Sonographic differentiation of digital tendon rupture from adhesive scarring after primary surgical repair

The Journal of Hand Surgery
Joseph J BudovecJames R Sanger

Abstract

After the surgical repair of finger tendons finger range of motion may be limited by tendon rupture or adhesive scarring. Differentiating tendon rupture from adhesive scarring may be difficult clinically. Digital tendon sonography allows the evaluation of tendon integrity in a dynamic setting. Our objective was to determine if sonography could differentiate tendon rupture from adhesive scarring in patients who have had primary tendon repair. A retrospective review was performed of the radiographic, clinical, and surgical records of patients referred for finger sonography over a 2-year period. Twenty-eight digits in 21 patients were evaluated for finger tendon disruption after primary surgical repair. The diagnosis of complete tendon rupture was made when 1 or more of the following was identified: a gap separating the proximal and distal tendon margins, visualization of only the proximal tendon margin, or visualization of only the distal tendon margin. Adhesive scarring was diagnosed if the tendon appeared intact with abnormal peritendinous soft tissue abutting or partially encasing the tendon, with synovial sheath thickening, or with restricted tendon motion during dynamic evaluation. Sonography correctly identified tendon rupt...Continue Reading

References

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May 30, 2002·AJR. American Journal of Roentgenology·Girolamo Moschilla, William Breidahl
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Dec 4, 2003·The Journal of Hand Surgery·Edward WesterheideRuth Ceulemans
May 11, 2005·Hand Clinics·Howard J Goodman, Jack Choueka

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Citations

Apr 4, 2007·European Radiology·D JacobS Bianchi
Nov 13, 2012·PLoS Computational Biology·Anupam SaxenaFrancisco J Valero-Cuevas
Mar 28, 2008·Journal of Clinical Ultrasound : JCU·Tarun PandeySalem Awad Al Shammari
Jun 30, 2016·The Journal of the American Academy of Orthopaedic Surgeons·Harlan M StarrMichael S Murphy
Apr 10, 2021·The Journal of Hand Surgery·Stephanie Marie BollardShirley Potter

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