Document Detail


Results of zone I and zone II flexor tendon repairs in children.
MedLine Citation:
PMID:  8169368     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In a combined study of three hand surgery practices, 78 patients younger than 16 years who had sustained flexor tendon lacerations in zone I or zone II of 95 digits were available for critical evaluation. The average postrepair follow-up period was 24 months (range, 3-144 months). Patient age was divided into three groups: 0-5 years, 6-10 years, and 11-15 years. Performance of all digits was assessed to determine the percentage return of normal digital function following repair. Data were analyzed to determine the effect of age, the effect of varying periods of postrepair immobilization, and the long-term changes in digital performance resulting from growth. All profundus repairs in zone I returned excellent function. Isolated profundus and combined profundus and superficialis repairs in zone II achieved comparable results when managed with an early passive motion program or following immobilization for 3 or 4 weeks. Immobilization for longer than 4 weeks resulted in an appreciable deterioration of function. Digital motion following zone II flexor digitorum profundus and superficialis injuries treated with less than 4 weeks of immobilization or early motion was not significantly different in the three age groups studied. Digits with associated digital nerve and/or palmar plate lacerations fared less favorably when compared with isolated tendon lacerations. In many digits, a modest improvement in digital motion was found when patients returned after several years of growth.
Authors:
S J O'Connell; M M Moore; J W Strickland; G T Frazier; P C Dell
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  19     ISSN:  0363-5023     ISO Abbreviation:  J Hand Surg Am     Publication Date:  1994 Jan 
Date Detail:
Created Date:  1994-06-01     Completed Date:  1994-06-01     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:  48-52     Citation Subset:  IM    
Affiliation:
Desert Orthopaedic Center, Eisenhower Medical Center, Rancho Mirage, CA 92270.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Child
Child, Preschool
Finger Injuries / surgery*
Humans
Immobilization
Infant
Range of Motion, Articular
Tendon Injuries / surgery*
Time Factors
Treatment Outcome

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


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