Early Active Short Arc Motion Following Central Slip Repair

McAuliffe, John A.

doi:10.1016/j.jhsa.2010.10.007

Cited by 8 publications

(4 citation statements)

References 8 publications

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“…Gaps between the margins lead to scar tendon healing instead of tendon-bone healing which extends the tendon length and influences the tendon function. Meanwhile, too long fixation time affects the joint motion [5] and too tight fixation may cause pressure sores. The current evidence base for the management of central slip avulsions is limited from obtaining a best approach [6].…”

Section: Discussionmentioning

confidence: 99%

Treatment of the fresh central slip avulsion of the extensor tendon by bone tunnel-tendon suture: a prospective cohort study

Wang

et al. 2021

BMC Musculoskelet Disord

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Background The current evidence base for the management of central slip avulsions is limited from obtaining a best approach. The purpose of this study was to evaluate the clinical effect and feasibility of repairing the fresh central slip avulsion by bone tunnel-tendon suture. Methods Twenty-four cases of open and closed central slip avulsions were prospectively studied. They were treated by suturing the tendon to the pre-holed bone through two parallel bone tunnels. Follow-up was conducted at 1 month, 3 months, 6 months, 12 months and 18 months after the operation. Symptoms, degree of satisfaction with the appearance, complications, Crawford’s evaluation, DASH scores and the total active movement (TAM) were collected. Results The follow-up period was 6~18 months (mean 13 months). Finger function was assessed using the Crawford’s evaluation criteria: excellent in 12, good in 10, average in 2, with an excellent and good rate of 91.7%. DASH scores ranged from 37 to 47(mean 39). According to the Chinese Medical Association’s trial criteria for assessing the function of upper limbs, excellent, good and average cases were 9, 14 and 1 respectively. The range of motion gradually improved over time. Conclusions Good prognosis can be achieved through bone tunnel-tendon suture for the treatment of fresh central slip avulsion.

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Section: Discussionmentioning

confidence: 99%

Treatment of the fresh central slip avulsion of the extensor tendon by bone tunnel-tendon suture: a prospective cohort study

Wang

et al. 2021

BMC Musculoskelet Disord

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“…44 However, the tolerance of an injured (but not surgically repaired) tendon is relatively unknown due to variations in anatomy, injury and healing potential as well as the inevitable ethical implications such a study would entail in humans. 45 Due to the unknown tolerance of a healing CS in practice, the updated guidelines advised therapists to progress conservatively within the parameters of postoperative CS rehabilitation guidelines using either the SAM [11][12][13]46,47 or a dynamic Capener splint. 9,10,16,48,49 Therapists were also guided by presentation of an extension lag, patient reports of pain as well as regular assessment of oedema, redness and joint stiffness during face-to-face appointments.…”

Section: Healing Physiologymentioning

confidence: 99%

Therapeutic management of closed central slip injuries: Outcome of a service evaluation

2019

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Introduction: Closed central slip injuries can be difficult to manage and there is a lack of published research to support evidence-based clinical decision making in practice. This article presents the results of a service review in a busy trauma hospital hand therapy department. Method: Following a literature review and retrospective review of outcomes, new clinical guidelines for central slip injuries were developed. These were implemented with 22 patients referred to hand therapy for conservative management of closed central slip injuries during a one-year period. Results: The majority of patients (72%) had either an excellent or good outcome using the Strickland-Glogovac outcome measure and an average total active motion of 90% compared to their unaffected hand. Conclusions: The outcomes following implementation of new treatment guidelines following the service review are in line with the small amount of published data currently available. They provide detailed guidelines for the conservative management of closed central slip injuries in a busy outpatient setting.

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“…Closed central slip injuries without substantial bony involvement can be managed non-operatively, using PIP joint extension splinting. Regimens used include immobilization, dynamic splinting and progressive static splinting (also termed serial splinting) (Evans, 1994; McAuliffe, 2011). Operative management strategies include acute central slip repair, open reduction and internal fixation (ORIF), tendon reconstruction and arthrodesis (Matzon and Bozentka, 2010).…”

Section: Introductionmentioning

confidence: 99%

“…Closed central slip injuries without substantial bony involvement can be managed non-operatively, using PIPJ extension splinting. Regimens used include immobilisation, dynamic splinting, and progressive static splinting (also termed serial splinting) (Evans, 1994;McAuliffe, 2011).…”

Section: Introductionmentioning

confidence: 99%

Central slip extensor tendon injuries: a systematic review of treatments

Geoghegan

Wormald

Adami

et al. 2019

J Hand Surg Eur Vol

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This systematic review describes and compares outcomes of operative and non-operative management of central slip extensor tendon injuries. A PRISMA-compliant methodology identified 3785 studies. Of these, 29 underwent full text review. No randomized controlled trials were identified. Nine studies evaluated treatment modalities specific to cohorts with acute central slip injuries in adults. A range of operative and non-operative elements of management was identified although no studies directly compared the two. Where aspects of rehabilitation were studied, this was always after surgery. The evidence base regarding treatment of central slip injury is limited and the roles of different treatment strategies for open as well as closed injuries are not well-supported by evidence.

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Early Active Short Arc Motion Following Central Slip Repair

Cited by 8 publications

References 8 publications

Treatment of the fresh central slip avulsion of the extensor tendon by bone tunnel-tendon suture: a prospective cohort study

Treatment of the fresh central slip avulsion of the extensor tendon by bone tunnel-tendon suture: a prospective cohort study

Therapeutic management of closed central slip injuries: Outcome of a service evaluation

Central slip extensor tendon injuries: a systematic review of treatments

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