Tenodesis in hand surgery

Chirurgie de la main
M Revol, J-M Servant

Abstract

Joining tendon's inextensibility with joint's mobility, a tenodesis fixes on the bones the two ends of a tendon on both sides of one or several joints. A "simple" tenodesis overrides only one joint, whereas a "dynamic" tenodesis crosses two or more joints. A "crossed" dynamic tenodesis crosses the line which joins rotation axes. A "direct" dynamic tenodesis is located on the same side of this line. The "tenodesis effect" is normally produced by the movements of the joint on the neighbouring tendons. Anatomical examples are given by the oblique retinacular ligaments (crossed dynamic tenodesis), and by the tenodesis effects linked to the flexion-extension of the wrist on the extrinsic tendons of the fingers (direct tenodesis effect), or to the flexion-extension of the PIP joints on the intrinsic tendons of the fingers (crossed tenodesis effect). Main tenodesis techniques are used for palliative surgery in paralysis of EDC, intrinsic muscles of the fingers, or extrinsic muscles of the thumb (EPL, FPL, APL and EPB).

References

Nov 1, 1992·The Journal of Bone and Joint Surgery. British Volume·K D MohammedA R Bean
Feb 1, 1987·Plastic and Reconstructive Surgery·M P Revol, J M Servant
Dec 21, 2002·Chirurgie de la main·J P BinderJ M Servant
Apr 13, 2006·Techniques in Hand & Upper Extremity Surgery·Y AllieuM Chammas
Mar 8, 2008·Chirurgie de la main·M Revol, J-M Servant

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Citations

Jan 6, 2000·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·C SpicherJ Miauton
Sep 18, 2012·The Consultant Pharmacist : the Journal of the American Society of Consultant Pharmacists·Jeannette Y Wick
Jun 12, 2014·Expert Review of Molecular Diagnostics·Ferdinando MannelloJoseph D Raffetto
Dec 2, 2010·The International Journal of Lower Extremity Wounds·Ajay V SinghPaolo Zamboni
Sep 7, 2021·Hand Surgery and Rehabilitation·D Le NenH Letissier

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