The wide-awake approach to flexor tendon repair has decreased our rupture and tenolysis rates, and permitted us to get consistently good results in cooperative patients. We no longer perform flexor tendon repair with the tourniquet, sedation and muscle paralysis of general or block (Bier or axillary) anesthesia. Injection of only lidocaine with epinephrine wherever incisions will be made in the...

OBJECTIVES We evaluated tendon reconstruction with one-stage tendon grafting in flexor tendon injuries in which primary repair was not considered because of delay in treatment or of inappropriate circumstances on the part of the wound and the patient. METHODS Thirty-seven patients (29 males, 8 females; mean age 20.5 years; range 4 to 52 years) underwent single-stage flexor tendoplasty involvi...

Traumatic musculotendinous junction avulsions are rare injuries except in avulsion amputations. They pose a significant challenge to the treating surgeon. We present a 24-year-old male who sustained an open musculotendinous avulsion of the flexor pollicis longus tendon. He was treated with primary tendon transfer using the flexor digitorum superficialis of ring finger, in flexor zone 3. The fun...

The injection of contrast material into the navicular bursa, accompanied by a subsequent radiographic examination, provides new and relevant information about pathologic damage to the navicular flexor fibrocartilage and the deep digital flexor tendon. It is the only diagnostic method currently being used that can determine whether adhesions have occurred between the navicular bone and deep flex...

z Evidence summary Flexor tenosynovitis and de Quervain’s tenosynovitis are the 2 most common types of tenosynovitis of the hand. While the term “tenosynovitis” implies an inflammatory condition, pathoanatomically it is better described as a friction overuse injury, resulting in fibrosis Yes. steroid injections are an effective first-line therapy for flexor tenosynovitis of the hand, with a num...

An 18-year-old Warmblood gelding was presented for investigation of a large, firm mass over the medial and plantar aspect left distal metatarsal fetlock region. The first identified 4 months prior to referral, following traumatic incident, had time gradually increased in size. Clinical examination diagnostic imaging revealed large soft tissue adjacent metatarsophalangeal joint digital flexor te...

INTRODUCTION: A tendon graft is indicated when a flexor tendon repair fails, or when tendon rupture or tendon transfer requires prolongation of the muscle-tendon unit. The effect of hyaluronic acid (HA) on flexor tendon repair has been investigated in many animal and clinical studies. Exogenously applied HA may prevent adhesion formation between the flexor tendon and surrounding tissue followin...

The purpose of this research was to develop a tissue-engineered intrasynovial flexor tendon construct with the use of an acellularized flexor tendon scaffold repopulated with intrasynovial tendon cells. New Zealand white rabbit intrasynovial flexor tendons were acellularized by the following methods: high concentration NaCl + SDS, Trypsin/EDTA, Trypsin/EDTA + Triton X-100, Triton X-100, Triton ...

The carpal tunnel contains the median nerve, nine flexor tendons, two synovial bursae, and peritendinous subsynovial connective tissue (SSCT). Fibrosis of the SSCT is the most consistent pathological finding in patients with carpal tunnel syndrome. We investigated the anatomy and gliding characteristics of the flexor digitorum superficialis tendon and its adjacent SSCT with high-resolution ultr...