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Related Experiment Videos

Flexor tendon sheath haematoma: a case report.

H K Thakore1

  • 1Department of Orthopaedic Surgery, New Jeddah Clinic Hospital, Saudi Arabia.

Journal of Hand Surgery (Edinburgh, Scotland)
|February 1, 1989
PubMed
Summary

A tense flexor tendon sheath hematoma mimicked a flexor tendon division in a little finger injury. Prompt surgical decompression of the hematoma resulted in successful finger function recovery.

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Traumatology

Background:

  • Open finger injuries often require careful diagnosis to differentiate between tendon damage and other soft tissue pathologies.
  • Flexor tendon injuries can lead to significant functional deficits if not accurately identified and managed.

Observation:

  • A patient presented with an open injury to the little finger, initially suspected to be a flexor tendon division.
  • Surgical exploration revealed that the flexor tendons were intact.
  • The tendons were encased within a tense flexor tendon sheath hematoma.

Findings:

  • The primary issue was not tendon division but a significant hematoma within the flexor tendon sheath.
  • Decompression of the hematoma was performed as the crucial surgical intervention.

Implications:

  • This case highlights the importance of surgical exploration in diagnosing obscure finger injuries.
  • Accurate diagnosis and timely decompression of flexor tendon sheath hematomas are critical for restoring finger function.
  • Misdiagnosis of tendon division can be avoided by considering hematoma as a differential diagnosis in open finger injuries.

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