Request pdf complications after flexor tendon injuries management of flexor tendon injuries is one of the most demanding tasks in hand surgery. Important considerations include fractures of the metacarpals or phalanges that may entrap the flexor tendon, limiting its motion. Flexor tendon injuries have constituted a large portion of the literature in hand surgery over many years. Scribd is the worlds largest social reading and publishing site. Flexor tendon repair, flexor laceration, post operative mobilisation, hand injuries, tendon injuries. Flexor tendon injuries free download as powerpoint presentation. Introductionthe results of patients with primary zone ii flexor tendon repairs rehabilitated using a traditional forearmbased splint were audited and compared with those who were managed in. Pdf flexor tendon injuries have constituted a large portion of the. Complications after flexor tendon injuries request pdf. Therapeutic interventions with therapeutic devices for flexor tendon injuries. Flexor tendon injuries of the hand are uncommon, and they are among the most challenging orthopaedic injuries to manage. View enhanced pdf access article on wiley online library html view download pdf for offline viewing.
This chapter provides a comprehensive narrative on the subject of flexor tendon injury. Moore md, in essentials of physical medicine and rehabilitation fourth edition, 2020. Flexor tendon injury the british society for surgery of. The wound may be small, but the large forces carried by flexor tendons and the tendency for the repaired tendon to stick to the walls of the tunnel mean that despite a skilled repair and good hand therapy, many fingers do not regain full movement. Proper management is essential to ensure optimal outcomes. Sometimes, a second surgery is required to free up scar tissue and to help the patient regain motion. Even though flexor tendon injury is common, much remains to be elucidated about the best way to. Flexor tendons are prone to laceration and rupture with injuries commonly occurring in association with manual labor, athletics, and in the setting of degenerative tendon rupture.
Predictors of outcome after primary flexor tendon repair in zone 1, 2. Athletes and manual workers are particularly at risk for closed injuries of the flexor system. Flexor tendon injury occurs to the muscle tendon flexor system of the hand. Leggit, ltc, mc, usa, general leonard wood army community hospital, fort leonard wood, missouri.
Management of flexor tendon injuries in hand intechopen. An overview of the management of flexor tendon injuries. Zone 2 flexor tendon injuries still represent a challenging. Historical perspectives are provided as well as practical tips on. Flexor tendon injuries musculoskeletal system human. Pdf download for predictors of outcome after primary flexor tendon. Pdf an overview of the management of flexor tendon injuries. Due to the unforgiving nature of flexor tendon repairs, these injuries have become the sole. Yet many controversies remain and the techniques of surgery and therapy are still evolving.
A direct flexor tendon injury must be suspected in all patients who present with an inability to flex one or more digits. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Therapeutic exercises for flexor tendon injuries youtube. Flexor tendon injuries, however, can be very challenging to treat. The flexor system of the fingers consisting of flexor tendons and finger pulleys is a key anatomic structure for. Flexor tendon injuries in the hand chronic injuries tenosynovitis trigger finger acute injuries laceration tendon rupture pulley rupture. Pdf flexor tendon injuries still remain a challenging condition to manage to ensure optimal outcome for the patient. This article is from annals of surgical innovation and research, volume 7. Despite extensive therapy, some patients have longterm stiffness after flexor tendon injuries. Flexor tendon injuries anatomy nutrition healing diagnosis techniques ci of primary repair zone i zone ii injuries partial lacerations post op rehab.
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