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Related Experiment Videos

Profundus tendon blockage: quadriga in finger amputations.

B R Neu, J F Murray, J K MacKenzie

    The Journal of Hand Surgery
    |November 1, 1985
    PubMed
    Summary

    Spontaneous adhesions after finger amputation can cause profundus tendon blockage, limiting movement in intact fingers. Surgical release of these adhesions effectively corrects this condition, restoring function.

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    Area of Science:

    • Orthopedic Surgery
    • Hand Surgery
    • Reconstructive Surgery

    Background:

    • Spontaneous adhesions of the profundus tendon can occur after finger amputations.
    • These adhesions may lead to profundus tendon blockage, also known as quadriga syndrome.
    • Quadriga syndrome restricts the movement of intact fingers, decreasing their power and range of motion.

    Purpose of the Study:

    • To describe the quadriga syndrome resulting from profundus tendon adhesions after finger amputation.
    • To present the surgical correction and outcomes for patients with this condition.
    • To recommend preventative measures for profundus tendon blockage.

    Main Methods:

    • Review of 20 patients who underwent surgical release of adherent profundus tendons.
    • Description of three degrees of severity for the resulting weakness.
    • Evaluation of surgical findings and postoperative results.

    Main Results:

    • Surgical release of the adherent profundus tendon was effective in correcting the condition.
    • Patients experienced restoration of active flexion and extension in intact fingers.
    • Postoperative outcomes demonstrated the success of the surgical intervention.

    Conclusions:

    • Profundus tendon blockage (quadriga syndrome) is a surgically correctable complication of finger amputation.
    • Early active range of motion exercises after primary amputation can prevent tendon adhesions.
    • Surgical release of adhesions offers a viable solution for patients experiencing functional deficits.

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