Extensor Tendon Injury to the Fingers, Lack of Insight and Poor Assessment Leading to Late Presentations: A Report of 10 Case Series
DOI:
https://doi.org/10.60787/njgp.v15i2.123Keywords:
tenorrhaphy, poor assessment, late presentation, finger injury, Extensor tendonAbstract
The subcutaneous position of the extensor tendons makes it possible for the tendon/s to be lacerated in many cases of sharp object cuts on the dorsum of hand. The lack of insight and the poor patients’ assessment cause the primary clinician to secure hemostasis and repair the obvious skin wound only. This unrecognized tendon injury would later become obvious because of persistent deformity and loss of function. This is a case series of patients with delayed diagnosis of extensor tendon injuries to the fingers as seen in a level II surgical specialty from January 2006 to December 2016.These extensor tendon injuries presented late after healing of skin wounds. Tenolysis, tenorrhaphy and physiotherapy
were successful but the delay caused loss of man hours and added cost to treatment.
Downloads
References
Griffin M, Hindocha S, Jordan D, Saleh M, Khan W. Management of extensor tendon injuries. Open Orthop J 2012;6:36-42.
Hague MF. The results of tendon suture of the hand: A review of 500 patient. Acta Orthop Scand 1954;24:258.
Matzon JL, Bozentka DJ. Extensor tendon injuries. J Hand Surg 2010;35A:854-61.
Lalonde DH, Martin AC. Wide awake flexor tendon repair and early tendon mobilization in zones 1 and 2. J Hand Clin 2013;29:207-13. doi: 10.1016/j,hcl.2013.02.009.
Tang JB. Wide awake primary flexor tendon repair, tenolysis and tendon transfer. Clin Orthop Surg 2015;7:275-81.
Tuncali D, Yavuz N, Terzioglu A, Aslan G. The rate of upper extremity deep structure injury through small penetrating laceration. Ann Plast Surg 2005;55:146-8.
Newport ML, Tucker RL. New perspectives on extensor tendon repair and implications for rehabilitation. J Hand Ther 2005;18:175-81.
Calabro JJ, Hoidal CR, Susini LM. Extensor tendon repair in the emergency department. J Emerg Med 1986;4:217-25.
Kleinert HE, Verdan C. Report of the committee on tendon injuries International Federation of Societies for surgery of the hand. J Hand Surg Am 1983;8:794-8.
Hart RG, Uehara DT, Wagner MJ. Emergency and Primary Care of the Hand. American College of Emergency Physicians; ACEP: United states; 2001. p. 175-88.
Altobeth GG, Conneely S, Haufler C, Walsh M, Ruchelsman DE. Outcomes of digital zone IV and V and thumb zone TI to TIV extensor tendon repairs using a running interlocking horizontal mattress technique. J Hand Surg Am 2013;38:1079-83.
Feuvrier D, Loisel F, Pauchot J, Obert L. Emergency repair of extensor tendon central slip defects with Oberlins bypass technique: Feasibility and results in 4 cases with more than 5 years follow-up. Chir Main 2014;33:315-9.
Hanz KR, Saint‑Cyr M, Semmler MJ, Rohrich RJ. Extensor tendon injuries: Acute management and secondary reconstruction. Plast Reconstr Surg 2008;121:109-20.
Magerle K, German G. Extensor tendon injuries. In: Neligan PC, editor. Plastic Surgery. 3rd ed. Philadelphia: Elsevier Saunders; 2013. p. 210-27.
Neuhaus V, Wong G, Russo KE, Mudgal CS. Dynamic splinting with early motion following zone IV/V and TI to TIII extensor tendon repairs. J Hand Surg Am 2012;37:933-71
Published
Issue
Section
License
Copyright (c) 2024 Nigerian Journal of General Practice
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
How to Cite
