Unusual Flexor Tendon Ruptures in the Hand

Hoffman, Saul; Simon, Bernard E.; Nachamie, Benjamin

doi:10.1001/archsurg.1968.01330200097018

Cited by 6 publications

(4 citation statements)

References 3 publications

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“…Avulsion injuries of the tendons at their musculotendinous junction (MTJ) associated with traumatic digit amputations have been documented in previous studies [1][2][3][4][5][6]. However, tendon avulsion ruptures at the MTJ in the absence of digit amputations are rare; thus, the reports are not sufficient to obtain recommendations for proper treatment.…”

Section: Introductionmentioning

confidence: 99%

“…Directly repaired tendon avulsion ruptures at the MTJ in the absence of digit amputations have rarely been reported [10,11,19,21], and a portion of the cases were managed with immediate surgery. To investigate the correlation between the interval to treatment and management of tendon avulsion ruptures at the MTJ, cases were gathered through a systematic review of the literature [1][2][3][4][5][6][7][9][10][11][12][13][14][15][16][17][18][19][20][21] along with our own case.…”

Section: Introductionmentioning

confidence: 99%

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Could immediate treatment change the management method of digital tendon musculotendinous junction avulsion?: a systematic review

Park

2017

Yeungnam Univ J Med

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Background:We conducted a systematic review of the literature to investigate the correlation between the interval to treatment and management of tendon avulsion ruptures in the musculotendinous junction (MTJ) of the forearm. Methods: A thorough literatures search for studies of tendon avulsion injuries at the forearm was conducted using PubMed, MEDLINE, CINAHL, and Cochrane databases in accordance with the PRISMA guidelines. In total, five case series and 15 case reports accounting for 87 injured tendons involving 60 patients were selected for the analysis. Results: Twenty-six patients had 44 tendon injuries associated with avulsion amputations, 31 patients had 38 tendon ruptures associated with closed avulsion injuries and three patients had five tendon ruptures associated with open avulsion injuries. Eighteen of the 49 (37%) patients were immediately treated for tendon ruptures and one of the 32 (3%) tendon ruptures treated via elective surgery was directly repaired. Additionally, 18 of the 30 (60%) tendons were directly repaired and 12 of the 30 (40%) tendons were transferred or side-to-side repaired in the immediately treated series. In contrast, one of the 28 (4%) tendon ruptures were directly repaired and 27 of the 28 (96%) tendons were transferred or side-to-side repaired in the electively treated series. Conclusion: In managing digital tendon avulsions at the MTJ, an immediate treatment could provide an opportunity to repair the ruptured tendon directly to the muscle.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Could immediate treatment change the management method of digital tendon musculotendinous junction avulsion?: a systematic review

Park

2017

Yeungnam Univ J Med

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“…Musculotendinous unit avulsion injuries can occur in five areas along its length: (1) the point of insertion of tendon into bone, (2) the tendon substance, (3) the musculotendinous junction, (4) the muscle belly, or (5) the muscle origin. In this article, only injuries at the musculotendinous junction of the forearm are discussed (seven charts were also obtained from Collins and Thoma, unpublished results) [8,11,13,16–19,21,23–31,33,34].…”

Section: Introductionmentioning

confidence: 99%

“…However, determining the optimal management of the tendon is challenging because many surgical approaches are described (resection of the tendon, reattachment of the tendon, tendon transfers, and side-to-side repair) but definitive recommendations, algorithms, or comprehensive reviews on this topic are hitherto unreported. In order to delineate the optimal management of the tendon involved in such injuries (based on whether the tendon was a flexor or an extensor, which digit was involved, and at what level the digit amputation occurred), cases were gathered from our own experience (seven charts were obtained from Collins and Thoma, unpublished results) and through a thorough systematic review of the literature [8,11,13,16–19,21,23–31,33,34]. Based on our findings, an algorithm was designed to state the most commonly performed operations for specific injury patterns.…”

Section: Introductionmentioning

confidence: 99%