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Related Concept Videos

Ankle Joint01:10

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The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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The muscles of the forearm that move the wrist, hand, and digits are numerous and diverse. They can be classified into two groups based on their location and function — the anterior and posterior compartment muscles.
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Somatic spinal reflexes are rapid, involuntary muscular responses to external stimuli that involve the somatic musculature and the spinal cord.
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Related Experiment Video

Updated: Dec 29, 2025

Murine Flexor Tendon Injury and Repair Surgery
07:32

Murine Flexor Tendon Injury and Repair Surgery

Published on: September 19, 2016

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[Tenoarthrolysis after flexor tendon injuries].

Thomas Pillukat1, Joachim Windolf2, Jörg van Schoonhoven3

  • 1Klinik für Handchirurgie, Rhön-Klinikum Campus Bad Neustadt, Von Guttenbergstr. 11, 97616, Bad Neustadt an der Saale, Deutschland. thomas.pillukat@campus-nes.de.

Der Unfallchirurg
|February 5, 2020
PubMed
Summary

Tenoathrolysis surgery can restore finger and thumb function when hand therapy fails. This procedure releases adhesions, but requires careful patient selection and extensive postoperative therapy for optimal outcomes.

Keywords:
AftercareHand injuriesReconstructive surgical proceduresTendon injuriesTissue adhesions

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Area of Science:

  • Orthopedics
  • Hand Surgery
  • Reconstructive Surgery

Background:

  • Flexor tendon and joint function is crucial for normal finger and thumb movement.
  • Adhesions from injury can impede tendon gliding and limit digital joint range of motion.
  • Persistent digital dysfunction despite conservative management necessitates surgical consideration.

Purpose of the Study:

  • To evaluate the role and methodology of tenoathrolysis for restoring flexor tendon gliding and digital function.
  • To outline the necessary preconditions, surgical techniques, and potential complications associated with flexor tendon tenoathrolysis.
  • To emphasize the importance of a comprehensive reconstructive approach and postoperative rehabilitation.

Main Methods:

  • Surgical resection of adhesive tissue around flexor tendons within and outside the tendon sheath.
  • Preservation of annular pulleys during tenoathrolysis.
  • Inclusion of adjunctive procedures like arthrolysis, scar tissue dissolution, and lumbrical muscle resection.
  • Consideration of salvage procedures for failed cases.

Main Results:

  • Tenoathrolysis aims to restore tendon gliding and improve joint range of motion.
  • Successful outcomes depend on patient motivation, adequate hand therapy, and intact surrounding structures.
  • Complications include secondary tendon rupture, pulley loss, and scarring, necessitating a stepwise reconstructive plan.

Conclusions:

  • Tenoathrolysis is indicated for digital dysfunction unresponsive to conservative treatment.
  • Meticulous surgical technique and comprehensive postoperative hand therapy are essential for functional recovery.
  • A stepwise reconstructive strategy, including salvage options, should be considered for complex cases.