of 9 months for range of motion as well as DIPJ deformities. Read More

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http://www.tandfonline.com/doi/full/10.3109/2000656X.2015.11
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http://dx.doi.org/10.3109/2000656X.2015.1111840DOI Listing
January 2017
4 Reads

Effect of Heparin on Post-Operative Adhesion in Flexor Tendon Surgery of the Hand.

J Hand Microsurg 2015 Dec 26;7(2):244-9. Epub 2015 Aug 26.

Hazrat Fateme Hospital and Burn Research Center, Iran University of Medical Science, Tehran, Iran ; Shahid Motahari Burn Hospital, Iran University of medical sciences (IUMS), Vali-asr Ave., Yasami St., Tehran, 1996714353 Iran.

Flexor tendon laceration is a common hand injury. Timely and correct diagnosis of this defect is an important factor for restoring hand function. Post-operative adhesion is a frequent problem after tendon repair and its prevention is difficult in some types of tendon lacerations. Read More

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http://link.springer.com/content/pdf/10.1007%2Fs12593-015-01
Web Search
http://link.springer.com/10.1007/s12593-015-0192-4
Publisher Site
http://dx.doi.org/10.1007/s12593-015-0192-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4642480PMC
December 2015
4 Reads

Accuracy of Visual Estimates of Partial Flexor Tendon Lacerations.

J Hand Surg Am 2015 Dec;40(12):2421-6

Department of Plastic Surgery, University of Texas Southwestern Medical School, Dallas, TX. Electronic address:

Purpose: To determine whether hand surgeons could accurately and consistently estimate the size of partial flexor tendon lacerations.

Materials And Methods: Thirty-two partial flexor tendon lacerations were made in the flexor digitorum profundus tendons of a fresh-frozen cadaveric hand. Four hand surgeons and 5 residents estimated the size of the lacerations. Read More

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http://dx.doi.org/10.1016/j.jhsa.2015.09.009DOI Listing
December 2015
3 Reads

Clinical Results of Flexor Tendon Repair in Zone II Using a six Strand Double Loop Technique.

J Hand Microsurg 2015 Jun 28;7(1):25-9. Epub 2014 Aug 28.

Christine M. Kleinert Institute for Hand & Microsurgery, 225 Abraham Flexner Way, Suite 800, Louisville, KY 40202 USA.

The purpose of this study is to report the clinical results after repair of flexor tendon zone II injuries utilizing a 6-strand double-loop technique and early post-operative active rehabilitation. We retrospectively reviewed 22 patients involving 51 cases with zone II flexor tendon repair using a six strand double loop technique from September 1996 to December 2012. Most common mechanism of injuries was sharp lacerations (86. Read More

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http://jhs.sagepub.com/content/33/4/418.full.pdf
Web Search
http://link.springer.com/10.1007/s12593-014-0156-0
Publisher Site
http://dx.doi.org/10.1007/s12593-014-0156-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4461623PMC
June 2015
9 Reads

A Mechanical Evaluation of Zone II Flexor Tendon Repair Using a Knotless Barbed Suture Versus a Traditional Braided Suture.

J Hand Surg Am 2015 Jul 3;40(7):1355-62. Epub 2015 Jun 3.

Florida Orthopaedic Institute, Tampa, FL.

Purpose: To determine repair site bulk, gliding resistance, work of flexion, and 1-mm gap formation force in zone II flexor tendon lacerations repaired with knotless barbed or traditional braided suture.

Methods: Transverse zone II lacerations of the flexor digitorum profundus (FDP) tendon were created in 36 digits from 6 matched human cadaveric pairs. Repair was performed with 2-0 barbed suture (n = 18) or 3-0 polyethylene braided suture (n = 18). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03635023150044
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http://dx.doi.org/10.1016/j.jhsa.2015.04.009DOI Listing
July 2015
8 Reads

The lost art of single-stage flexor tendon grafting.

Authors:
I Winspur

J Hand Surg Eur Vol 2015 May;40(4):431

The London Hand and Wrist Unit, The Wellington Hospital, London, UK

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http://journals.sagepub.com/doi/10.1177/1753193415575985
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http://dx.doi.org/10.1177/1753193415575985DOI Listing
May 2015
3 Reads

Flexor digitorum profundus laceration in association with closed middle phalangeal fracture: case report.

J Hand Surg Am 2015 May 25;40(5):956-7. Epub 2015 Mar 25.

Department of Orthopaedic Surgery, Columbia University Medical Center, New York, NY. Electronic address:

We report a patient with a flexor digitorum profundus laceration caused by the volarly displaced proximal fragment of a middle phalangeal fracture. Awareness of this association may allow timely recognition and appropriate treatment. Read More

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http://dx.doi.org/10.1016/j.jhsa.2015.01.042DOI Listing
May 2015
5 Reads

Flexor digitorum superficialis repair outside the A2 pulley after zone II laceration: gliding and bowstringing.

J Hand Surg Am 2015 Apr 24;40(4):653-9. Epub 2015 Feb 24.

Center for Musculoskeletal Research, University of Rochester Medical Center, Rochester, NY; Department of Orthopaedics and Rehabilitation, University of Rochester Medical Center, Rochester, NY. Electronic address:

Purpose: To evaluate the changes in maximum flexion angle, gliding coefficient, and bowstringing after a combined repair of both flexor tendons with the flexor digitorum superficialis (FDS) rerouted outside the A2 pulley in cadaveric hands.

Methods: We performed 4 different repairs on cadaveric hands, with each repair tested on 9 unique digits. In total, 12 cadaveric hands and 36 digits were used. Read More

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http://dx.doi.org/10.1016/j.jhsa.2014.12.045DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4380545PMC
April 2015
9 Reads

Open extensor tendon injuries.

J Hand Surg Am 2015 Feb 1;40(2):391-7; quiz 398. Epub 2015 Jan 1.

Orthopaedic Institute, University of California-San Francisco, San Francisco, CA. Electronic address:

The extensor tendons in the dorsum of the hand lie relatively superficially, making open injuries to the extensor mechanism a common source of morbidity. These injuries can range from simple clean lacerations to complex open injuries associated with severe skin and soft tissue loss. Although many advances in the treatment of tendon injuries focused on the flexor tendon, the extensor tendon has begun to receive more attention in recent literature. Read More

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http://dx.doi.org/10.1016/j.jhsa.2014.06.136DOI Listing
February 2015
5 Reads

Exceptional laceration of flexor digitorum tendons proximal to a severe palmar hand wound: a case report with literature review.

Pan Afr Med J 2015 20;22:266. Epub 2015 Nov 20.

Department of Orthopedics, Avicenna University Hospital, Rabat, Morocco.

Hand wounds are common, poor functional outcomes are marked because of sequelae inherent to posttraumatic and postoperative complications. Suitable surgery repair in emergency can ensure best results. Classically, tendon's injuries occur near the injured area and their repair depend on traumatized zone, sutures techniques, associated lesions and surgeon's abilities. Read More

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http://dx.doi.org/10.11604/pamj.2015.22.266.7495DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4765334PMC
October 2016
6 Reads

Delayed reconstruction of a flexor digitorum profundus tendon lacerated during cesarean delivery: case report.

J Hand Surg Am 2014 Dec 23;39(12):2464-7. Epub 2014 Oct 23.

Children's Orthopaedic Center, Children's Hospital Los Angeles, Los Angeles, CA.

We present a case of primary tendon grafting in a 14-month-old infant for an index finger flexor digitorum profundus tendon laceration sustained during cesarean section with excellent functional results at 2-year follow-up. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03635023140116
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http://dx.doi.org/10.1016/j.jhsa.2014.08.018DOI Listing
December 2014
7 Reads

Flexor tendon injury, repair and rehabilitation.

Orthop Clin North Am 2015 Jan 18;46(1):67-76. Epub 2014 Oct 18.

Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, 925 Chestnut Street, 5th floor, Philadelphia, PA 19107, USA. Electronic address:

Injuries to the flexor tendons remain among the most difficult problems in hand surgery. Historically, lacerations to the intrasynovial portion of the flexor tendons were thought to be unsuitable for primary repair. Despite continuing advances in our knowledge of flexor tendon biology, repair, and rehabilitation, good results following primary repair of flexor tendons remain challenging to achieve. Read More

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http://dx.doi.org/10.1016/j.ocl.2014.09.004DOI Listing
January 2015
8 Reads

Effects of non-steroidal anti-inflammatory drugs on flexor tendon rehabilitation after repair.

Arch Bone Jt Surg 2013 Sep 15;1(1):28-30. Epub 2013 Sep 15.

Alireza Rouhani MD, Shohada Educational Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.

Background: Peritendinous adhesions after repairing an injury to the digital flexor tendons are a major problem in hand surgery. Non-steroidal anti-inflammatory drug therapy may affect tendon healing and the development of peritendinous adhesions. The aim of this study was to evaluate ibuprofen effect in patients function after flexor tendon surgical repair. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4151402PMC
September 2013
1 Read

Locking finger due to a partial laceration of the flexor digitorum superficialis tendon: a case report.

Hand Surg 2014 14;19(3):437-9. Epub 2014 Aug 14.

Department of Orthopaedic Surgery, Kameda Medical Centre, Chiba 296-8602, Japan.

A 39-year-old woman sustained a small wound on the palm of her right hand, which quickly healed naturally; however, a month later pain and limited range of motion were noted in her right finger. Surgery revealed the radial half of the flexor digitorum superficialis (FDS) tendon was ruptured and formed a flap, which hooked at the entrance of the A1 pulley. The proximal stump was sutured to the remaining ulnar (normal) side of the FDS tendon. Read More

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http://dx.doi.org/10.1142/S0218810414720320DOI Listing
June 2015
6 Reads

A prospective randomized controlled trial of controlled passive mobilization vs. place and active hold exercises after zone 2 flexor tendon repair.

Hand Surg 2014 ;19(1):53-9

Department of Occupational Therapy, The University of Social Welfare and Rehabilitation Sciences, Evin, Tehran, Iran.

Purpose: The rehabilitation program after flexor tendon repair of zone II laceration varies. We designed a Prospective Randomized Controlled Trial of controlled passive mobilization (modified Kleinert) vs. Place and active hold exercises after zone 2-flexor tendon repair by two-strand suture (Modified kessler). Read More

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http://www.worldscientific.com/doi/abs/10.1142/S021881041450
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http://dx.doi.org/10.1142/S0218810414500105DOI Listing
November 2014
8 Reads

Flexor Zone 5 cut injuries: emergency management and outcome.

J Coll Physicians Surg Pak 2014 Mar;24(3):194-7

Department of Plastic Surgery and Burn Unit, Mayo Hospital, KEMU, Lahore.

Objective: To determine the outcome and devise a protocol for emergency management of cut injuries in Flexor Zone 5 of hands.

Study Design: Descriptive study.

Place And Duration Of Study: Department of Plastic Surgery and Burn Unit, Mayo Hospital, KEMU, Lahore, Pakistan, from January 2009 to March 2013. Read More

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http://dx.doi.org/03.2014/JCPSP.194197DOI Listing
March 2014
8 Reads

The Effect of Pulley Reconstruction on Maximum Flexion, Bowstringing, and Gliding Coefficient in the Setting of Zone II Repair of FDS and FDP: a Cadaveric Investigation.

Hand (N Y) 2014 Mar;9(1):99-104

Department of Orthopaedics and Rehabilitation, University of Rochester Medical Center, 601 Elmwood Ave, Box 665, Rochester, NY 14642 USA.

Purpose: The purpose of this experiment was to determine the effect of A2 pulley reconstruction on gliding coefficient (GC), bowstringing, and proximal interphalangeal (PIP) joint maximum flexion angle after zone II repair of flexor digitorum superficialis (FDS) and flexor digitorum profundus (FDP) lacerations.

Methods: Fresh frozen cadaver forearms were mounted, and the wrist and MCP joints fixed. FDS and FDP tendons were dissected free, and sequential loads were applied while digital images were captured. Read More

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http://dx.doi.org/10.1007/s11552-013-9560-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3928377PMC
March 2014
9 Reads

Commentary on "the influence of patient insurance status on access to outpatient orthopedic care for flexor tendon lacerations".

J Hand Surg Am 2014 Mar;39(3):534

Department of Orthopaedic Surgery, University of South Alabama, Mobile, AL.

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https://linkinghub.elsevier.com/retrieve/pii/S03635023130157
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http://dx.doi.org/10.1016/j.jhsa.2013.11.028DOI Listing
March 2014
4 Reads

The influence of patient insurance status on access to outpatient orthopedic care for flexor tendon lacerations.

J Hand Surg Am 2014 Mar;39(3):527-33

Department of Orthopaedics, University of North Carolina School of Medicine, Chapel Hill, NC.

Purpose: To determine the effect of patient insurance status on access to outpatient orthopedic care for acute flexor tendon lacerations.

Methods: The research team contacted 100 randomly chosen orthopedic surgery practices in North Carolina by phone on 2 different occasions separated by 3 weeks. The research team attempted to obtain an appointment for a fictitious 28-year-old man with an acute flexor tendon laceration. Read More

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http://dx.doi.org/10.1016/j.jhsa.2013.10.031DOI Listing
March 2014
3 Reads

Pediatric flexor tendon injuries: A 10-year outcome analysis.

Can J Plast Surg 2013 ;21(3):181-5

Division of Plastic Surgery, British Columbia Children's Hospital and University of British Columbia;

Background: Primary flexor tendon repair was first introduced in the 1960s. Since then, major advances in the understanding of flexor tendon anatomy and biology have led to improved outcomes following repair. Relative to the adult population, sparse knowledge exists as to which operative and postoperative treatments are most successful in children. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3805641PMC
January 2014
13 Reads

Percutaneous trigger thumb release in children: neither effective nor safe.

J Pediatr Orthop 2014 Jul-Aug;34(5):534-6

*Department of Pediatric Orthopaedics, Sanatorio Allende, Córdoba, Argentina †ABC Medical Center, Mexico City, México.

Background: Although percutaneous trigger thumb release has been extensively used in adults, the technique is not widespread in children. The purpose of this study was to evaluate the efficacy and safety of percutaneous trigger thumb release in the pediatric age group.

Methods: Twenty consecutive thumbs of 15 patients scheduled for surgical release of the A1 pulley were included in this cohort. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000119DOI Listing
April 2015
3 Reads

A nitinol based flexor tendon fixation device: gapping and tensile strength measurements in cadaver flexor tendon.

J Biomech Eng 2014 Jan;136(1):014501

In this study, a new nitinol based fixation device was investigated for use in repairing severed digital flexor tendons. The device, composed of superelastic nitinol, is tubular in shape with inward facing tines for gripping tissue. Its cellular structure was designed such that it has a large effective Poisson's ratio, which facilitates a “finger trap” effect. Read More

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https://biomechanical.asmedigitalcollection.asme.org/data/Jo
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http://biomechanical.asmedigitalcollection.asme.org/article.
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http://dx.doi.org/10.1115/1.4025779DOI Listing
January 2014
5 Reads

IFSSH Flexor Tendon Committee report 2014: from the IFSSH Flexor Tendon Committee (Chairman: Jin Bo Tang).

J Hand Surg Eur Vol 2014 Jan 20;39(1):107-15. Epub 2013 Aug 20.

1Department of Hand Surgery, Affiliated Hospital of Nantong University, Nantong, Jiangsu, China.

Hand surgeons continue to search for the best surgical flexor tendon repair and treatment of the tendon sheaths and pulleys, and they are attempting to establish postoperative regimens that fit diverse clinical needs. It is the purpose of this report to present the current views, methods, and suggestions of six senior hand surgeons from six different countries - all experienced in tendon repair and reconstruction. Although certainly there is common ground, the report presents provocative views and approaches. Read More

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http://dx.doi.org/10.1177/1753193413500768DOI Listing
January 2014
7 Reads

Current practice in acute flexor tendon repair in Israel.

Isr Med Assoc J 2013 Jun;15(6):277-8

Department of Hand Surgery, Kaplan Medical Center, Rehovot, Israel.

Background: Various methods of core suture and suture material are used successfully in acute flexor tendon repair.

Objectives: To assess the current practice in acute flexor tendon repair among Israeli hand surgeons.

Methods: A five-question survey was conducted among certified hand surgeons in Israel regarding their preferred materials and method for performing acute flexor tendon repair. Read More

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June 2013
8 Reads
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Clinical use of a combined grasping and locking core suture technique for flexor tendon repair in zone II.

J Plast Surg Hand Surg 2013 Dec 8;47(6):438-41. Epub 2013 Jul 8.

Division of Plastic Surgery, King Saud University , Riyadh , Saudi Arabia.

Previous authors have used either a grasping or a locking technique for flexor tendon repair in zone II. A combined (grasping and locking) 10-strand repair was used by the author in 22 adults (n = 28 fingers) with lacerations of both flexor tendons in zone II. The combined repair is known to be strong (mean tensile strength of 164 N), and the technique was used in selected cases who were thought to be at higher risk of rupture either because of excessive digital oedema (in early tendon repairs) or because of tendon retraction (in late primary tendon repairs). Read More

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http://dx.doi.org/10.3109/2000656X.2013.776561DOI Listing
December 2013
1 Read

Effect of triggering and entrapment on tendon gliding properties following digital flexor tendon laceration: in vitro study on turkey tendon.

J Hand Surg Eur Vol 2014 Sep 3;39(7):708-13. Epub 2013 Jun 3.

Department of Health Sciences, Leicester General Hospital, Leicester, UK.

The optimal management of partial flexor tendon laceration is controversial and remains a clinical challenge. Abnormal tendon gliding (triggering and entrapment) was assessed at the A2 pulley in 40 turkey tendons in three groups: intact, partially divided (palmar or lateral), and trimmed. Testing was of gliding resistance and friction coefficient at 30° and 70° of flexion, loaded with 2 and 4 N. Read More

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http://dx.doi.org/10.1177/1753193413490898DOI Listing
September 2014
1 Read

Flexor pulley reconstruction.

Hand Clin 2013 May 4;29(2):235-42. Epub 2013 Apr 4.

Division of Hand and Upper Extremity Surgery, Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY 10021, USA.

Flexor pulley reconstruction is a challenging surgery. Injuries often occur after traumatic lacerations or forceful extension applied to an acutely flexed finger. Surgical treatment is reserved for patients with multiple closed pulley ruptures, persistent pain, or dysfunction after attempted nonoperative management of a single pulley rupture, or during concurrent or staged flexor tendon repair or reconstruction. Read More

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http://dx.doi.org/10.1016/j.hcl.2013.02.005DOI Listing
May 2013
5 Reads

Flexor tendon lacerations due to high-pressure water injection injury: a case report.

Hand (N Y) 2012 Mar 11;7(1):121-3. Epub 2011 Nov 11.

Christine M. Kleinert Institute for Hand and Microsurgery, 225 Abraham Flexner Way, Suite 850, Louisville, KY 40202 USA.

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http://journals.sagepub.com/doi/10.1007/s11552-011-9369-x
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http://dx.doi.org/10.1007/s11552-011-9369-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3280363PMC
March 2012
3 Reads

Suture purchase length: a biomechanical study of flexor tendon repair in newborn lambs.

J Hand Surg Am 2013 Jan 30;38(1):62-5. Epub 2012 Nov 30.

Department of Surgery, King Saud University, Riyadh, Saudi Arabia.

Purpose: We aimed to determine the effect of core suture purchase on repair strength of flexor tendon lacerations in newborn lambs as a model for pediatric tendon repairs. The dimensions of flexor tendons in these lambs are similar to those of children younger than 2 years.

Methods: Thirty-six flexor tendons were harvested from newborn lambs. Read More

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http://dx.doi.org/10.1016/j.jhsa.2012.10.013DOI Listing
January 2013
8 Reads

Clinical outcomes of zone II flexor tendon repair depending on mechanism of injury.

J Hand Surg Am 2012 Dec;37(12):2532-40

The Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, Maryland 21218, USA.

Purpose: To determine whether mechanism of injury affects outcomes of Zone II flexor tendon repairs.

Methods: We retrospectively analyzed patients who underwent Zone II flexor tendon repair between 2001 and 2010 with a minimum of 12-month follow-up. Exclusion criteria included fingers with fracture, pulley reconstruction, or flexor tendon bowstringing. Read More

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http://dx.doi.org/10.1016/j.jhsa.2012.09.021DOI Listing
December 2012
4 Reads

The effect of core and epitendinous suture modifications on repair of intrasynovial flexor tendons in an in vivo canine model.

J Hand Surg Am 2012 Dec;37(12):2526-31

Washington University School of Medicine, St. Louis, MO 63110, USA.

Purpose: To determine in vivo effects of modifications to core and epitendinous suture techniques in a canine intrasynovial flexor tendon repair model using clinically relevant rehabilitation. Our null hypothesis was that gap formation and rupture rates would remain consistent across repair techniques.

Methods: We evaluated gap formation and rupture in 75 adult mongrel dogs that underwent repair of intrasynovial flexor tendon lacerations followed by standardized postoperative therapy. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03635023120137
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http://dx.doi.org/10.1016/j.jhsa.2012.09.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3513918PMC
December 2012
8 Reads