scholarly journals Intrasynovial Tendon Graft for Chronic Flexor Tendon Laceration of the Finger: A Case Report

2013 ◽  
Vol 7 (1) ◽  
pp. 282-285 ◽  
Author(s):  
Jun Sasaki ◽  
Toshiro Itsubo ◽  
Koichi Nakamura ◽  
Masanori Hayashi ◽  
Shigeharu Uchiyama ◽  
...  
Keyword(s):  
Flexor Tendon ◽  
Ring Finger ◽  
Tendon Graft ◽  
Normal Function ◽  
Flexor Digitorum Profundus ◽  
Postoperative Function ◽  
A2 Pulley ◽  
The Right ◽  
Flexor Digitorum ◽  
Tendon Laceration

We present the case of a patient with flexor digitorum profundus tendon laceration at the A2 pulley level caused by an injury to the base of the right ring finger by a knife. The patient was treated by flexor tendon reconstruction from the palm to the fingertip by using the left second toe flexor tendon as a graft, which improved the active range of motion. Further improvement was achieved by subsequent tenolysis, which eventually restored nearly normal function. Our experience with this case indicates that the intrasynovial tendon is a reasonable graft source for the synovial space in fingers and may enable restoration of excellent postoperative function.

FLEXOR DIGITORUM PROFUNDUS TENDON RUPTURE ASSOCIATED WITH DISTAL RADIUS FRACTURE MALUNION: A CASE REPORT

Hand Surgery ◽  
2009 ◽  
Vol 14 (01) ◽  
pp. 35-38 ◽  
Author(s):  
Takayuki Ishii ◽  
Masayoshi Ikeda ◽  
Yuka Kobayashi ◽  
Joji Mochida ◽  
Yoshinori Oka
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Tendon Rupture ◽  
Flexor Tendon ◽  
Corrective Osteotomy ◽  
Tendon Graft ◽  
Radius Fracture ◽  
Flexor Digitorum Profundus ◽  
Flexor Tendon Rupture ◽  
Flexor Digitorum

We present a case of subcutaneous flexor tendon rupture of the index finger following malunion of a distal radius fracture. The cause of the tendon rupture was mechanical attrition due to a bony prominence at the palmar joint rim in the distal radius due to malunion. Corrective osteotomy and the Sauvé-Kapandji procedure were carried out for the wrist pain and forearm rotation disability and a tendon graft was carried out for the flexor tendon rupture. Recovery was satisfactory.

The Length Of Flexor Tendon Grafts

HAND ◽  
1978 ◽  
Vol os-10 (1) ◽  
pp. 48-51 ◽  
Author(s):  
B. J. Mayou ◽  
S. H. Harrison
Keyword(s):  
Flexor Tendon ◽  
Standard Technique ◽  
Tendon Graft ◽  
Flexor Digitorum Profundus ◽  
Lumbrical Muscle ◽  
Tendon Grafts ◽  
Flexor Digitorum ◽  
Flexor Digitorum Profundus Tendon

Summary The distance between the origin of the lumbrical muscle and the insertion of the flexor digitorum profundus tendon was measured at surgery in forty-eight patients. It was found that this distance was predictable and could be estimated without measurement prior to operation. A standard technique of flexor tendon grafting is described where this distance equals the length of the tendon graft.

scholarly journals A Silent Closed Rupture of the Flexor Digitorum Profundus on the Index Finger: An Unsolved Mystery

2021 ◽  
Vol 17 (2) ◽  
pp. 146-149
Author(s):  
Hyun-Dong Yeo ◽  
Na-Hyun Hwang ◽  
Seung-Ha Park ◽  
Byung-Il Lee ◽  
Eul-Sik Yoon ◽  
...  
Keyword(s):  
Tendon Rupture ◽  
Flexor Tendon ◽  
Index Finger ◽  
Tendon Graft ◽  
Flexor Digitorum Profundus ◽  
Left Index Finger ◽  
Two Stage ◽  
Closed Rupture ◽  
Flexor Tendon Rupture ◽  
Flexor Digitorum

We report the case of a patient who fully recovered from a closed flexor tendon rupture through a two-stage flexor tendon reconstruction using silicone rods, despite a considerable delay in treatment. A 17-year-old male patient visited our clinic with a sudden inability to flex his left index finger, although there were no signs of injury. Magnetic resonance imaging revealed an extensive rupture of the flexor digitorum profundus from the base of the distal phalanx to the proximal phalangeal joint of his left hand. After a two-stage tendon graft operation was performed, the patient regained full flexion of the index finger and was able to hold a fist without any limitations in range of motion. Complete rupture of tendons usually accompanies history of trauma or underlying tendon pathology. In our case, however, the tendon rupture occurred silently with no obvious underlying causes. It is important to recognize the signs to evaluate the underlying structures for appropriate management and treatment. Even with considerable delay, the patient may regain full function of the tendon.

“Silent Ruptures” of the Flexor Digitorum Profundus of the Little Finger due to Pisotriquetral Arthroses

2018 ◽  
Vol 23 (01) ◽  
pp. 121-124
Author(s):  
Kazufumi Sano ◽  
Yosuke Akiyama ◽  
Satoru Ozeki
Keyword(s):  
Elderly Patients ◽  
Old Age ◽  
Flexor Tendon ◽  
Ring Finger ◽  
Flexor Digitorum Profundus ◽  
Tendon Ruptures ◽  
Flexor Digitorum ◽  
Flexor Digitorum Profundus Tendon ◽  
Little Finger

Asymptomatic pisotriquetral arthroses caused ruptures of the flexor digitorum profundus tendon of the little finger in 2 elderly patients. Ruptures occurred with unnoticeable onset, and bilateral ruptures separately occurred with interval of several years in one patient. The tendon was ruptured in zone IV with perforation of the gliding floor through which the degenerative pisiform was visible. The gliding floor was repaired followed with excision of the pisiform, and the ruptured tendon was then transferred to the profundus tendon of the ring finger. Asymptomatic pisotriquetral arthrosis in old age can be an aspect of the pathological background of flexor tendon ruptures of the little finger that occur unnoticed.

scholarly journals Closed Partial Flexor Digitorum Profundus Rupture: An Unusual Cause of Pediatric Trigger Finger

Hand ◽  
2016 ◽  
Vol 12 (5) ◽  
pp. NP92-NP94
Author(s):  
Shane R. Jackson ◽  
Meily Tan ◽  
Kim O. Taylor
Keyword(s):  
Tendon Injury ◽  
Trigger Finger ◽  
Flexor Digitorum Profundus ◽  
Flexor Tendon Injury ◽  
Normal Tendon ◽  
Operative Exploration ◽  
A2 Pulley ◽  
Flexor Digitorum ◽  
Flexor Digitorum Profundus Tendon ◽  
Tendon Laceration

Background: Trigger finger is a common condition, causing impaired gliding of the digital flexor tendons. Chronic inflammation is the usual cause, but acute trigger finger following partial tendon laceration has also been described. Methods: We describe the case of a four year old girl who presented with inability to flex her index finger. Operative exploration revealed a closed partial rupture of the flexor digitorum profundus tendon, catching on the A2 pulley and preventing normal tendon gliding. Results: Excision of the damaged section of tendon allowed normal gliding motion, and once the wound had healed the patient regained full painless motion. Conclusion: Acute trigger finger caused by partial flexor tendon injury is an uncommon but well-documented presentation. Surgical exploration not only confirms the diagnosis, but allows for excision of the damaged segment to return normal movement without compromising strength.

scholarly journals Comparison of step-cut and Pulvertaft attachment for flexor tendon graft: a biomechanics evaluation in an in vitro canine model

2012 ◽  
Vol 37 (9) ◽  
pp. 848-854 ◽  
Author(s):  
T. Hashimoto ◽  
A. R. Thoreson ◽  
K.-N. An ◽  
P. C. Amadio ◽  
C. Zhao
Keyword(s):  
Ultimate Load ◽  
Flexor Tendon ◽  
Canine Model ◽  
Tendon Graft ◽  
Flexor Digitorum Profundus ◽  
Load To Failure ◽  
Tendon Grafts ◽  
Flexor Digitorum ◽  
Flexor Tendon Graft

The purpose of this study was to compare two different methods of joining tendons of similar and dissimilar sizes between recipient and donor tendons for flexor tendon grafts. Flexor digitorum profundus (FDP) and peroneus longus (PL) canine tendons were harvested and divided into four groups. The repair technique we compared was a step-cut (SC) suture and a Pulvertaft weave (PW). FDP tendons were significantly larger in diameter than PL tendons ( p < 0.05). The volume of the SC repairs using either FDP or PL tendon as a graft was significantly smaller than PW repairs ( p < 0.05). The ultimate load to failure and repair stiffness in FDP graft tendons significantly increased compared with the PL graft tendons ( p < 0.05). The SC suture can be used as an alternative to the PW, with similar strength and less bulk for repairs using graft tendons of similar diameter. Surgeons should be aware of the effect of graft tendon size and repair method on strength and bulk when performing flexor tendon grafts.

Flexor tendon repair in the hand with the M-Tang technique (without peripheral sutures), pulley division, and early active motion

2018 ◽  
Vol 43 (5) ◽  
pp. 474-479 ◽  
Author(s):  
Thomas Giesen ◽  
Lisa Reissner ◽  
Inga Besmens ◽  
Olga Politikou ◽  
Maurizio Calcagni
Keyword(s):  
Flexor Tendon ◽  
Tendon Repair ◽  
Flexor Digitorum Profundus ◽  
Flexor Digitorum Superficialis ◽  
Level Of Evidence ◽  
Active Motion ◽  
Post Surgery ◽  
A2 Pulley ◽  
Flexor Digitorum ◽  
Flexor Digitorum Profundus Tendon

We report outcomes in 29 patients with flexor tendon repairs in 32 digits (five thumbs and 27 fingers) with our modified protocols. We repaired the lacerated flexor digitorum profundus tendons with core suture repairs using the 6-strand M-Tang method and without circumferential sutures. We divided the pulleys as much as needed to allow excursion of the repaired tendons, including complete division of the A4 or A2 pulleys when necessary. In nine fingers, we repaired one slip of the flexor digitorum superficialis tendon and resected the other half. When the flexor digitorum profundus tendon would not glide under the A2 pulley, we excised the remaining slip of the flexor digitorum superficialis tendon. The wrist was splinted in mild extension post-surgery with early commencement of tenodesis exercises. No tendon repair ruptured. By the Strickland criteria, out of 27 fingers, 18 had excellent, six had good, two had fair, and one had poor results. We conclude that a strong core suture (such as the M-Tang repair) without peripheral sutures, and with division of pulleys as necessary is safe for early active motion and yields good outcomes. Level of evidence: IV

Comparison of a multifilament stainless steel suture with FiberWire for flexor tendon repairs — an in vitro biomechanical study

2012 ◽  
Vol 38 (4) ◽  
pp. 418-423 ◽  
Author(s):  
E. McDonald ◽  
J. A. Gordon ◽  
J. M. Buckley ◽  
L. Gordon
Keyword(s):  
Mechanical Properties ◽  
Stainless Steel ◽  
Ultimate Load ◽  
Flexor Tendon ◽  
Biomechanical Study ◽  
Flexor Digitorum Profundus ◽  
Human Cadaver ◽  
Mode Of Failure ◽  
Flexor Digitorum

Our goal was to investigate and compare the mechanical properties of multifilament stainless steel suture (MFSS) and polyethylene multi-filament core FiberWire in flexor tendon repairs. Flexor digitorum profundus tendons were repaired in human cadaver hands with either a 4-strand cruciate cross-lock repair or 6-strand modified Savage repair using 4-0 and 3-0 multifilament stainless steel or FiberWire. The multifilament stainless steel repairs were as strong as those performed with FiberWire in terms of ultimate load and load at 2 mm gap. This study suggests that MFSS provides as strong a repair as FiberWire. The mode of failure of the MFSS occurred by the suture pulling through the tendon, which suggests an advantage in terms of suture strength.

LINBURG-COMSTOCK PHENOMENON FOLLOWING FOREARM LACERATION

Hand Surgery ◽  
2012 ◽  
Vol 17 (02) ◽  
pp. 221-224 ◽  
Author(s):  
B. Lin ◽  
S. Sreedharan ◽  
Andrew Y. H. Chin
Keyword(s):  
Index Finger ◽  
Interphalangeal Joint ◽  
Penetrating Injury ◽  
Flexor Digitorum Profundus ◽  
Flexor Pollicis Longus ◽  
Distal Interphalangeal Joint ◽  
Distal Interphalangeal ◽  
The Right ◽  
Flexor Digitorum ◽  
Wide Awake

A 20-year-old man presented with an inability to flex the interphalangeal joint of the right thumb without simultaneous flexion of the distal interphalangeal joint of the index finger following a penetrating injury to the right forearm. With a clinical suspicion of intertendinous adhesions between the flexor pollicis longus and the flexor digitorum profundus to the index finger, surgical exploration under wide-awake anesthesia was performed. Intraoperatively, the intertendinous adhesions were identified and divided completely. Postoperatively, the patient achieved good, independent flexion of the interphalangeal joint of the thumb. This case demonstrates a clinical picture similar to that of Linburg-Comstock syndrome, which occurred following a forearm penetrating injury. We call this the Linburg-Comstock (LC) phenomenon.

Sign in / Sign up

Export Citation Format

Share Document