Open Extensor Tendon Injuries

Amirtharajah, Mohana; Lattanza, Lisa

doi:10.1016/j.jhsa.2014.06.136

Cited by 25 publications

(19 citation statements)

References 16 publications

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“…Studies were excluded if they investigated degenerative conditions, traumatic injury involving structures other than the extensor tendons, or post-operative conditions involving structures in addition to the extensor tendons, as those conditions could all independently affect length and quality of recovery. 4 In addition, studies investigating distal extensor tendon injuries (zones I-III) were excluded since the rehabilitation protocols for those injuries are different from proximal injuries. 4 Articles examining extensor tendon injuries in the thumb were similarly excluded.…”

Section: Methodsmentioning

confidence: 99%

“…4 In addition, studies investigating distal extensor tendon injuries (zones I-III) were excluded since the rehabilitation protocols for those injuries are different from proximal injuries. 4 Articles examining extensor tendon injuries in the thumb were similarly excluded. 4 …”

Section: Methodsmentioning

confidence: 99%

“…3 Each zone is has a unique combination of anatomical elements and cross-sectional tendon size which dictates the approach to treatment. 4 Historically, extensor tendons have been treated with prolonged immobilization (≥6 weeks) followed by gradual mobilization. 5 This remains the mainstay of treatment for the most distal injuries (zones I and II), as they are too thin to effectively suture; however, the tendons are larger in more proximal zones and are amenable to strong primary repair.…”

Section: Background and Purposementioning

confidence: 99%

“…5 This remains the mainstay of treatment for the most distal injuries (zones I and II), as they are too thin to effectively suture; however, the tendons are larger in more proximal zones and are amenable to strong primary repair. 4,6 …”

Section: Background and Purposementioning

confidence: 99%

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The optimal orthosis and motion protocol for extensor tendon injury in zones IV-VIII: A systematic review

Wong

Wilson

Girnary

et al. 2017

Journal of Hand Therapy

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Study Design Systematic review Purpose To determine the optimal combination of motion protocol and orthotic treatment for the rehabilitation of proximal extensor tendon injuries (zones IV–VIII). Methods A systematic review of English-language randomized clinical trials and cohort studies investigating extensor tendon rehabilitation from 1960–2016 was conducted in MEDLINE, Embase, Cochrane, CINAHL, PEDro, and OTseeker. Outcomes of total active motion, grip strength, return to work, patient attrition and patient reported outcomes were compared. Results Eleven studies of predominantly average quality (1 low, 8 average, 2 high) were included in the final review. Results were difficult to compare due to differences in reporting. Early total active motion and final grip strength was greater with dynamic extension orthoses (191–214°; 35–38 kg/89% contralateral side) and relative motion orthoses (205–236°; 85–95% contralateral side) compared to static orthoses (79–202°; 23–34 kg/59% contralateral side). Four studies excluded patients who did not follow-up and loss to follow-up was 12–33% in the other studies. Patient reported outcomes were not comparable, as they were only included in three studies, and each used a different assessment tool. Conclusion Average quality evidence supports the use of EAM as the superior motion protocol but optimal orthosis to deliver EAM could not be determined. Prospective research should focus on patient reported outcomes and the design of orthoses that facilitate use of the EAM.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Background and Purposementioning

confidence: 99%

Section: Background and Purposementioning

confidence: 99%

See 2 more Smart Citations

The optimal orthosis and motion protocol for extensor tendon injury in zones IV-VIII: A systematic review

Wong

Wilson

Girnary

et al. 2017

Journal of Hand Therapy

View full text Add to dashboard Cite

show abstract

“…Different therapy protocols are used to suit the zone of the injury. Traditionally zone 1 and 2 injuries are immobilized with splints for 6 weeks [21,22]. Further details of the rehabilitation of tendon injuries will be discussed in the third article.…”

Section: Tendon Injurymentioning

confidence: 99%