Hand and finger tendon injuries - Revision history

Rossdonaldson1: /* Background */

2025-07-02T17:43:52Z

Background

← Older revision		Revision as of 17:43, 2 July 2025
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	==Background==		==Background==
			[[File:Wrist and hand deeper palmar dissection.svg\|thumb\|Wrist and hand deeper palmar dissection]]
	[[File:Gray423.png\|thumb\|The mucous sheaths of the tendons on the front of the wrist and digits. (Common sheath of Flexores digitorum subliminis and profundus labeled at center right.)]]		[[File:Gray423.png\|thumb\|The mucous sheaths of the tendons on the front of the wrist and digits. (Common sheath of Flexores digitorum subliminis and profundus labeled at center right.)]]
	[[File:Gray219.png\|thumb\|Flexor tenson insertion points of the hand (left/ volar surface).]]		[[File:Gray219.png\|thumb\|Flexor tenson insertion points of the hand (left/ volar surface).]]

2023-08-02T21:14:14Z

2022-12-14T22:04:48Z

Background

← Older revision		Revision as of 22:04, 14 December 2022
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	==Background==		==Background==
	[[File:Gray423.png\|thumb\|The mucous sheaths of the tendons on the front of the wrist and digits. (Common sheath of Flexores digitorum subliminis and profundus labeled at center right.)]]		[[File:Gray423.png\|thumb\|The mucous sheaths of the tendons on the front of the wrist and digits. (Common sheath of Flexores digitorum subliminis and profundus labeled at center right.)]]
	[[File:Gray219.png\|thumb\|~~Tenson~~ insertion points of the hand (left/ volar surface).]]		[[File:Gray219.png\|thumb\|Flexor tenson insertion points of the hand (left/ volar surface).]]
			[[File:Gray220.png\|thumb\|Extensor tenson insertion points of the hand (left/ dorsal surface).]]
	{{Tendons of the upper extremity}}		{{Tendons of the upper extremity}}

2022-12-14T22:03:01Z

Background

← Older revision		Revision as of 22:03, 14 December 2022
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	==Background==		==Background==
	[[File:Gray423.png\|thumb\|The mucous sheaths of the tendons on the front of the wrist and digits. (Common sheath of Flexores digitorum subliminis and profundus labeled at center right.)]]		[[File:Gray423.png\|thumb\|The mucous sheaths of the tendons on the front of the wrist and digits. (Common sheath of Flexores digitorum subliminis and profundus labeled at center right.)]]
			[[File:Gray219.png\|thumb\|Tenson insertion points of the hand (left/ volar surface).]]
	{{Tendons of the upper extremity}}		{{Tendons of the upper extremity}}

2022-12-09T13:30:53Z

Extensor Zones

← Older revision		Revision as of 13:30, 9 December 2022
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	**Area over the PIP joint		**Area over the PIP joint
	**Central tendon is most commonly injured structure		**Central tendon is most commonly injured structure
			***[https://lacerationrepair.com/other-topics/soft-tissue/extensor-tendon-injuries-pip-elsons-test/ Elson's test] can be used to determine central tendon injury <ref> Extensor tendon lacerations are within our scope of practice. Brian Lin MD helps review some tricks of the trade in avoiding potential pitfalls. Extensor Tendon Injury Mizuho Spangler DO and Brian Lin MD. [https://www.emrap.org/episode/crackingthe/extensortendon EMRAP January 2016]</ref>
	**Controversial whether conservative or operative management is best		**Controversial whether conservative or operative management is best
	***Closed injuries are initially treated with PIP joint immobilized in extension for 5-6wks		***Closed injuries are initially treated with PIP joint immobilized in extension for 5-6wks

2020-08-12T22:21:17Z

Background

← Older revision		Revision as of 22:21, 12 August 2020
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	==Background==		==Background==
			[[File:Gray423.png\|thumb\|The mucous sheaths of the tendons on the front of the wrist and digits. (Common sheath of Flexores digitorum subliminis and profundus labeled at center right.)]]
	{{Tendons of the upper extremity}}		{{Tendons of the upper extremity}}

2020-08-12T22:19:08Z

Clinical Features

← Older revision		Revision as of 22:19, 12 August 2020
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	==Clinical Features==		==Clinical Features==
			*Inability to move hand or finger in appropriate distribution

	==Differential Diagnosis==		==Differential Diagnosis==

2020-08-12T22:17:54Z

Differential Diagnosis

2020-08-12T22:17:18Z

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 ==Background==
 [[File:Flexor_Zones.jpg|thumb|Flexor zones]]
 ===Extensor Zones===
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 **Lac 25-50% requires simple suture repair
 **Lac >50% requires specialized repair
 ==Management==

2020-08-12T22:16:26Z

Extensor

← Older revision		Revision as of 22:16, 12 August 2020
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	***IP joint flexed 10-15 deg of flexion		***IP joint flexed 10-15 deg of flexion

	==Extensor==		===Extensor===
	~~===Background~~===
	*Most common site of tendon injuries b/c of superfical location on dorsum of hand		*Most common site of tendon injuries b/c of superfical location on dorsum of hand
	*If tendon lac suspected but unable to be located it is ok to refer to specialist within 3d		*If tendon lac suspected but unable to be located it is ok to refer to specialist within 3d
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	***MCP joint in 15 deg flexion		***MCP joint in 15 deg flexion
	***IP join in 15 deg flexion in involved and adjacent digit		***IP join in 15 deg flexion in involved and adjacent digit



	==Disposition==		==Disposition==

← Older revision		Revision as of 21:14, 2 August 2023
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	==See Also==		==See Also==
	*[[Hand and finger ~~diagnoses~~]]		*[[Hand and finger injuries]]
	*[[Tendons of the upper extremity]]		*[[Tendons of the upper extremity]]