A study of the dynamic anatomy of extensor tendons and implications for treatment

Evans, Roslyn B.; Burkhalter, William E.

doi:10.1016/s0363-5023(86)80039-9

Cited by 109 publications

(37 citation statements)

References 4 publications

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“…[2][3][4][5][6][7][8][9][10][11][12] These and other studies have elucidated many of the perplexities of this composite and complex structure. The TT has been given the least attention when compared with other proximal components of the extensor apparatus.…”

Section: Discussionmentioning

confidence: 99%

The terminal tendon of the digital extensor mechanism: Part II, kinematic study

Schweitzer

Rayan

2004

The Journal of Hand Surgery

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Only DIP and PIP joints affect TT excursion; hence these are the main joints to be immobilized to protect TT repair. The middle finger TT showed the least tolerance to lengthening with potential for mallet deformity. Joint flexion deformity is proportional to tendon lengthening. Only 1 mm of TT lengthening results in approximately 25 degrees of DIP joint extension lag, and 4 mm of TT lengthening results in DIP joint flexion deformity greater than 60 degrees . Even 1 mm of TT shortening will seriously restrict DIP joint flexion.

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Section: Discussionmentioning

confidence: 99%

The terminal tendon of the digital extensor mechanism: Part II, kinematic study

Schweitzer

Rayan

2004

The Journal of Hand Surgery

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“…Considering the digital extensor tendons of the hand, the excursion distance through flexing the proximal-interphalangeal (PIP) joint has previously been reported to range between 27.5 and 50 mm (Evans and Burkhalter, 1986;Spinner, 1984), whilst complete PIP flexion can be achieved in approximately 0.5 s. Hence, the mean extensor tendon gliding speed is approximately 100 mm/s. Data estimating the normal (perpendicular) force on the tensile region could not be identified in the literature; however, given the adjacent tissues are typically aligned in parallel, it is estimated that the normal load is relatively low ( $ 1 N).…”

Section: Estimating In Vivo Tendon Gliding Speed and Normal Loadmentioning

confidence: 99%

Tribological characteristics of healthy tendon

Theobald¹,

Dowson²,

Khan

et al. 2012

Journal of Biomechanics

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“…Several studies have examined the elaborate anatomy and function of the digital extensor mechanism. [2][3][4][5][6][7][8][9][10][11][12] These studies, however, did not focus on the distal tendinous structures of zones I and II. The purpose of this investigation was to obtain measurements and study the anatomy of the terminal digital extensor apparatus and its adjacent structures.…”

mentioning

confidence: 99%