Tendon repair of the hand is surgery to repair damaged or divided tendons. Most tendon damage is caused by cuts to the hands from glass or knives. Tendons are tough cords of tissue that connect muscles to bones.
Tendons can retract if vincula are disrupted. This zone historically had very poor results but results have improved due to advances in postoperative motion protocols. Often associated with neurovascular injury which carries a worse prognosis.
This tendon straightens the end joint of the thumb and also helps pull the thumb in towards the index finger. In this area it is confined to a tight tunnel. See diagram.
Tendon lengthening and transfer are usually indicated for certain neuromuscular disorders, peripheral or central nerve injury, congenital disorder or direct traumatic or degenerative musculotendinous lesion. In musculotendinous lengthening, technique depends on muscle anatomy, degree of correction required, and the need to avoid excessive loss of force. Lengthening within the muscle or aponeurosis is stable.
Extensor tendon injuries are very common injuries, which inappropriately treated can cause severe lasting impairment for the patient. Assessment and management of flexor tendon injuries has been widely reviewed, unlike extensor injuries. It is clear from the literature that extensor tendon repair should be undertaken immediately but the exact approach depends on the extensor zone.
The tendon is the strong cord at either end of a muscle that is attached to bone. Tendonscombined with their musclesallow you to move your joints. In the forearm and hand there are over forty different muscles.
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Tendon transfer surgery is a procedure during which a tendon is shifted from its original attachment to a new one see figure above. There are many reasons that this procedure may be necessary. Your hand surgeon will determine if this is the right surgery for you. Here are four potential reasons for tendon transfer surgery:.
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Skip Navigation. Duke orthopaedic specialists repaired her shoulder and used complex surgery and extensive rehab to help her regain the use of her lifeless hand. It was on a crisp North Carolina morning in December when Hufner, 39, was struck by a pick-up truck that had veered out of control along Highway Hufner had just reached mile 10 of a mile pre-marathon practice run.