Thumb flexor tendon

Flexor Tendinitis of the Thumb and Fingers Ortho Illinoi

The flexor tendons are smooth, thick ropes that allow the finger to bend and straighten. There are no muscles in the fingers. Instead, the tendons connect the muscles of the forearm to the finger bones and the muscles pull on the tendons to bend the fingers. It commonly affects the thumb and ring finger, but can affect other fingers Flexor pollicis longus (FPL) tendon The FPL tendon bends the thumb. It is unique to humans. It starts as a muscle in the forearm and then travels as a tendon in the wrist through the carpal tunnel Flexor Tendon Injuries are traumatic injuries to the flexor digitorum superficialis and flexor digitorum profundus tendons that can be caused by laceration or trauma. Diagnosis is made clinically by observing the resting posture of the hand to assess the digital cascade and the absence of the tenodesis effect Flexor Tendon Injuries examiner secures the pisotriquetral unit with the thumb and index finger of one hand and the lunate with the other hand. anterior and posterior stresses are placed on the LT joint. positive findings are increased laxity and accompanying pain. midcarpal instability

Each finger has two flexor tendons - one bends the middle joint, the other bends both the middle and fingertip joints. The thumb has one flexor tendon to bend the tip. Causes of Flexor Tendon Injuries The most common cause of a flexor tendon injury is a deep cut to the palm or the finger (s) Flexor Tendon Injuries A deep cut on the palm side of your fingers, hand, wrist, or forearm can damage your flexor tendons, which are the tissues that help control movement in your hand. A flexor tendon injury can make it impossible to bend your fingers or thumb finger extension, except as noted above. No functional use of involved hand. Wound care Edema control Scar massage Note: If pulley was repaired, may need pulley ring fabricated. The intent of this protocol is to provide the clinician with a guideline for the post-operative rehabilitation course of a patient that has undergone a flexor tendon.

In the thumb, to check the integrity of the flexor pollicis longus tendon, the metacarpophalangeal joint of the thumb is stabilized: If the flexor pollicis longus tendon is divided, flexion at the interphalangeal joint is absent The principle of flexor tenolysis is the consequent resection of all adhesive tissue around the tendon inside and outside the tendon sheath, with preservation of as many pulley sections as possible. Therefore, extensive approaches are frequently necessary

Trigger thumb is a simple term for stenosing flexor tenosynovitis of the thumb. This is a narrowing of the flexor tendon sheath which causes a clicking or popping sensation on attempted extension of the thumb. Flexion is normally enabled by the extrinsic flexor pollicis longus (FPL) and intrinsic flexor pollicis brevis (FPB) The Flexor Tendons are located on the palm side of the hand. They are thick cord-like connective tissues that attach the finger bones to muscles in the forearm and allow the fingers to bend. Flexor tendons are quite prone to injury due to their location below the skin and lack of flesh in the hand. What causes Flexor Tendon Injuries The flexor tendons are long cord-like structures that attach the muscles of the forearm to the bones of the fingers. When the muscles contract, the flexor tendons allow the fingers to bend. Each of the flexor tendons passes through a tunnel in the palm and fingers that allows it to glide smoothly as the finger bends and straightens This is commonly in the thumb or in a single finger. Patient with flexor tenosynovitis can have symptoms of redness and swelling in the entire finger. Symptoms of flexor tenosynovitis can also include tenderness or a bump present at the base of the affected finger and where the tendon is catching Finger flexor tendons are the flexor digitorum superficialis (FDS) and the flexor digitorum profundus (FDP), and the tendon in the thumb is the flexor pollicis longus (FPL). They originate from muscles at about the midforearm. Except for the index finger, the tendons of the FDP come from a common muscle belly

Body Anatomy: Upper Extremity Tendons The Hand Societ

Tendon pulley reconstruction, with local tissues separate procedure (26500) Tendon pulley reconstruction; with tendon or fascial graft (includes obtaining graft) separate procedure (26502) Flexor tendon excision, implantation of plastic tube or rod for delayed tendon graft, hand or finger (26390) Repair, intrinsic muscles of hand (26591 The flexor tendons are strong smooth cords that connect the muscles of the forearm to the bones in the fingers and thumb. There are two to each finger and one for the thumb (See diagram). The tendons run inside tunnels at the wrist and in the fingers, and they bend your fingers in the manner of a bicycle brake cable Clinical Relevance: Trigger Finger. Trigger finger is a condition in which the finger or thumb click or lock when in flexion, preventing a return to extension.. It is thought to be caused by inflammation of the long flexor tendons (often from repetitive movements of the fingers). In response to the inflammation, the tendon becomes thickened or develops a nodule - making it difficult for the. Tendon Injuries of the Thumb. Restoration of flexor pollicis longus function by flexor digitorum superficialis transfer. Flexor superficialis tendon transfers to the thumb--an alternative to the free tendon graft for treatment of chronic injuries within the digital sheath

There are two flexor tendons for each finger and one for the thumb. The flexor digitorum superficialis (FDS) and flexor digitorum profundus (FDP) are the flexor tendons of the fingers, and the flexor pollicis longus (FPL) is the only thumb flexor Flexor Tenosynovitis (Trigger Finger, Trigger Thumb) Flexor tendon tenosynovitis is a very common diagnosis characterized by pain in the area of the A1 pulley. Triggering digits are more common in women than in men. Triggering will be more common early in the day and becomes less bothersome with increased use of the fingers and hand

Flexor tenosynovitis may be caused by complications related to rheumatoid arthritis. The hand contains several tendons that connect bone, muscle, and cartilage tissue. Each flexor tendon in the fingers and palm is lined with a fluid-filled sheath that provides protection and lubrication, allowing for easy bending of the finger joints This is my experience with having completely lacerated my flexor tendon in my thumb in my left hand. The injury happened on 11/24/17, I had surgery on 12/01/.. A ventral forearm muscle, the flexor pollicis longus originates on the anterior side of the radius distal to the radial tuberosity and from the interosseous membrane.It passes through the carpal tunnel in a separate tendon sheath, after which it lies between the heads of the flexor pollicis brevis.It finally attaches onto the base of the distal phalanx of the thumb Flexor Tendon Laceration. The flexor tendons of the hand are crucial for normal hand function. These tendons bend, or flex, our fingers to make a fist. Each finger contains 2 finger flexors (FDS and FDP tendons) which originate in the forearm, travel through the carpal tunnel in the wrist, and insert on the palm-side of the fingers http://www.handandwristinstitute.com/flexor-tendon-injuries/- The tendons that allow you to flex your fingers are known, appropriately enough, as flexor tend..

Flexor tendon surgery is one of the most difficult injuries to recover from. It takes 10 to 12 weeks for the tendons to regain most of their strength. Do not return to full activity or do heavy lifting for 3 months after surgery. Many times, patients need another surgery to remove sca extensor tendons - which run from the forearm across the back of your hand to your fingers and thumb, allowing you to straighten your fingers and thumb flexor tendons - which run from your forearm through your wrist and across the palm of your hand, allowing you to bend your finger Flexor tendonitis can occur when there is a strain on the tendons. This strain can cause unwanted pain and stress. Any damage to the tendon in the forearm, wrist, palm or along the finger will stop all movement in the finger. If a tendon becomes torn, any tension on it will create a rubber band effect and cause it to weaken

Timeline for all flexor tendon repairs regardless of core suture number & zone : 4 weeks: x add gentle active motion & active tenodesis exercises x no use in ADLs until 4 ½ weeks ± light functional use only x may use static volar resting splint to gradually increase IP extension x no full wrist and finger active extension until 6 week Thumb Flexor Tendon Repair Information for patients. page 2 Introduction You have had surgery to repair one or more of the tendons which bend your thumb. This booklet is designed to help you understand your ongoing care and treatment. Following the procedure your forearm and hand will be in a larg

Related Posts of Thumb Flexor Tendon Anatomy Wrist Bones Anatomy Picture. Wrist Bones Anatomy Picture 11 photos of the Wrist Bones Anatomy Picture activate javascript ankle bones anatomy, hand and wrist bones anatomy, hand bones anatomy, scaphoid anatomy, scaphoid fracture, wrist injuries, wrist tendons anatomy, Hand, ankle bones anatomy, hand and wrist bones anatomy, hand bones anatomy. The Kanavel cardinal signs of flexor sheath infection are a finger held in slight flexion, fusiform swelling of the affected digit, tenderness along the flexor tendon sheath, and pain with passive extension of the digit. A suspicion of flexor sheath infection warrants urgent referral to a hand unit The FPL tendon may be prone to hypoechogenicity from anisotropic artifacts if the probe is not positioned perpendicular to the tendon. Compared with the flexor tendons in the other digits, the FPL lacks a vinculum and adjacent lumbrical muscle; thus, there are few impediments to proximal retraction in the event of an FPL tear Scan longitudinally over the anterior surface of the finger. The pulleys may be seen as thin hypoechoic zones intimately overlying the flexor tendon sheath. If ruptured, the tendon will no longer follow the bone and will instead bowstring. Game keepers thumb/ skiiers thumb. For example images, click here to goto the hand & finger pathology page Retinacular cysts are simply ganglion cysts that come from the flexor tendon sheath of the finger. Retinacular cysts often lead to pain when gripping objects. Fortunately, they are benign and easily treated. Initial treatment is by aspiration with a needle, removing the fluid from the center of the cyst. If the cyst's walls are thin, the cyst.

Flexor Tendon Injuries - Hand - Orthobullet

  1. Flexor Tendons and the Flexor Sheath . Flexor tendons are the tendons of the fingers. A tendon is a structure that connects a muscle to a bone. When the muscle contracts, the tendon pulls on the bone. In the case of the flexor tendons of the fingers, when the forearm muscles contract, the fingers are pulled by the tendons into a fist
  2. Flexor tendons inserting on the finger. The FDS is in red, the FDP in yellow. Innervation to FDS and the radial-sided two FDP tendons (eg, those to the index and long fingers) is provided by the median nerve, while innervation of the ulnar two FDP tendons (ring and small finger) is provided by the ulnar nerve
  3. Flexor Tendon Injuries Anatomy. Tendons are tissues that connect muscles to bone. When muscles contract, tendons pull on bones, causing parts of the body to move. Long tendons extend from muscles in the forearm and attach to the small bones of the fingers and thumb. Tendons are kept in place next to the bone by snug tunnels called tendon sheaths
  4. The flexor pollicis longus (/ ˈ f l ɛ k s ər ˈ p ɒ l ɪ s ɪ s ˈ l ɒ ŋ ɡ ə s /; FPL, Latin flexor, bender; pollicis, of the thumb; longus, long) is a muscle in the forearm and hand that flexes the thumb. It lies in the same plane as the flexor digitorum profundus.. This muscle is unique to humans, being either rudimentary or absent in other primates
  5. There are many tendons in the forarms, wrists, hands, and fingers that work together to grasp, twist, pick up items, and more. The tendons are strong connective tissues that join muscles to bones. In the inner wrist and palm of the hands a group of tendons called flexor tendons connect the flexor muscles in the forearm to the finger bones. The.
  6. • If poor flexor tendon glide is evident and patient is unable to 'hold' flexed position, early gentle active flexion is initiated. • If poor flexor tendon glide is evident and patient is compl iant, splint is discontinued at 5 weeks post-op. o Patient is specifically instructed to use splint for any risky activities, and is educate
  7. Common signs and symptoms of flexor tendon injuries include: Difficulty bending one or more fingers. Numbness on one or both sides of the finger, which indicates damage to the nerve. Loss of blood flow to the finger when the blood vessel is cut (which would lead to white or purple discoloration of the finger). This requires immediate surgery
Administration of Trigger Finger Injections, Orthopaedic

Physical Exam of the Hand - Hand - Orthobullet

The flexor tendons are smooth, flexible, thick strings which bend your fingers - they look a bit like clothesline rope. They work like a bicycle brake cable to bend your fingers, sliding in and out of the finger as it straightens and bends. If a flexor tendon is cut in half, the end connected to the muscle is often pulled back into the palm - no way to heal on its own The flexor digitorum superficialis tendon decussates at the level of Camper's chiasm, to allow the flexor digitorum profundus to become more volar in the finger. The flexor digitorum superficialis and flexor digitorum profundus tendons course in the finger in a fibro-osseous canal that is lined by synovium and reinforced by a pulley system

The flexor tendons travel through a tunnel in each finger called a sheath. Pulleys are the thickened parts of the sheath, which help to hold the tendon in place against the bones of the finger. This allows for proper bending of the finger. Injury to the Flexor Tendon Pulley System can involve partial or complete tear of one or more pulleys. The long extensor tendon to the thumb is called the Extensor Pollicis Longus (EPL). This tendon straightens the end joint of the thumb and also helps pull the thumb in towards the index finger. The tendon runs around a bony prominence on the back of the wrist called Lister's tubercle. In this area it is confined to a tight tunnel Flexor tendon repair was first described by Kirchmayr in 1917, when he published a method of 'locking' suture for tendon repair . However, since then, several surgical approaches have been described. Most authors show that more than 60% of the flexor tendon should be cut before surgeons offer surgical intervention

Flexor tendons run from the flexor muscles in the forearm to the finger bones along the palm side of the hand. The flexor tendons are responsible for allowing your fingers to bend. There are two flexor tendons in every finger and one in each thumb. Since the flexor tendons are very close to the surface of the skin, they are more vulnerable to. Flexor tendon repair. Flexor tendon repair is usually performed under a regional or general anaesthetic. A tourniquet will be applied to your upper arm to stop the blood circulating and to make it easier to perform the operation safely. A tourniquet is a type of cuff that is used to constrict (squeeze) the blood supply Flexor Tendon Lacerations. Flexor tendon lacerations are open injuries usually resulting from lacerations of the volar aspect of the hand. Flexor tendon lacerations are classified into five zones [2, 15, 16]. A zone 1 injury involves an FDP tendon laceration distal to the FDS insertion The thumb has one tendon. The flexor tendons run along the palm side of the fingers and are very close to the surface of the skin, particularly where the skin folds as you bend your fingers. The extensor tendons run along the back side (not the palm side) of your fingers and are also very close to the skin

Trigger finger occurs when the affected finger's tendon sheath becomes irritated and inflamed. This interferes with the normal gliding motion of the tendon through the sheath. Prolonged irritation of the tendon sheath can produce scarring, thickening and the formation of bumps (nodules) in the tendon that impede the tendon's motion even more Tendon repair is done to bring back normal movement to a joint. Tendon injury may occur anywhere in the body where there are tendons. The joints that are most commonly affected by tendon injuries. included in the splint for any finger flexor tendon repair; and, only your thumb will be included in the splint for a thumb flexor tendon repair. You will be able to see the tips of your fingers/thumb to insure they are getting good circulation. The palm side of your fingers/thumb will be protected by a soft padding that they wil There are five flexor tendon pulleys in the fingers that are named A1-A5, and consists of annular ligament pulleys, and cruciate pulleys i.e. The flexor tendon pulley system. The thumb only has two pulleys that are described as A1 and A2. Flexor pulley system consists of the following: Palmar Aponeurosis Pulley; 5 Annular Pulleys; 3 Cruciform.

A flexor tendon injury can cause any of the following symptoms: Painful and swollen finger joints. Difficulty bending your finger joints or inability to bend these joints. Numbness in your finger - if the nerves that are located very close to your flexor tendon are also injured. Tenderness and pain on the palm side of the affected finger INTRODUCTION. Rupture of the flexor digitorum profundus (FDP) tendon from its distal attachment is commonly known as jersey finger. This injury occurs most often in athletes involved in contact sports, such as American football or rugby [].The injury is often overlooked by players and trainers and misdiagnosed as a jammed or sprained finger, but requires more urgent management than these. Each finger has two flexor tendons: the flexor digitorum superficialis (FDS), which inserts on the midportion of the middle phalanx, and the flexor digitorum profundus (FDP), which lies volar to the FDS and inserts on the volar base of the distal phalanx (, Fig 23). The FDS tendon splits at the distal metacarpal, passes around the FDP. Biomechanics of the flexor tendon pulley system. The amount of finger flexion is proportional to tendon excursion and the moment arm (r). A The intact pulleys keep the flexor tendons close to the axis of rotation of the finger joints, thereby maximizing total finger flexion A flexor tendon laceration is a deep cut on the palm side of the fingers, hand, wrist, or forearm that can injure the flexor tendon. Flexor tendon lacerations make it impossible to bend joints in a finger. Because the flexor tendons are close to the surface of the skin, a deep cut on the skin can affect the flexor tendon

Flexor Tendon Injuries: Symptoms & Treatment in MN TRI

  1. Repairing flexor tendons is more challenging because the flexor tendon system is more complex. Flexor tendon repair usually needs to be carried out under either general anaesthetic or regional anaesthetic (where the whole arm is numbed) in an operating theatre by an experienced plastic or orthopaedic surgeon who specialises in hand surgery
  2. ICD-10-CM Codes › S00-T88 Injury, poisoning and certain other consequences of external causes ; S60-S69 Injuries to the wrist, hand and fingers ; S66-Injury of muscle, fascia and tendon at wrist and hand level Injury of flexor muscle, fascia and tendon of other and unspecified finger at wrist and hand level S66.
  3. Flexor tendon injuries are some of the more common injuries, but yet complex injuries managed by hand surgeons. The flexor tendon mechanism plays a key role in the functionality of the hand. Physiotherapists and occupational therapists are often involved and play a key role in the post-surgical rehabilitation of flexor tendon repairs. A good understanding of the treatment procedures, healing.
  4. Trigger thumb (or flexor pollicis longus stenosing tenosynovitis) is a specific type of trigger finger involving the thumb.. Clinical presentation. May present as a transient locking of the thumb in flexion, followed by a painful snapping sensation during extensio

Flexor Tendon Injuries - OrthoInfo - AAO

  1. Trigger finger (also called stenosing flexor tenosynovitis) is caused by a disparity in the size of the flexor tendons and the surrounding retinacular pulley system at the first annular (A1) pulley ( figure 1) which overlies the metacarpophalangeal (MCP) joint ( figure 2 ). The flexor tendon catches when it attempts to glide through a.
  2. Transformation of the scarred, postinjury flexor tendon complex to a gliding, pliable, functional system can be accomplished by the two-stage tendon graft method using the Hunter tendon implant (Wright Medical Technology, Inc., 5677 Airline Road, Arlington, Tennessee 38002, 901-867-9971) at stage I. This method permits the linchpin.
  3. The ideal primary repair of flexor tendons, the management of delayed presentation flexor tendon injuries, the key steps to achieve better results with flexor tendon therapy, and the tele-rehabilitation experience during COVID-19 pandemic will be highlighted. Zone 2 flexor tendon injuries are the most demanding part and will be focused on
  4. The finger flexor tendons are located on the palm-side of the hands and the extensor tendons are on the top side dorsum. When the finger flexors contract, they pull on the bones allowing the fingers and thumb to bend into a fist. The finger extensor tendons aid in straightening the finger, to release from grasping
Flexor Tendon Injuries - Radsource

Presentation1Lumbrical Plus after flexor tendon laceration - YouTubeFlexor Carpi Radialis Tendinopathy - Radsource

Video: Flexor Tendon Injury Of The Hand • Easy Explained

[Tenolysis of the flexor tendons in the hand

During the trigger thumb release, the flexor pollicis longus (FPL) tendon was partially cut and repaired. The FPL tendon later ruptured and was not repaired within a short enough time to perform a simpler primary repair. A complex tendon transfer surgery was then performed using the FDS tendon from the ring finger to restore function to the thumb Flexor Pollicus Longus (FPL) Repair 1160 Kepler Drive 1 | Page Green Bay, WI 54311 920‐288‐5555 A deep cut on the palm side of the hand, wrist, or forearm can damage the tendons that bend the thumb. Repair of the damaged tendons is necessary to restore normal movement in the thumb and hand Figure 1: Flexor tendons inserting on the middle and distal phalanges. The FDS is in red, the FDP in yellow. Innervation to FDS and the radial-sided two FDP tendons (e.g., those to the index and long fingers) is provided by the median nerve, while innervation of the ulnar two FDP tendons (ring and small finger) is provided by the ulnar nerve The flexor tendon connects to the muscles that move the fingers and thumb. The flexor tendon is a specific type of tendon that is located in the forearm. Its function is to connect muscles of the body to the bones. The flexor tendon connects to the muscles that are responsible for moving the fingers, including the thumb In the finger, the tendons pass through fibrous rings called pulleys, which guide the tendons and keep them close to the bones, enabling the tendons to move the joints much more effectively. Deep cuts on the palm side of the wrist, hand, or fingers can injure the flexor tendons and nearby nerves and blood vessels

Trigger Thumb - PubMe

The tendon that is torn is the flexor tendon which is the tendon used to bend your finger. The injury usually occurs at the tip of the finger and the tendon snaps back to the base of the finger or even into the palm of the hand. Common symptoms of jersey finger include not being able to bend finger down to your palm, as well as pain and swelling Flexor tendon injuries are most commonly caused by a sharp cut to the finger or palm. Rupture of the attachment of the tendon to the finger can also occur and is commonly associated with recreational sports (such as tackling in football when the tackler's finger becomes entangled in the opponent's jersey) Flexor Pollicis Longus terminates at the tip of the thumb. In case if there is any sort of injury to the tendons of the Flexor Pollicis Longus then recovery from such injuries take a significant amount of time to heal due to lack of blood supply to the tendons when compared to other tendons of the body Thumb CMC arthroplasty involves removing the small wrist bone that is part of the CMC joint and replacing it with a wrist flexor tendon. During the procedure, a small incision (approximately 1.5 inches) is made over the CMC joint, and the trapezium wrist bone is removed. A small incision is then made in the forearm to release a wrist flexor tendon Flexor Tendon Finger Repair Information for patients This leaflet can be made available in other formats including large print, CD and Braille and in languages other than English, upon request. What exercises should I do after my surgery? You should only do the exercises your Hand Therapist has advised

Thumb stuck in straight position - Flexor tendon bad? I am a 30 year old male with very mild cerebral palsy and spinal stenosis of the C3 vertebrate. Up until July 2013, everything was normal with my hands In this HealthHearty article, we shall discuss the identifiable symptoms, possible causes, and available treatment options for thumb tendonitis. Have a look A tendon is the tissue that connects the muscles and the bones. The condition of an inflamed tendon is called tendonitis (also spelled as tendinitis). It most commonly occurs as a result. The FPL is the only tendon which is able to flex the interphalangeal joint of the thumb. But proximal muscles must stabilize the CMC and MP joints so that the glide of the FPL is directed distally to move the IP joint. This works easily in the normal thumb, but following repair the FPL becomes adherent at the repair site The tendons on the top of the hand straighten the fingers. These are known as extensor tendons. The tendons on the palm side bend the fingers. These are known as the flexor tendons. When you bend or straighten your finger, the flexor tendons slide through snug tunnels, called tendon sheaths, that keep the tendons in place next to the bones Flexor tendons connect muscles in the forearm to the bones in the fingers. The two flexor tendons in each finger (and one in the thumb) enable the ability to bend the fingers down to the palm. If there is injury to a flexor tendon, it becomes difficult or impossible to do things like hold an object, pinch or any do other grasping activities

Common Flexor Tendon Injuries & Repair

The flexor digitorum superficialis tendon should be evaluated by holding the unaffected fingers in extension and asking the patient to flex the injured finger.19 An injured flexor digitorum. Exercises to Strengthen Hand Flexor Tendons. The human hand is a highly complex system that requires 29 bones, 29 joints, 123 ligaments, 34 muscles and three major nerves to act in concert. While most people find grasping an object with their fingers to be trivially automatic, anyone who has suffered a hand flexor. The next two columns will discuss the diagnosis and treatment of flexor and extensor tendon injuries. Few clinicians would miss a completely lacerated extensor or flexor tendon, assuming that tendon unction was adequately evaluated; however, a major partial tendon injury, often initially clandestine in the depths of a swollen and tender laceration, can mislead even a hand surgeon on the first.


Trigger Finger - Trigger Thumb - OrthoInfo - AAO

Avulsion results in inability to flex at DIP. FDP Tendon may retract to the palm. Assess for flexor digitorum superficialis rupture. Hold all fingers except affected finger in extension. Test proximal interphalangeal joint (PIP) flexion. VI. Imaging: XRay digit (AP, Lateral, Oblique) Assess for bony avulsion of volar distal phalanx. VII Finger Joint Fusion. Fingertip Crush - Distal Phalanx Fracture, Nailbed Injury. Flexor Tendon Repair - Duran. Flexor Tendon Repair - Kleinert. Flexor Tendon Repair - Strickland. Hemi-Hamate Arthroplasty. Humeral Shaft ORIF. Initial Therapy Prescription for Elbow Release. Lateral Band_FDS Tenodesis This injury is often caused by a cut to the finger, hand, or arm. Other causes are: A sports injury: Stretching the tendon too far in sports that use hand strength, such as rock climbing; Catching the finger on another player's shirt (Jersey finger) Weak flexor tendons from health problems, such as rheumatoid arthriti Thumb interphalangeal (IP) flexion is achieved with the transfer of the brachioradialis, ECRL, or ECU to the FPL; DIP and PIP flexion to the index finger can be achieved by transferring the ECRL to the FDP tendon of the index finger or by side-to-side tenodesis of the flexor digitorum profundus tendons. Ulnar Nerve Pals

Flexor Carpi RadialisTrigger Thumb Surgery of Left HandThumb Spica Splint

Vincula provide 70% of nutritional support to flexor tendons in zones 1 and 2.1 Mesotendons provide 30% of nutritional support to the extensor tendons via vascular perfusion in all zones. Synovial diffusion provides the remaining 70%. (p449 rehab of the hand) Standard of Care: Flexor /Extensor Tendon Laceration of the Forearm, Wrist, Digit Doyle JR: Anatomy of the finger flexor tendon sheath and pulley system. J Hand Surg. 13:473-484 1988 26. Doyle JR: Anatomy of the flexor tendon sheath and pulley system: a current review. J Hand Surg. 14:349-351 1989 27. Strauch B, de Moura W: Digital flexor tendon sheath: an anatomic study. J Hand Surg. 10:785-789 1985 28 Hand surgeon should repair all flexor tendon lacerations. If hand surgeon is not immediately available: Irrigate open wounds and close with 5-0 nylon. Most advocate antibiotics. Splint hand with: Wrist in 30 deg of flexion. MCP joints in 70 deg of flexion. IP joint flexed 10-15 deg of flexion