Results of extensor tendon repair performed by junior accident and emergency staff

Evans, J. D.; Wignakumar, V.; Davis, T. R. C.; Dove, A F

doi:10.1016/0020-1383(95)92187-f

Cited by 16 publications

(10 citation statements)

References 13 publications

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“…In the only other paper describing substantial numbers of patients, Ip and Chow (1997) reported a series of 37 complete EPL injuries in a paper predominantly concerned with injuries to the extensor tendons of the fingers. Several other authors also included the EPL in papers on the finger extensors but reported much smaller numbers of EPL injuries (Table 1) (Allieu et al, 1984(Allieu et al, , 1988Dargan, 1969;Evans et al, 1995;Evans, 1995;Hung et al, 1990;Lemke et al, 1984;Marin-Braun et al, 1989;Newport et al, 1990;Regnard et al, 1985).…”

Section: Introductionmentioning

confidence: 99%

Immediate Repair and Early Mobilization of the Extensor Pollicis Longus Tendon in Zones 1 to 4

Khandwala

Blair

Harris

et al. 2004

Journal of Hand Surgery

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We present the results of repair and early mobilization of 100 extensor pollicis longus (EPL) tendon injuries in zones 1 to 4 in 100 patients using a dynamic outrigger splint which controlled metacarpophalangeal joint movements but allowed free movement of the interphalangeal joint. Eighty-two were complete divisions of the tendon and 18 were 80% to 99% tendon divisions. Analysis of measurements obtained routinely at 8 weeks showed 81% excellent and good results using the TAM system. There were 90% excellent and good results in the 72 patients, who were followed-up and received therapy for 12 weeks. Except on the rare occasion when the repair rupture, loss of thumb extension was not a common functional problem, but scar tethering of the repaired tendon could result in loss of thumb flexion. While loss of metacarpophalangeal joint flexion appeared to have little functional importance, loss of interphalangeal joint flexion and slowing of the movements of this joint could cause functional problems. When interphalangeal joint hyperextension is present before the injury, it is frequently lost but this generally goes unnoticed by the patients. The problems of analysing the EPL injury using the methods of assessment available are discussed.

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Section: Introductionmentioning

confidence: 99%

Immediate Repair and Early Mobilization of the Extensor Pollicis Longus Tendon in Zones 1 to 4

Khandwala

Blair

Harris

et al. 2004

Journal of Hand Surgery

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show abstract

“…60% of this series had associated injuries, including fractures, dislocations and joint capsule or flexor tendon injuries. In a 1995 study, Evans et al (15) looked at the results of 46 extensor tendon repairs in 42 patients. All repairs were carried out by junior A&E staff under local anaesthetic.…”

Section: Discussionmentioning

confidence: 99%

Self Assessment Exercises in HandTrauma

Rickard

Smith²

2002

J R Army Med Corps

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“…Eine minimale Verk ü rzung oder Verl ä ngerung der Strecksehne kann zur Funktionsst ö rung f ü hren. Durch die oben angegebenen Merkmale sind die Behandlungsergebnisse der Strecksehnenverletzungen distal mit 18 % sehr gut und gut, wesentlich schlechter als proximal, die gute Ergebnisse von ü ber 80 % haben [5] . Von der Lokalisation liegen etwa 2 / 3 der Strecksehnenverletzungen in Fingerh ö he und nur 1 / 3 proximal der Grundgelenke [6] .…”

Section: Introductionunclassified

Versorgung frischer Verletzungen der Strecksehnen an der Hand

Mascharka¹

2007

Phys Rehab Kur Med

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Results of extensor tendon repair performed by junior accident and emergency staff

Cited by 16 publications

References 13 publications

Immediate Repair and Early Mobilization of the Extensor Pollicis Longus Tendon in Zones 1 to 4

Immediate Repair and Early Mobilization of the Extensor Pollicis Longus Tendon in Zones 1 to 4

Self Assessment Exercises in HandTrauma

Versorgung frischer Verletzungen der Strecksehnen an der Hand

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