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Related Experiment Video

Updated: Jun 26, 2026

A Treatment Protocol for Achilles Tendinopathy with Extracorporeal Shockwave Therapy
03:50

A Treatment Protocol for Achilles Tendinopathy with Extracorporeal Shockwave Therapy

Published on: August 2, 2024

Advances in extensor tendon diagnosis and therapy.

Prashant Soni1, Colette A Stern, K Bo Foreman

  • 1Division of Plastic Surgery, University of Utah Medical Center, Salt Lake City, Utah, USA.

Plastic and Reconstructive Surgery
|February 3, 2009
PubMed
Summary

High-resolution sonography accurately detects extensor tendon injuries. Static splinting is recommended for most extensor tendon injuries, with individualized therapy for proximal zones.

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Area of Science:

  • Orthopedic Surgery
  • Diagnostic Imaging
  • Rehabilitation Medicine

Background:

  • Extensor tendon injuries in the hand require accurate diagnosis and effective treatment.
  • Radiographic imaging aids in earlier detection and differentiation of these injuries.
  • This review guides optimal surgical procedures and postoperative therapy.

Purpose of the Study:

  • To identify clinical scenarios for hand sonography in detecting extensor tendon tears.
  • To outline the limitations of MRI in diagnosing extensor tendon tears.
  • To understand and choose appropriate postoperative therapeutic protocols for extensor tendon repair.

Main Methods:

  • A literature review was conducted on extensor tendon injury articles published since 1989.
  • The review focused on diagnostic accuracy and treatment efficacy.

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Last Updated: Jun 26, 2026

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A Standardized Acupotomy Protocol For The Treatment of Tenosynovitis of Hand Flexor Tendons In Human Patients
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Main Results:

  • High-resolution sonography demonstrated superior accuracy compared to physical examination and MRI for extensor tendon injuries.
  • Static splinting proved equivalent to early motion protocols for thumb and distal extensor tendon injuries (zones 1-3).
  • Early motion therapy offered a faster return to function for proximal injuries but had higher rupture rates and costs.

Conclusions:

  • High-resolution sonography is effective for diagnosing partial and complete extensor tendon injuries.
  • Static splinting remains the standard postoperative care for thumb and distal extensor tendon injuries.
  • Individualized therapy, considering socioeconomic factors, is recommended for proximal extensor tendon injuries.