Tendon surgery is unique because it should ensure tendon gliding after surgery. Tendon surgery now can be performed under local anesthesia without tourniquet, by injecting epinephrine mixed with lidocaine, to achieve vasoconstriction in the area of surgery. This method allows the tendon to move actively during surgery to test tendon function intraoperatively and to ensure the tendon is properly...

objectives: the objective was to determine the results of early active controlled motion in the patients rehabilitated by our new protocol. methods: 91 fingers in 64 patients with flexor tendon repair in all zones were enrolled in a single group (quasi-experimental) clinical trial. 58 fingers in 43 patients were assessed at least three months postoperatively. outcomes were defined using the ‘wh...

Tendon injuries represent even today a challenge as repair may be exceedingly slow and incomplete. Regenerative medicine and stem cell technology have shown to be of great promise. Here, we will review the current knowledge on the mechanisms of the regenerative potential of mesenchymal stem cells (MSCs) obtained from different sources (bone marrow, fat, cord blood, placenta). More specifically,...

In recent years a dynamic development of ultrasound technology has been observed. Consequently, ultrasound is increasingly being utilized in rheumatology. With the introduction of high-frequency (up to 18 MHz) linear probes, sensitive Doppler techniques, harmonic imaging options and cross beams, ultrasound is used in the initial diagnosis of rheumatic diseases, monitoring of the effectiveness o...

BACKGROUND Flexor hallucis longus (FHL) tendon rupture is a challenging injury to lead with clawing of the great toe when the FHL tendon is repaired too tight. When the diagnosis is delayed, the tendon ends may not be opposable because of contracture or poor tendon tissue. METHODS A technique to reconstruct FHL tendon rupture without a free tendon graft is described. A split tendon lengthenin...

With recent advances in computer technology and equipment miniaturization, the clinical application of diagnostic ultrasonography (U/S) has spread across various medical specialties. Diagnostic U/S is attractive in terms of its noninvasiveness, lack of radiation, readiness of use, cost-effectiveness, and its ability to make dynamic examinations possible. Dynamic imaging deserves special emphasi...

this article presents a new technique for weakening the superior oblique muscle by lengthening it's tendon. lengthening is accomplished by a nasal superior oblique tenotomy, and by inserting a segment of silicone band 240 between the cut ends of the tendon. this technique is useful for the treatment of brown syndrome and cases with superior oblique overaction.

Tendon transfer techniques in the foot and ankle are used for tendon ruptures, deformities, and instabilities. This fresh cadaver study compares the tendon fixation strength in 10 paired specimens by performing a tendon to tendon fixation technique or using 7 x 20-25 mm bioabsorbable interference-fit screw tendon fixation technique. Load at failure of the tendon to tendon fixation method averag...

background: wound complications following open repair for acute achilles tendon ruptures (aatr) remain the subject of significant debate. the aim of this study is to investigate the effects of covering repaired aatr using well-nourished connective tissues (paratenon and deep fascia) to avoid complications after open repair.   methods: in this case series study, open repair was performed for 32 ...

in this study, the role of local injection of butyric acid (ba) with autogenous omental graft was evaluated in healing of experimental achilles tendon injury in rabbits. nine adult male new zealand rabbits were anesthetized and a partial thickness tenotomy was created on both hindlimbs. in treated group, omental graft was secured in place using ba soaked polygalactin 910 suture. in control grou...