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Flexor tendon and peripheral nerve repair.

Judith A Bell Krotoski1

  • 1National Hansen's Disease Programs, 1770 Physicians Park Drive, Baton Rouge, LA 70816, USA.

Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand
|October 5, 2002
PubMed
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Restoring hand function after tendon and nerve injuries is crucial. Flexor tendon injuries impair grasp and release, while combined injuries also affect sensation, impacting object recognition and fine motor tasks.

Area of Science:

  • Orthopedics
  • Neurosurgery
  • Hand Surgery

Background:

  • Hand function relies on intact flexor tendons and peripheral nerves.
  • Flexor tendon injuries significantly impair grasp, release, and object manipulation.
  • Nerve injuries compound functional loss, affecting sensibility and proprioception.

Purpose of the Study:

  • To highlight the multifaceted impact of flexor tendon and nerve injuries on hand function.
  • To emphasize the importance of comprehensive assessment and treatment for these combined injuries.
  • To underscore the role of sensation in object recognition and overall hand utility.

Main Methods:

  • Review of clinical presentations and functional outcomes following hand injuries.
  • Analysis of the interplay between flexor tendon integrity and peripheral nerve function.

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  • Discussion of sensory deficits resulting from combined injuries.
  • Main Results:

    • Flexor tendon loss prevents complete finger and thumb closure, severely limiting grasp and release.
    • Sensory deficits, including loss of position sense, pain, temperature, and touch/pressure, occur with nerve injury.
    • Even without direct nerve damage, tendon injuries can indirectly affect sensibility crucial for object recognition.

    Conclusions:

    • Restoration of hand function necessitates addressing both tendon and nerve components.
    • Combined injuries present complex challenges impacting both motor and sensory capabilities.
    • Comprehensive rehabilitation strategies are vital for optimizing outcomes in patients with hand injuries.