Rupture of the flexor pollicis longus tendon is a major complication after volar locking plate fixation of distal radius fracture. This study used ultrasonography to assess the flexor pollicis longus tendon and intermediate tissue. The study assessed 27 patients (28 wrists) who underwent removal of the volar locking plate. Before plate removal, radiography and ultrasonography were performed to ...

Baskies M, Tuckman DV, Paksima N. Management of flexor tendon injuries following surgical repair. Bull NYU Hosp Jt Dis. 2008;66(1):35-40. Remarkable strides have been made in the treatment of flexor tendon injuries in the past 40 years. Advances in the understanding of flexor tendon anatomy, nutrition, healing, and biomechanics has significantly improved the treatment of these challenging injur...

although the increase in the number of core sutures during flexor tendon repair increases the tensile strength of the repair, both increased handling at the time of repair and increased bulk at the repair site have been hypothesized as affecting clinical outcomes by increasing gliding resistance. the purpose of our study was to assess whether increasing the number of core sutures from two stran...

The term “ attrition “ rupture of tendons was coined by Vaughan-Jackson who, in 1948, reported two cases of rupture of extensor tendons through attrition at the inferior radio-ulnar joint. These ruptures were caused by bony irregularities at the distal end of the ulna. Spontaneous ruptures of flexor tendons in rheumatoid arthritis were fully described by Lame and Vainio in 1955. Pathomechanics ...

We report the incidental discovery of a flexor carpi radialis brevis tendon, a rare anatomical variant identified during a surgical procedure. Magnetic resonance imaging of the contralateral side helped to delineate the anatomy of the flexor carpi radialis tendon and to differentiate the flexor carpi radialis brevis tendon from it. We describe the use of this rare tendon in ligament reconstruct...

in this report we describe our encounter of a case of hand trauma referred to our center presenting with incomplete left thumb amputation at metacarpal level with extensor pollicis longus (epl) and flexor pollicis longus (fpl) tendon avulsion from the tenomuscular junction. after metacarpal bone fixation the ulnar digital artery was anastomosed and the digital nerves were coapted. transfer of e...

BACKGROUND Zone 2 flexor tendon injuries still represent a challenging problem to hand surgeons despite the well developed surgical techniques and suture materials. Meticulous surgical repair with atraumatic handling of the severed tendon stumps and minimal damage to the tendon sheath are particularly important to prevent postoperative adhesions and ruptures in this area.In zone 2 flexor tendon...

Flexor tendon injury has long been recognised as a difficult problem to tackle in hand surgery. Loss of active motion in the digits results in significant morbidity. The increased understanding in tendon healing, role of the tendon sheath, and the development of mobilisation and repair techniques have drastically improved results of flexor tendon injuries over the last 50 years. The treatment o...

PURPOSE After complex hand trauma, restoration of tendon strength is challenging. Tendon insertion tears typically heal as fibrous scars after surgical reconstruction and create a weak point at the tendon-bone interface. In addition, major tendon loss may overwhelm the amount of available autograft for reconstruction. An off-the-shelf product may help address these challenges. We hypothesized t...

Background & Aims: Sonography has enjoyed much attention as a noninvasive diagnostic tool for carpal tunnel syndrome in recent years. The aim of the present study was to assess the effect of anatomic variations of existence or absence of palmaris longus and fifth superficial flexor tendons on the sonographic measurement of median nerve surface area in healthy individuals’ wris...