Flexor Tendon Lacerations in the Hand

Description: Laceration of the flextor tendon is one of the most common injuries seen in the hand. Continuing advances in our understanding of tendon healing and biomechanics have resulted in improved outcomes after flexor tendon repair. A general approach to the management of acute flexor tendon lacerations, including a review of newer surgical techniques, is presented in sufficient detail to give the reader an understanding of the current approach to flexor tendon repair. Flexor tendon laceration is one of the soft tissue injuries most commonly encountered by the hand surgeon. Recent advances concerning the biomechanics and physiology of flexor tendons and tendon healing have improved our ability to achieve a satisfactory outcome after flexor tendon repair. Nevertheless, many surgeons and their patients continue to be frustrated by post-operative tendon rupture and disabling adhesions. The issues of optimal suture technique and post-operative rehabilitation are under active investigation and continue to generate heated discussions amongst hand surgeons.
UPOJ Volume 10 Spring 1997 Pages 5-11 Flexor Tendon Lacerations in the Hand David R. Steinberg, M.D