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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

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A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects
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Management of extensor tendon injuries.

M Griffin1, S Hindocha, D Jordan

  • 1Academic Foundation Trainee, Kingston Upon Thames, London, UK.

The Open Orthopaedics Journal
|March 21, 2012
PubMed
Summary

Extensor tendon injuries require prompt assessment and zone-specific management to prevent lasting impairment. This review details systematic assessment, treatment, and rehabilitation for all extensor tendon injury zones.

Keywords:
Extensor tendonboutonniere injuryextensor injuriesextensor lacerationhand injuries.mallet injurymobilisation

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Traumatology

Background:

  • Extensor tendon injuries are common but less reviewed than flexor injuries.
  • Inappropriate treatment can lead to severe, lasting patient impairment.
  • Optimal management strategies vary significantly based on the injury zone.

Purpose of the Study:

  • To provide a systematic method for assessing extensor tendon injuries.
  • To review the presentation and management of all extensor tendon injury zones.
  • To offer guidance on pre- and post-operative mobilization.

Main Methods:

  • Systematic literature review focusing on extensor tendon injury assessment and management.
  • Analysis of treatment protocols based on anatomical zones (I-VIII).
  • Inclusion of conservative and surgical intervention strategies.

Main Results:

  • Immediate repair is recommended for extensor tendon injuries, with specific approaches tailored to the zone.
  • Conservative management is suitable for Zone I (mallet) and Zone II injuries.
  • Surgical repair is indicated for open Zone III, Zone V (human bites), Zone IV, and Zone VII injuries, with specific techniques and immobilization periods described for each.

Conclusions:

  • Effective management of extensor tendon injuries necessitates a zone-specific approach.
  • Early and appropriate treatment, followed by guided rehabilitation, is crucial to minimize functional deficits.
  • Further research is needed to document the quality of extensor tendon repair outcomes.