Open extensor tendon injuries: an epidemiologic study

Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand
Dominic Patillo, Ghazi M Rayan

Abstract

To report the epidemiology, mechanism, anatomical location, distribution, and severity of open extensor tendon injuries in the digits, hand, and forearm as well as the frequency of associated injuries to surrounding bone and soft tissue. Retrospective chart review was conducted for patients who had operative repair of open digital extensor tendon injuries in all zones within an 11-year period. Data was grouped according to patient characteristics, zone of injury, mechanism of injury, and presence of associated injury. Statistical analysis was used to determine the presence of relevant associations. Eighty-six patients with 125 severed tendons and 105 injured digits were available for chart reviews. Patients were predominantly males (83%) with a mean age of 34.2 years and the dominant extremity was most often injured (60%). The thumb was the most commonly injured (25.7%), followed by middle finger (24.8), whereas small finger was least affected (10.5%). Sharp laceration was the most common mechanism of injury (60%), and most of these occurred at or proximal to the metacarpophalangeal joints. Most saw injuries occurred distal to the metacarpophalangeal joint. Zone V was the most commonly affected in the fingers (27%) while zone V...Continue Reading

References

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Jun 18, 2002·Journal of Neurosurgery·Christopher B Shields, Lisa B E Shields
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Citations

Oct 8, 2013·Clinics in Plastic Surgery·King H WongAqib Nakhooda
Jan 6, 2015·The Journal of Hand Surgery·Mohana Amirtharajah, Lisa Lattanza
Nov 16, 2014·Foot & Ankle Specialist·Jeffrey Manway, Peter Highlander
May 20, 2014·The Journal of Hand Surgery, European Volume·E ConcannonS C Carroll
Apr 16, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Mihir J DesaiErich M Gauger
Jul 28, 2016·The Journal of Hand Surgery Asian-Pacific Volume·Jae Kwang KimYong-Do Koh

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