Related Experiment Video
Updated: Dec 20, 2025
10:36
Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
Published on: May 23, 2025
665
Injuries and Conditions Affecting the Elbow Flexor/Pronator Tendons
Rami George Alrabaa1, Nicholas Dantzker1, Christopher S Ahmad1
1Department of Orthopedic Surgery, Columbia University Medical Center, 622 West 168th Street, PH-11, New York, NY 10032, USA.
Clinics in Sports Medicine
|May 25, 2020
Summary
Most common flexor-pronator tendon injuries and medial epicondylitis heal without surgery. Surgery is for persistent symptoms or complete tears in athletes, focusing on debridement and reattachment.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Elbow Pathology
Background:
- Common flexor-pronator tendon injuries and medial epicondylitis are prevalent elbow conditions.
- Nonoperative management is the primary treatment approach for these injuries.
Purpose of the Study:
- To outline the indications for operative versus nonoperative treatment of flexor-pronator tendon injuries.
- To emphasize the importance of evaluating concomitant pathologies.
- To define the gold standard surgical technique.
Main Methods:
- Review of current literature and clinical guidelines.
- Focus on physical examination and diagnostic workup.
- Description of surgical techniques for tendon debridement and reattachment.
Main Results:
- Nonoperative treatment is successful in the majority of cases.
- Operative intervention is indicated for refractory symptoms or complete tendon ruptures.
- Thorough assessment for associated elbow pathologies is crucial.
Conclusions:
- Conservative management should be exhausted before considering surgery.
- Surgical treatment, involving debridement and reattachment, is the standard for severe cases.
- Comprehensive evaluation aids in optimizing patient outcomes.
More Related Videos
Related Concept Videos
01:16Muscles that Move the Forearm
3.5K
The muscles that move the forearms can be divided into four groups: forearm flexors, forearm extensors, forearm pronators, and forearm supinators. The flexors and extensors act on the elbow joint, while the pronators and supinators act on the radioulnar joints.
Forearm Flexors
The biceps brachii, brachialis, and brachioradialis are forearm flexors. The biceps brachii is made up of two heads. Its long head originates at the supraglenoid tubercle of the scapula, whereas that of the short head is...
Forearm Flexors
The biceps brachii, brachialis, and brachioradialis are forearm flexors. The biceps brachii is made up of two heads. Its long head originates at the supraglenoid tubercle of the scapula, whereas that of the short head is...
3.5K
01:15Bones of the Upper Limb: Ulna
3.9K
The ulna and radius are parallel bones of the antebrachium or the forearm. The ulna lies medially and consists of a bony tip called the olecranon process at its proximal end. This hook-like projection articulates with the olecranon fossa of the humerus and forms the "hinged" ulnohumeral part of the elbow joint. This joint facilitates forearm extension and flexion while preventing its hyperextension. Similarly, the coronoid process, another bony projection on the proximal/anterior side...
3.9K
01:22Spinal Nerves: Plexus I
2.1K
Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
2.1K
01:17Muscles of the Forearm that Move the Hand and Fingers
2.2K
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.
Anterior Compartment
The anterior compartment muscles originate from the humerus. They primarily function as flexors and are also known as flexor muscles. They typically insert on the carpals, metacarpals, and phalanges. The superficial layer includes the flexor carpi...
Anterior Compartment
The anterior compartment muscles originate from the humerus. They primarily function as flexors and are also known as flexor muscles. They typically insert on the carpals, metacarpals, and phalanges. The superficial layer includes the flexor carpi...
2.2K
01:09Bones of the Upper Limb: Radius
4.3K
The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a...
The radius has a nail-shaped head, and a...
4.3K
01:28Disorders of the Skeletal Muscle
1.6K
The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
1.6K