background: peritendinous adhesions after repairing an injury to the digital flexor tendons are a major problem in hand surgery. non-steroidal anti-inflammatory drug therapy may affect tendon healing and the development of peritendinous adhesions. the aim of this study was to evaluate ibuprofen effect in patients function after flexor tendon surgical repair.   method: thirty-five patients, who ...

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...

conclusions the use of an achilles tendon allograft provides excellent results in complex distal triceps tendon ruptures. we report the use of a new technique to anchor a distal achilles allograft. introduction the distal triceps tendon rupture is an uncommon injury. the acute treatment is well-defined, but when a delayed diagnosis is made or when a tendon retraction is present the alternatives...

INTRODUCTION Nerve entrapment while suturing a lacerated wound is a complication that is easily avoidable. We report a case low ulnar nerve palsy due to nerve entrapment while suturing a lacerated wound. CASE REPORT A 48 year old lady came with complaints of pain and a lacerated wound over the dorsomedial aspect of lower third of the left forearm. The lacerated wound was sutured elsewhere one...

INTRODUCTION: Flexor tendon injuries remain a contentious issue in hand surgery as reflected in the multitude of differing techniques. A significant proportion of tendon transections are oblique and they are typically managed in a similar fashion to straight transections, using a multi-strand technique. In our practice, we have observed that there is significant bunching at the repair sites whe...

PURPOSE It was the purpose of this study to identify and document normal and abnormal supraspinatus tendon function in vivo using real-time ultrasound. METHODS We defined 4 groups of 20 individuals each: partial tear (group 1), full-thickness tear (group 2), successfully repaired tear (group 3), and healthy asymptomatic controls (group 4). Except for group 4, all patients underwent magnetic r...

Extensor tendon injuries are widely believed to be straightforward problems that are relatively simple to manage. However, these injuries can be complex and demand a thorough understanding of anatomy to achieve the best functional outcomes. When lacerations occur in the forearm as in Zones VIII and IX injury, the repair of the extensor tendon and muscle, and posterior interosseous nerve (PIN) i...

Five patients with recurrent dislocation of the extensor carpi ulnaris (ECU) tendon resulting from an athletic injury were treated by reconstruction of the ECU tendon sheath, and each had a satisfactory result. Two types of disruption of the fibro-osseous sheath were found. In two cases in which the fibro-osseous sheath ruptured radially, the torn sheath lay on its ulnar groove beneath the ECU ...

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 ...

BACKGROUND The sport of rock climbing has its own spectrum of injuries, almost half of which involve the wrist and hand. OBJECTIVE To examine the incidence of acute wrist and hand injuries in 545 members of The Climbers' Club of Great Britain. METHOD A total of 1100 questionnaires were sent to current members of The Climbers' Club of Great Britain for them to detail any hand and wrist injur...