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Recent News and Articles on the Keywords: tendon injuries + tendon + flexor  Related to the article below (Last Update: 8/4/2008)

The Fat is Phat: Adipose-Derived Stem Cells for Tendon Injuries TheHorse.com, KY - Aug 1, 2008 In this study Nixon and colleagues induced tendonitis in the superficial digital flexor tendons of eight horses. They treated four horses with ... National Post Braves' Soriano on DL for third time Atlanta Journal Constitution,  USA - Tom Glavine is headed on a minor-league rehabilitation assignment to see if the partially torn flexor tendon in his elbow has strengthened enough to let him ... Rafael Soriano returns for third stint on disabled list The Canadian Press all 92 news articles » New York Daily News Forearm strain to blame for Wagner's blown save Newsday, NY - Although he ruled out anything serious like a flexor tendon or elbow problem, Wagner can't finish his pitches. That means he can't control where they're ... John Maine placed on DL, while Billy Wagner sits due to strained ... New York Daily News Great Briton: Murray climbs to No. 6 Boston Globe John Maine placed on DL, while Billy Wagner sits due to strained ... New York Daily News all 330 news articles » Rookies Brohm, Flynn quietly progressing for Pack USA Today - Aug 2, 2008 Notes: TE Tory Humphrey missed Saturday's practice with tightness in his ankle and Achilles' tendon. Humphrey said he wasn't concerned about the injury, ... Injury update Packer Report - Aug 2, 2008 By Todd Korth Tight end Tory Humphrey sat out of Saturday's practice with a sore Achilles tendon. Humphrey missed all of last season with a broken leg that ... TSN.ca Elbow injury could end Hudson's season Atlanta Journal Constitution,  USA - Jul 28, 2008 Smoltz had season-ending shoulder surgery, and Glavine is trying to come back from a partially torn flexor tendon near his pitching elbow. Hudson's MRI shows ligament damage MLB.com Hudson to visit doctor on Wednesday MLB.com all 321 news articles » Ortho SuperSite Quadriceps Tendon Rupture and Periosteal Sleeve Avulsion Fracture ... Ortho SuperSite, NJ - Jul 22, 2008 Ramseier LE, Werner CM, Heinzelmann M. Quadriceps and patellar tendon rupture. Injury . 2006; 37(6):516-519. Omololu B, Ogunlade SO, Alonge TO. ... What's New in Orthopaedic Research Journal of Bone and Joint Surgery (subscription) - Aug 1, 2008 Recent studies have evaluated the role of the peripheral nervous system in ligament and tendon-healing. Neuropathic tissues, such as in patients with ... Here is what subluxation or the ecu is. Donald's injury Protrade, CA - Jul 11, 2008 Normally, the tendon runs within a smooth sheath along a groove at the wrist joint. It is held in this position by a ligament. Sometimes after an injury ... Telemedicine: The Future is Now MedPage Today, NJ - Jul 28, 2008 As a general practice I like to run it past a specialist whenever a tendon or ligament is violated. Unfortunately, I happened to be working this evening at ...

Flexor Tendon Injuries

Flexor Tendons in the Hand and Forearm

The muscles that bend or flex the fingers are called flexor muscles. These flexor muscles move the fingers through cord-like extensions called tendons, which connect the muscles to bone. The flexor muscles start from the elbow and forearm regions, turn into tendons just past the middle of the forearm, and attach into the bones of the fingers (see Figure 1). 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. The injury may appear simple on the outside, but is actually much more complex on the inside. When a tendon is cut, it acts like a rubber band and its cut ends pull away from each other. A tendon that has not been cut completely through may still allow the fingers to bend, but can cause pain or catching and may eventually tear all the way through. When tendons are cut completely through, the finger joints cannot bend on their own (see Figure 2).

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How Are These Injuries Treated?

Tendon Healing
Tendons are made of living cells. If the cut ends of the tendon can be brought back together, healing begins through the cells inside as well as the tissue outside of the tendon. Because the cut ends of a tendon usually separate after an injury, it is not likely that a cut tendon will heal without surgery.

Your doctor will advise you on how soon surgery is needed after a flexor tendon is cut. There are many ways to repair a cut tendon, and certain types of cuts need a specific type of repair. In the finger, it is important to preserve certain pulleys, and there is very little space between the tendon and pulley in which to perform a repair. Nearby nerves and blood vessels may need to be repaired as well. After surgery, and depending on the type of cut, the injured area can either be protected from movement or started on a very specific limited-movement program for several weeks (see Figure 3). Your doctor may prescribe hand therapy for you after surgery. If unprotected finger motion begins too soon, the tendon repair is likely to pull apart. After four to six weeks, the fingers are allowed to move slowly and without resistance. Healing takes place during the first three months after the repair.

In most cases, full and normal movement of the injured area does not return after surgery. If it is hard to bend the finger using its own muscle power, it could mean that the repaired tendon has pulled apart or is bogged down in scar tissue. Scarring of the tendon repair is a normal part of the healing process. But in some cases, the scarring can make bending and straightening of the finger very difficult. Depending on the injury, your doctor may prescribe therapy to loosen up the scar tissue and prevent it from interfering with the finger's movement. If therapy fails to improve motion, surgery to release scar tissue around the tendon may be required.

Hand Therapy After Surgery
If a program of controlled, limited motion is selected as therapy for the first several weeks after surgery, it is important to work closely with a hand therapist and your surgeon to understand the therapy and follow set guidelines. The tendon repair might pull apart if your hand is used too soon or if therapy guidelines are not followed. In addition to regaining motion of the finger after a tendon injury, therapy will be helpful in softening scars and building grip strength.

Figure 1: The tendons of the hand run from the flexor muscles in the elbow and forearm to the bones of the fingers.

Figure 2: When flexor tendons are completely cut, the finger cannot be bent.

Figure 3: After surgery, the area of the injured tendon must be protected from movement.

© 2005 American Society for Surgery of the Hand