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Related Experiment Videos

Closed flexor tendon disruption in athletes.

B D Stamos1, J P Leddy

  • 1Division of Orthopaedic Surgery, Robert Wood Johnson Medical School, University of Medicine and Dentistry of New Jersey, New Brunswick, USA.

Hand Clinics
|August 24, 2000
PubMed
Summary

Closed hand and wrist tendon injuries are common in athletes. While extensor tendon injuries often heal with nonoperative care, flexor tendon injuries typically need surgery for optimal outcomes, even if athletes continue playing with splinting.

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Hand Surgery

Background:

  • Closed tendon injuries of the hand and wrist are prevalent in athletes.
  • Extensor tendon injuries often respond well to nonoperative management if diagnosed early.
  • Flexor tendon injuries usually necessitate surgical intervention for the best functional recovery.

Purpose of the Study:

  • To review the diagnosis and management of acute closed tendon injuries in athletes.
  • To discuss the implications of delayed diagnosis on treatment outcomes.
  • To evaluate the potential for athletes to return to play after tendon injuries.

Main Methods:

  • Review of current literature on athletic hand and wrist tendon injuries.
  • Analysis of nonoperative and operative treatment strategies.

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  • Discussion of diagnostic challenges and prognostic factors.

    • Main Results:

    • Nonoperative treatment is effective for acute extensor tendon injuries.
    • Delayed diagnosis of flexor tendon injuries compromises surgical outcomes and can lead to permanent disability.
    • Athletes often achieve return to pre-injury participation levels, irrespective of treatment, depending on the affected finger and injury severity.
    • Continued participation with protective splinting is frequently possible.

    Conclusions:

    • Prompt diagnosis and appropriate management are crucial for hand and wrist tendon injuries in athletes.
    • Surgical intervention is generally required for acute flexor tendon injuries.
    • Delayed diagnosis significantly worsens prognosis, highlighting the need for timely evaluation.
    • Athletes have a favorable prognosis for return to sport, often with modified participation during treatment.