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Technique for and an anatomic guide to forearm tendon repair
Jeremy M Burnham1, Anne M Hollister, David A Rush
1School of Medicine, Louisiana State University Health Sciences Center, Kings Highway, Shreveport, LA 71103, USA.
Techniques in Hand & Upper Extremity Surgery
|May 25, 2011
Summary
Repairing forearm muscle tendons directly offers better strength and anatomical restoration than fascia repair. This study provides anatomical maps and techniques for precise tendon repair in forearm lacerations.
Area of Science:
- Anatomy
- Surgical Repair
- Musculoskeletal System
Background:
- Forearm lacerations often involve muscle bellies, with current treatment typically focusing on muscle fascia repair.
- Fascia repair may not provide optimal strength or anatomical restoration compared to direct tendon repair.
Purpose of the Study:
- To investigate the anatomical basis for improved forearm tendon repair.
- To develop practical guides for identifying and repairing forearm muscle tendons.
Main Methods:
- Cadaveric measurements were performed to map the origins and insertions of individual forearm muscles and tendons.
- Development of practical guides for locating tendon ends.
- Introduction of a novel grasping stitch for intramuscular tendons.
Main Results:
- Graphical maps detailing forearm muscle and tendon anatomy were created.
- Practical techniques for identifying tendon ends were established.
- A simple grasping stitch for effective intramuscular tendon repair was devised.
Conclusions:
- Direct tendon repair offers superior strength and anatomical restoration for forearm injuries compared to fascia repair.
- Accurate anatomical knowledge and specialized techniques are crucial for successful forearm tendon repair.
- The developed maps and grasping stitch can aid surgeons in treating forearm lacerations involving tendons.
