Tendon Injuries

Assessment and management of tendon injuries in children largely parallels that in the adult. Indirect indicators of tendon injury include: Loss of the normal flexion cascade of the digits. In a relaxed hand, all the fingers adopt a flexed attitude. The degree of this flexion progressively increases from the index to the little. If a flexor tendon is cut, that digit lies abnormally ‘extended’ compared to the others. Passively extending the wrist results in flexion of the fingers if the flexor tendons are intact. Similarly, passively flexing the wrist causes extension of the digits if the extensor tendons are intact. Squeezing the flexor or extensor muscle bellies in the proximal forearm causes a corresponding flexion or extension of the digits. Loss of this indicates tendon discontinuity.

The hand is placed in splints following tendon repairs. The splints are designed to limit the movement opposite to that which the tendon performs. Consequently, flexor repairs are placed in splints that keep the digits partially flexed and limit extension, while extensor repairs are placed in splints that limit flexion of the digits. This reduces strain on the sutures and protects the repair till the tendons are fully healed. An intensive physiotherapy regimen has to follow tendon repairs to restore good function.

For more information or to schedule an appointment please contact us at (502) 561-4263 or 1-800-477-4263. To request an appointment online, use our Appointment Request Form.

Contact Kleinert Kutz Hand Care Center Today!

502.561.4263 Our Locations

Hand Surgery Website Design & Medical Website Design by Vital Element, Inc.