Flexor Tendon Injuries

Description

This VTT document details a presentation by Hisham Awan from Ohio State University focusing on flexor tendon injuries. The talk begins with an overview of flexor tendon anatomy, including the vascular structures and the classifications of tendon injuries across various zones, particularly emphasizing the healing potential associated with different injury locations. Awan discusses both the surgical repair techniques and postoperative rehabilitation protocols to optimize recovery outcomes, detailing the anatomy specific to Zone 2 injuries, known for historically poor results but improved with modern approaches. The speaker highlights injury classifications from tendon ruptures (like "Jersey fingers") to the implications of tendon architecture in relation to rehabilitation efforts.



Significant sections of the presentation delve into the biology of tendon healing, illustrating processes like the inflammatory response and fibroblast activity in healing phases. Awan also examines potential complications, such as adhesions or re-rupture, and explains evaluations for effective surgical timing, fixations, and potential repairs including the use of sutures.



Awan’s remarks are supported by clinical case examples that illustrate the decision-making involved in tendon repair and the importance of early mobilization. He categorizes various tendon lacerations with their respective management strategies and emphasizes a patient-centric approach towards flexibility and functionality post-repair. The latter parts of the talk stress on rehabilitation techniques, discussing different protocols (like the modified Duran and Kleinert methods) and their execution to ensure optimal recovery, underscoring patient compliance and professional guidance in therapy as crucial determinants of successful outcomes.

Specialties

Paper Links

https://bit.ly/ASSH_Hande