Central slip extensor tendon injuries: a systematic review of treatments

This systematic review describes and compares outcomes of operative and non-operative management of central slip extensor tendon injuries. A PRISMA-compliant methodology identified 3785 studies. Of these, 29 underwent full text review. No randomized controlled trials were identified. Nine studies evaluated treatment modalities specific to cohorts with acute central slip injuries in adults. A range of operative and non-operative elements of management was identified although no studies directly compared the two. Where aspects of rehabilitation were studied, this was always after surgery. The evidence base regarding treatment of central slip injury is limited and the roles of different treatment strategies for open as well as closed injuries are not well-supported by evidence.

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Extensor Tendon Repair and Reconstruction

10.2310/ps.10036 ◽

2020 ◽

Author(s):

Kelly D. Ledbetter ◽

Jeffrey B. Friedrich

Keyword(s):

Tendon Repair ◽

Treatment Strategies ◽

Tendon Healing ◽

Extensor Tendon ◽

Operative Management ◽

Tendon Injuries ◽

Presenting Symptoms ◽

Acute Injuries ◽

And Function ◽

Extensor Tendon Injuries

The purpose of this chapter is to review the anatomy and function of extensor tendons, the physiology of tendon healing, and general principles regarding common acute and chronic extensor tendon injuries. Acute injuries are classified according to the modified Verdan system and the presenting symptoms, physical exam findings, and treatment strategies are discussed by zone of injury. Common chronic extensor tendon injuries are discussed as they relate to the dorsal wrist's division into six discrete fibro-osseous compartments. Lastly, this chapter reviews the role of operative vs non-operative management as well as the use of immobilization vs early protective motion in the post-operative setting. This review contains 7 figures, 1 table and 37 references. Keywords: extensor, tendon, repair, reconstruction, rehabilitation, tendonopathy, surgery, splint

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The Effect of Mobilization on Repaired Extensor Tendon Injuries of the Hand: A Systematic Review

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2008.06.019 ◽

2008 ◽

Vol 89 (12) ◽

pp. 2366-2372 ◽

Cited By ~ 31

Author(s):

Eelkje Talsma ◽

Mirjam de Haart ◽

Anita Beelen ◽

Frans Nollet

Keyword(s):

Systematic Review ◽

Extensor Tendon ◽

Tendon Injuries ◽

Extensor Tendon Injuries

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Rehabilitation Regimens Following Surgical Repair of Extensor Tendon Injuries of the Hand—A Systematic Review of Controlled Trials

Journal of Hand and Microsurgery ◽

10.1007/s12593-012-0075-x ◽

2016 ◽

Vol 04 (02) ◽

pp. 65-73 ◽

Cited By ~ 10

Author(s):

Chye Ng ◽

Joelle Chalmer ◽

Duncan Macdonald ◽

Saurabh Mehta ◽

David Nuttall ◽

...

Keyword(s):

Systematic Review ◽

Surgical Repair ◽

Extensor Tendon ◽

Tendon Injuries ◽

Controlled Trials ◽

Extensor Tendon Injuries

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Extensor Tendon Repair

Operative Plastic Surgery ◽

10.1093/med/9780190499075.003.0091 ◽

2019 ◽

pp. 931-938

Author(s):

Scott D. Oates

Keyword(s):

Blunt Trauma ◽

Functional Impairment ◽

Tendon Repair ◽

Extensor Tendon ◽

Tendon Injuries ◽

Treatment Modalities ◽

Dorsal Skin ◽

Extensor Tendons ◽

Extensor Tendon Injuries

Because of their location on the dorsum of the hand, the extensor tendons are particularly vulnerable to injury. This is even more likely over the joints since the dorsal skin is particularly thin there. Injuries can occur from both sharp and blunt trauma. Untreated extensor tendon injuries can result in significant functional impairment and potential long-term permanent deformities of the hand. There are significant differences in treatment for extensor tendon injuries involving the finger zones versus the hand. This chapter will describe the most common treatment modalities for extensor tendon injuries to the hand and forearm.

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Treatment of extensor tendon injuries of the hand

Plastic & Reconstructive Surgery ◽

10.1097/00006534-197404000-00031 ◽

1974 ◽

Vol 53 (4) ◽

pp. 488

Author(s):

William K. Lindsay

Keyword(s):

Extensor Tendon ◽

Tendon Injuries ◽

Extensor Tendon Injuries

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Dynamic Splinting After Extensor Tendon Repair in Zones V to VII

Journal of Hand Surgery (European Volume) ◽

10.1016/s0266-7681(03)00014-7 ◽

2003 ◽

Vol 28 (3) ◽

pp. 224-227 ◽

Cited By ~ 35

Author(s):

S. BRÜNER ◽

M. WITTEMANN ◽

A. JESTER ◽

K. BLUMENTHAL ◽

G. GERMANN

Keyword(s):

Retrospective Study ◽

Surgical Complication ◽

Tendon Repair ◽

Extensor Tendon ◽

Tendon Injuries ◽

Active Motion ◽

Evaluation Systems ◽

Dynamic Splinting ◽

Extensor Tendon Injuries

This retrospective study evaluates a dynamic active motion protocol for extensor tendon repairs in zones V to VII. Fifty-eight patients with 87 extensor tendon injuries were examined. Using Geldmacher’s and Kleinert and Verdan’s evaluation systems, the results were graded as “excellent” and “good” in more than 94%, and as “satisfactory” in the remainder. The need for secondary tenolysis was low (6%), and no other surgical complication occurred.

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