Conservative management of partial extensor tendon lacerations greater than half the width of the tendon in manual workers

Annals of Plastic Surgery
Mohammad M Al-Qattan

Abstract

Conservative management (without suturing or splints) of partial extensor tendon lacerations greater than half the width of the tendon has not been previously investigated. In this prospective study, a total of 45 injured tendons (with lacerations involving 55%-90% of the width of the tendon) in 39 patients were treated conservatively. Injury zones I, III, and V of the fingers; and zones I and III of the thumb were excluded. Immediate non-resistive active mobilization was initiated and continued for 4 weeks, followed by resistive exercises. Patients were allowed to go back to work after 6 weeks. There were no cases of ruptures, triggering, infection, or complex regional pain syndrome. At final follow-up (8-9 months after injury), all patients obtained full range of motion with no extension lags. All patients were able to go back to normal duties. We conclude that early active motion without the use of splints or sutures in major extensor tendon lacerations in zones II, IV, VI-VIII of the fingers; and zones II, IV, and V of the thumb is safe.

References

Jun 1, 1980·The Hand·R C Wray, P M Weeks
Apr 1, 1993·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·M M al-QattanK Y Lin
Oct 6, 1999·The Journal of Hand Surgery·C A Crosby, M A Wehbé

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Citations

Nov 3, 2020·Case Reports in Plastic Surgery & Hand Surgery·Yoichi SugiyamaKazuo Kaneko

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