To understand scar and adhesion formation during postsurgical period of intrasynovial tendon graft healing, a murine model of flexor digitorum longus tendon graft repair was developed, by utilizing flexor digitorum longus tendon allograft from donor Rosa26/+ mouse, and the healing process at days 3, 7, 14, 21, 28, and 35 post surgery of host wild-type mouse was followed. Using X-gal staining, β...

Flexor tendon rehabilitation after injury and surgical intervention has progressed over the last several decades. This evolution has left a vast amount of information for the hand therapy clinician. The hand therapist treating a primary flexor tendon repair can easily feel daunted, confused, and apprehensive because of the sheer amount of information before him or her, which may lead to patient...

What are the causes of fl exor tendon injuries? Flexor tendon injuries are most commonly caused by a sharp cut to the fi nger or palm. Rupture of the attachment of the tendon to the fi nger can also occur and is commonly associated with recreational sports (such as tackling in football when the tackler’s fi nger becomes entangled in the opponent’s jersey). Flexor tendon injuries can also occur ...

Basic science and clinical investigation have advanced significantly the treatment and the outcome following intrasynovial flexor tendon repair and rehabilitation and reconstruction over the past 30 years. The application of modern multistrand suture repair techniques as well as postoperative rehabilitation protocols emphasizing the application of intrasynovial repair site excursion has led to ...

The intrasynovial flexor tendons of the hand are critical for normal hand function. Injury to these tendons can result in absent finger flexion, and a subsequent loss of overall hand function. The surgical techniques used to repair these tendons have improved in the past few decades, as have the postoperative rehabilitation protocols. In spite of these advances, intrasynovial flexor tendon repa...

  Abstract   Background: The pathophysiology of carpal tunnel syndrome is associated with   increased intracarpal canal pressure. Recently, palmaris longus has been introduced   as an independent risk factor for the development of carpal tunnel syndrome. The   purpose of this study was to assess the association of carpal tunnel syndrome with   the presence of palmaris longus tendon and function...

The purpose of this study is to evaluate the advantages of an early active motion rehabilitation protocol after flexor tendon repair of the hand with the Teno Fix system. Patients with Zone II flexor tendon lacerations repaired with the Teno Fix system will undergo a rigorous early active motion protocol developed at the New York Orthopedic Hospital, starting post-op day 3. Each patient will be...

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...