Management of extensor tendon injuries of the hand, wrist and forearm: A clinical study
Lakshmi KB, Kumar AS, Chikte B, Mahender E, Anitha S. Management of extensor tendon injuries of the hand, wrist and forearm: A clinical study. Am J Med Surg. April 2021. 3(3). 7-12.
Abstract: INTRODUCTION: The anatomy of the extensor tendons is complex and the management of injuries is varied corresponding to the anatomical zone of injury. The important factors in the treatment of extensor tendon injuries include the anatomical zone, the type and mode of injury, its chronicity, and any pathology of the adjacent tissues. Wound debridement, rigid internal fixation of bone, repair of neurovascular structures, and skin coverage take precedence over extensor tendon repair.
OBJECTIVE: Analyze the demographic data, management, and surgical outcomes of repair of extensor tendon injuries of hand, wrist, and forearm.
METHODS: This study is a prospective, observational cohort of 30 patients who presented with extensor tendon injuries to the department of plastic surgery at Gandhi medical college and hospital, Secunderabad between August 2018 and July 2020.
RESULTS: 76.66% males and 23.34% females presented with ETI. 33.33% of them were between 31- 40 years followed by 26.66% of them between 21-30 years of age. Occupational injuries accounted for 36.66% of patients. Zone VI injuries accounted for a maximum of 43.33 % of patients. Excellent outcomes were seen in thumb extensor tendon injuries, while good outcomes were noted in zones I-IX in ulnar four fingers and in proximal injuries. Complications were noted in 13.33% of patients.
CONCLUSION: Outcome depends on the severity of the injury, anatomic zone involved, infection, concomitant injuries, and patient compliance to physiotherapy.
KEYWORDS: Extensor tendón injuries(ETI), Zones, Tendon Repair, Splintage, Physiotherapy, Outcomes.