Tendon disorders of the hand

Area of Science:

• Hand surgery
• Orthopedic surgery
• Plastic surgery

Background:

• Tendon injuries and deformities require effective management strategies.
• Current evidence and techniques are crucial for optimal patient outcomes.

Purpose of the Study:

• To provide a practical overview of current best techniques and evidence for treating flexor and extensor tendon injuries.
• To guide plastic surgeons in managing conditions such as trigger fingers, mallet fingers, boutonniere deformities, and De Quervain tenosynovitis.
• To enhance surgical decision-making and procedural skills through visual aids.

Main Methods:

• Review of current evidence and best practices in tendon repair and reconstruction.
• Instructional videos demonstrating key surgical techniques, including tendon transfers and local anesthesia for wide-awake surgery.
• Guidance on postoperative management using relative motion extension splints.

Main Results:

• The article equips participants to make evidence-based decisions for flexor tendon repair.
• Participants can learn and perform essential tendon transfers from instructional videos.
• Techniques for local anesthesia in wide-awake flexor tendon repair are detailed.
• Effective use of relative motion extension splints for extensor tendon injury management is presented.

Conclusions:

• This resource offers a clinically useful overview of contemporary techniques for hand tendon disorders.
• It emphasizes the importance of evidence-based practice and visual learning aids in surgical training.
• The article aims to improve the diagnosis and treatment of various tendon conditions encountered by plastic surgeons.