Article

The treatment of traumatic partial injuries of the flexor tendons of the fingers
is seldom published.
The only published clinical series states that the
therapeutic approach depends on the existence or absence of a preoperative
trigger. We hypothesized that the therapeutic attitude mainly depends on the
percentage of the injured cross-section. Our retrospective series included 36
partial lesions of 31 fingers in 29 patients. The average age was 42 years, there
were 19 men. We noted 8 lesions in zones I, 21 in zone II and 2 in zone III. The
average percentage of the injured cross-section was 35% and ranged from 10% to
90%. If the lesion was less than 50% (29 tendons), a tangential resection was
performed. If the lesion exceeded 50% (seven tendons), a direct suture was
performed, supplemented by a running suture. At a follow-up of 34 months, the
average pain on a visual analogue scale was 0.7. The average percentage of
strength compared to the contralateral side was 93%. The Quick DASH score was
6.2. The range of motion averaged 214 degrees with extremes ranging from 90
degrees to 260 degrees . We observed no cases of hypertrophic callus, neither
through the MRI nor through the ultrasonography. Complications such as trigger
finger, pseudoblocage or rupture were not observed. Based on our results, in case
of partial injury of a flexor tendon, we propose to perform a tangential
resection in cross-section lesions up to 50%, and a suture for those which
exceeded 50%.
CI - Copyright (c) 2014 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS