Even though fractures of the distal radius are the most common fracture of the upper extremity, complications concerning the injury are relatively poorly reported. It is thought that flexor tendon ruptures associated with distal radius fracture are caused by attrition by rough surfaces of malunited fracture and irritation by fixation implants. The majority of reported cases usually presents wit...

To our knowledge, no report has been published of a flexor tendon rupture as a result of a closed phalangeal fracture.A 58-year-old woman with multiple medical comorbidities presented with a closed, apex volar fracture of her long finger proximal phalynx with clinically intact flexor digitorum profundus and superficialis tendons in zone 2 of the flexor tendon sheath. After 5 weeks of nonoperati...

Historically, the surgical treatment of flexor tendon injuries has always been associated with controversy. It was not until 1967, when the paper entitled Primary repair of flexor tendons in no man's land was presented at the American Society of Hand Surgery, which reported excellent results and catalyzed the implementation of this technique into worldwide practice. We present an up to date lit...

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 s...

Dorsal interosseus muscles . . . . . . . . . . . . . e114 Pain e114 Weakness e115 Thenar muscles . . . . . . . . . . . . . . . . . . . e115 Flexor tendons . . . . . . . . . . . . . . . . . . . . e115 Trigger finger . . . . . . . . . . . . . . . . . . . . e115 Tendon rupture . . . . . . . . . . . . . . . . . . . e116 Mallet finger e116 Ruptured flexor tendon e117 Dupuytren’s contracture . . . . ...

Regaining satisfactory digital function after flexor tendon laceration and repair within the digit has long been one of the most difficult problems in hand surgery. Until the 1960s it was universally recommended that tendons divided in the digit (then referred to as “no man’s land”) should not be repaired. Bunnell taught that “it is better to remove the tendons entirely from the finger and graf...

Injuries of the flexor tendon are usually open injuries. In most cases primary treatment is therefore seldom performed by orthopaedic surgeons. This is different for injuries of the extensor tendon. Three quarters of injuries of the extensor tendon are closed injuries. Therefore we do go into primary and secondary reconstruction of the flexor tendon, but focus on primary and secondary reconstru...

OBJECTIVES We evaluated two-staged flexor tendoplasty with tendon prosthesis in patients with flexor tendon injuries in which conventional tendon grafting would fail to yield an acceptable result. METHODS We performed flexor tendoplasty with tendon prosthesis in 37 hands of 31 patients (24 males, 7 females; mean age 23 years; range 4-46 years). Twenty-six patients had penetrating injuries, fo...

OBJECTIVE The senior author previously reported a case of rupture of the flexor policis longus tendon after volar plating of a distal radius fracture. We hypothesized that restoration of the pronator quadratus to its native position after plating might prevent this problem. METHODS The authors report a new case of irritation of the flexor policis longus 2.5 years after volar plating of a dist...