Abstract
Repair of extensor tendon defects or gap injuries often require complicated surgical techniques. Unlike flexor tendons, which have good excursion that can help mobilize the flexor tendon allowing for repair of up to 1 cm gaps, extensor tendons only have 1-2 mm of excursion, especially in Verdan’s extensor Zones 1 to 5. Furthermore, a 1-mm tendon gap in Zones 1 to 5 may cause 20 degrees extension loss or shortening of the extensor tendon, and a gap even as small as 1 mm may cause decreased finger flexion. Due to such significant potential damage and loss of function caused by extensor tendon defect injuries, especially in Zones 1-5, solutions most often require some type of reconstruction techniques.
Highlights
From 10th Congress of the Asia-Pacific Federation of Societies of Surgery fo the Hand and the 6th Congress of Asia-Pacific Federation of Societies of Hand Therapists Kuala Lumpur, Malaysia. 2-4 October 2014
A 1-mm tendon gap in Zones 1 to 5 may cause 20 degrees extension loss or shortening of the extensor tendon, and a gap even as small as 1 mm may cause decreased finger flexion. Due to such significant potential damage and loss of function caused by extensor tendon defect injuries, especially in Zones 1-5, solutions most often require some type of reconstruction techniques
The Palmaris longus tendon is sutured to the distal phalanx the tendon sutured to the proximal part of the extensor tendon that is being reconstructed and the distal interphalaheal joint (DIPJ) is immobilized in 0-15 degrees hyperextension for 4weeks occupational therapy (OT) is started
Summary
From 10th Congress of the Asia-Pacific Federation of Societies of Surgery fo the Hand and the 6th Congress of Asia-Pacific Federation of Societies of Hand Therapists Kuala Lumpur, Malaysia. 2-4 October 2014. Repair of extensor tendon defects or gap injuries often require complicated surgical techniques. Due to such significant potential damage and loss of function caused by extensor tendon defect injuries, especially in Zones 1-5, solutions most often require some type of reconstruction techniques.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
