Document Detail


Flexor tendon lacerations in zone V.
MedLine Citation:
PMID:  1564276     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Twenty-three patients with zone V flexor tendon lacerations rehabilitated by the Kleinert protocol were studied at an average of 46 months after trauma. Hand function was subjectively normal in only eight. Of fourteen patients who were employed at the time of injury, eight returned to their original occupations. Eight others were working at other jobs, and we considered six more capable of employment. Only one had a poor functional result that precluded occupational use of the hand. Pinch/grip strengths recovered to 85%/79% of the uninvolved side. Independent flexor digitorum superficialis/flexor digitorum profundus action was present in only seven patients. Sixteen regained full digital flexion. Extension loss averaged 25% at the wrist and 10% in each digit. As assessed by static two-point discrimination, sensibility was poor after associated median and ulnar nerve transections; this did not preclude good objective functional results. Complications included two tendon ruptures, proximal interphalangeal hyperextension in the presence of an unrepaired flexor digitorum superficialis, and limited motion in two patients after poor compliance in therapy. Tenolysis was needed in 4 of the 23. We now use a modified Duran technique for noncompliant patients and in those who are unable to extend their PIP joints because of weak intrinsic muscles.
Authors:
R J Stefanich; M D Putnam; C A Peimer; F S Sherwin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  17     ISSN:  0363-5023     ISO Abbreviation:  J Hand Surg Am     Publication Date:  1992 Mar 
Date Detail:
Created Date:  1992-05-21     Completed Date:  1992-05-21     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  284-91     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, School of Medicine and Biomedical Sciences, University at Buffalo, N.Y.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Child
Female
Finger Joint / blood supply,  innervation,  physiopathology*,  surgery
Follow-Up Studies
Humans
Male
Middle Aged
Movement
Muscles / physiopathology*,  surgery
Postoperative Complications
Tendon Injuries / physiopathology*,  rehabilitation
Time Factors
Wrist Joint / blood supply,  innervation,  physiopathology*,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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