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Results for “Tendon Injuries”

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PubMed1976

[Conservative treatment of extensor tendon injuries].

Report on 35 cases of mallet finger treated conservatively: a circular plaster cast was modeled in hyperextension of the distal interphalangeal joint. The immobilisation of the whole finger form the tip to the proximal phalanx was maintained for six weeks. The reported results were good or excellent with the exception of two cases.

Casts, Surgical↗
PubMed1988

The modified Kleinert splint in zone II flexor tendon injuries.

The Kleinert controlled passive mobilisation splint has been modified to increase the passive range of motion of the proximal and distal interphalangeal joints to near normal. 12 fingers with complete divisions of both flexor tendons in Zone II treated by this method have been reviewed after six months. Nine regained full motion and two good motion while one, with an associated crush compound fracture of the proximal phalanx, had a poor result. The increased mobilisation did not adversely affect wound healing or associated repair of digital nerves.

Adult↗
PubMed1992

[MR and ultrasound study of Achilles tendon injury].

In 24 patients with lesions of the achilles tendon MRI and ultrasound was performed to compare the results with clinical examination. MRI had an accuracy of 100%, ultrasound of 90%. Especially partial rupture with chronic degenerative lesions of the tendon can be diagnosed more accurate by MRI which enables easier indication for treatment. By MRI diagnostic differentiation of our patients in four groups was possible.

Achilles Tendon↗
PubMed2002

Biochemical analysis of collagen in adhesive tissues formed after digital flexor tendon injuries.

Restrictive adhesion is a major problem following flexor tendon surgery. We investigated crosslinks and types of collagen in two adhesive tissue models in chickens, characterized by loose adhesion and dense adhesion. The flexor digitorum profundus tendon was cut and sutured in two ways: (1) the severed tendon was sutured outside the tendon sheath (loose adhesion model), and (2) the tendon sheath was excised and the severed tendon was sutured on the damaged bony floor (dense adhesion model). Biochemical analysis of collagen was done for each group after tenorrhaphy. In the outside-sheath group, the ratio of the collagen crosslinks, dihydroxylysinonorleucine/hydroxylysinonorleucine, was lower than that in the sheath-excised group at 12 weeks, while the collagen crosslinks ratio remained considerably high in the sheath-excised group. The ratio of type III collagen to type I collagen in the outside-sheath group was higher than that in the sheath-excised group at 12 weeks and approached an almost normal value at 24 weeks. The collagen type III/I ratio remained low in the sheath-excised group. The current study shows that biochemical properties are different between loose and dense adhesions. In dense adhesive scars, pathological collagen turnover occurs even at 24 weeks after tenorrhaphy.

Animals↗
PubMed2006

Protective effect of female gender against bone loss in the forearm following clean-cut tendon injuries, repair, and passive mobilization.

The aim of this study was to investigate whether there is any significant difference in bone loss between female and male patients as a result of early passive mobilization after surgery for acute tendon-artery-nerve clean-cut injuries at the wrist level. A total of 51 patients who underwent such operations were enrolled in this study. Group I consisted of 40 male patients (mean age 30.2 +/- 9.1 years, age range 15-44 years) and group II consisted of 11 female patients (mean age 24.1 +/- 9.9 years, age range 14-43 years); postmenopausal women were not included in this group. Twenty-one patients in group I and six patients in group II were operated on for clean-cut tendon injury combined with nerve injury, artery injuries, or both. Bone mineral density (BMD) measurements of injuired forearms were obtained at 1 week, 6 weeks, 3 months, and 12 months after operation. The BMD of the radius and ulna did not change significantly throughout the follow-up period in group II (P > 0.05). In group I, BMD values were reduced significantly in the distal regions of the ulna and in the ultradistal region of the radius at the follow-up measurements when compared to the values at week 1 and the reduction was higher in month 3 than at other times. On the other hand, after 12 months, the BMD values of the ultra-distal region of the ulna and radius were higher than those after 3 months. In conclusion, our results showed that there is considerable bone loss of the radius and ulna in patients operated on for acute clean-cut tendon injuries on the volar side of the wrist at postoperative month 3 in male patients. These bone losses were recovered after 12 months. Additionally, female patients are less likely to experience immobilization-induced bone loss than male patients.

Adolescent↗