Flexor tendon lacerations in zone V

Stefanich, Raymond J.; Putnam, Matthew D.; Peimer, Clayton A.; Sherwin, Frances S.

doi:10.1016/0363-5023(92)90407-g

Cited by 30 publications

(13 citation statements)

References 40 publications

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“…Similarly, in another study evaluating patients with zone V injury, there was a 79% grip strength recovery. 22 The recovery rate was reported as 78% in another study in patients with zone II flexor tendon injuries. 23 The only similarity between these studies and our results was the recovery rate of zone II flexor tendon injuries (70.7% in our zone II patients).…”

Section: Discussionmentioning

confidence: 95%

Anatomic and Functional Improvements Achieved by Rehabilitation in Zone II and Zone V Flexor Tendon Injuries

Bal¹,

Oz²,

Gürgan³

et al. 2011

American Journal of Physical Medicine &Amp; Rehabilitation

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Early passive mobilization in patients with zone V injuries resulted in higher percentage of good to excellent results when compared with zone II injuries. However, this does not translate into recovery in grip strength and disability. This study suggests that although the level of the injury is an important factor for the anatomic improvement, it may not be the predictor of functional improvement.

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Section: Discussionmentioning

confidence: 95%

Anatomic and Functional Improvements Achieved by Rehabilitation in Zone II and Zone V Flexor Tendon Injuries

Bal¹,

Oz²,

Gürgan³

et al. 2011

American Journal of Physical Medicine &Amp; Rehabilitation

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“…This can lead to poorer long-term functional outcomes and a possible need for secondary surgical procedures to release scar tissue or repair structures that become damaged by unprotected early movement [12][13][14].…”

Section: Introductionmentioning

confidence: 98%

Determinants of compliance with hand splinting in an acute brain injured population

O’Brien

Bailey

2008

Brain Injury

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“…Stefanish et al reported 2 tendon rupture. 10 In a study by Saini et al rupture occurred in 3% of their casas. 7 Adhesion formation occurred in 2 FDS tendons in one of our patients (1.17%).…”

Section: Discussionmentioning

confidence: 93%

“…Stefanich et al on their study on 32 patients with zone V flexor tendon laceration rehabilitated by the Kleinert protocol showed good to excellent results in 88% of the patients. 10 Hung LK and Pang KW studied 32 patients with flexor tendon injuries repaired by the modified Kessler method. With a dorsal plaster slab and early active motion of the fingers good to excellent results was achieved in 77% of their cases 11 …”

Section: Discussionmentioning

confidence: 99%

Functional outcome of flexor tendon repair of the hand at Zone 5 and post operative early mobilization of the fingers

Nasab¹,

Sarrafan²,

Saeidian³

et al. 2012

Pak J Med Sci

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Objective : There are few reports on outcome following flexor tendon repair of the hand in zone 5. We hypothesized that early mobilization of the fingers is possible if the suture site of repaired tendon is strong enough. The aim of this study was to assess the results of flexor tendon repair in this zone using modified Kessler method reinforced by peripheral running suture and a post operative early active and passive mobilization of the fingers. Methodology: This prospective study was carried out between April 2006 and Feb 2010, and 171 digits flexor tendons cut in 42 patients were repaired by modified Kessler technique reinforced by running peripheral suture. Early active mobilization and gentle passive motion of the fingers was allowed in a dorsal wrist splint the day after surgery. Wrist Immobilization was performed for one month. Function of the tendons was assessed by Buck-Gramcko score at nine month follow up. Results: Mean age of the patients was 25.4 years (range 17-46 y). Twenty nine flexor policis longus, 77 flexor digitorum superficialis and 65 flexor digitorum profundus tendons of digits were repaired. Middle and index fingers were most commonly involved. Median and ulnar nerve repair was done in 17 and 12 cases respectively. Good to excellent results were seen in of 79.34% of FPL and 74.65% of other finger flexors. One case of FPL rupture was seen. Tenolysis of FDS was performed in one case. Recovery in thenar muscle function was good, fair and poor in 5, 2 and 10 cases after median nerve repair, while all 12 patients with ulnar nerve lesion showed some degrees of clawing of 4th and 5th fingers. Conclusion : Most patients following flexor tendon repair at zone 5 obtained good results. Early motion of the fingers seems to improve outcome in these patients. Concomitant nerve cut in particular of ulnar nerve were associated with a high rate of poor results.

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Flexor tendon lacerations in zone V

Cited by 30 publications

References 40 publications

Anatomic and Functional Improvements Achieved by Rehabilitation in Zone II and Zone V Flexor Tendon Injuries

Anatomic and Functional Improvements Achieved by Rehabilitation in Zone II and Zone V Flexor Tendon Injuries

Determinants of compliance with hand splinting in an acute brain injured population

Functional outcome of flexor tendon repair of the hand at Zone 5 and post operative early mobilization of the fingers

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