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Results for “Finger Injuries”

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At least 181 records · Page 10Linked to original sources
PubMed1980

Conservative management of finger tip injuries in adults.

A prospective trial was undertaken on fifty consecutive patients with a total of sixty finger tip injuries treated by conservative means at the Leicester Royal Infirmary Accident and Emergency Department. The injuries have been classified into groups and results reviewed after a period of one year.

Finger Injuries↗
PubMed1989

[Vascular bed of the fingers in injuries of flexor tendons and arteries].

Active movements of 161 fingers after a tendon suture in the "critical" area have been examined in 36 +/- 1.4 months after injuries. Impairments of the vasculo-neural fascicles have been detected in 61.2% of fingers whose movements did not differ from the movements of the fingers with intact innervation and circulation. Contrast arteriography (in cadaver experiments) of cut wounds of the fingers with disruptions of the tendons and arteries has shown that disruption of both the main arteries with crossing the soft tissues of the palmar and lateral surfaces of 2-5 fingers excludes the arteries distal to the injury from the blood flow. Intact soft tissues could provide the functioning of the collaterals along approximately 10 mm on the proximal phalanx and 6 mm on the middle one. After tendon sutures the tendons regeneration takes place in conditions of intact collateral circulation in cases with wounds of 2-5 fingers, involving injury to one artery, or of the main arteries of 1 finger, or with intact soft tissues on the palm surface of 2-5 fingers.

Arteries↗
PubMed2000

Treatment of finger avulsion injuries with innervated arterialized venous flaps.

Complete degloving injury of the digits not amenable to revascularization may leave poor cosmetic and functional results. We used innervated venous flaps from the dorsum of the foot in two patients with traumatic finger degloving injuries. All the flaps successfully provided coverage over the denuded fingers. Good sensation and nearly full rage of motion of the fingers were obtained. There were no donor-site problems. The advantages of this flap are preservation of a major artery of the donor site, easy elevation without deep dissection, and providing a thin, nonbulky tissue and good sensation. The innervated arterialized venous flap is a useful method that provides functional and cosmetic coverage to the severe avulsion injury of the finger.

Adult↗
PubMed1985

[Recent injuries of finger flexor tendons in children].

Fifty children had been treated for recent injuries to the flexor tendons. In them, 98 lesions, of which half were at the palm or the wrist and the other half in areas I or II of the fingers. All the divided tendons were primarily repaired, using a combination of a frame suture and two casting sutures. The results seemed to be better when post-operative mobilisation using Kleinert's technique was used. The overall results were better than those obtained in adults. The indications for secondary tenolysis were infrequent when primary suture was correctly made and spontaneous improvement was noted for up to a year.

Adolescent↗
PubMed1998

Closed ruptures of the flexor digitorum tendons: MRI evaluation.

OBJECTIVE: To assess the MRI findings in cases of closed rupture of the flexor digitorum tendons (FDT). PATIENTS AND DESIGN: Ten patients with a clinical suspicion of rupture of FDT underwent MRI before surgery. None of the patients presented a skin injury. Fingers were imaged using axial T1-weighted SE sequences, three-dimensional GE images, and curved reconstructions. RESULTS: Twelve FDT had surgical confirmation of rupture. Flexor digitorum profundus (FDP) and flexor pollicis longus (FPL) tendons were more frequently ruptured (n=8) than flexor digitorum superficialis (FDS) tendons (n=4). MR images accurately depicted the level of the rupture. The gap between the tendon ends (mean 45 mm, range 21-70 mm) was assessed best with curved reconstructions and was well correlated with the surgical findings. The proximal end mainly retracted into the palm or the carpal tunnel (n=8), and less frequently into the digital canal (n=4). In two cases, the proximal end curled up in the palm, clinically simulating a rupture of a lumbrical muscle in one case. MRI also showed the appearance of the adjacent tendons. CONCLUSION: MRI accurately depicted the level of rupture and the gap between the tendon ends, which assisted the surgical choice between suture, graft or tendon transfer.

Adult↗
PubMed1982

Finger tip injuries--a prospective study on seven methods of treatment on 200 cases.

7 common methods of treatment were selected at random for 200 cases of finger tip injuries. The methods included split skin grafting, full-thickness skin grafting, volar V-Y advancement, Kutler's bilateral V-Y advancement, revision amputation, cross-finger flap and simple dressing. These cases were seen weekly until healing was completed and then at 3 and 6 months. A proper functional assessment was given to each case at the last visit. The results were analysed along the parameters of wound healing, appearance, scar condition, sensory return, finger joint movements, motor-power and sick-leave benefits. The best results were obtained from the volar V-Y advancement method. Results were most unfavourable when cross-finger flaps were used. This latter method, therefore, was condemned. Simple dressing gave excellent results if one disregarded the lengthy period of wound healing, a somewhat tender scar and possible beaking of the nails. The other methods gave satisfactory results but had no outstanding advantage.

Amputation, Traumatic↗