A new test for demonstrating the action of flexor digitorum superficialis (FDS) tendon

Mishra, Satyanarayan

doi:10.1016/j.bjps.2006.03.068

Cited by 10 publications

(5 citation statements)

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“…Palmaris longus is the first choice for tendon and ligament reconstructions [ 16 ]. For this reason, it has been the subject of many investigations and an important issue has been its variations in different populations [ 17 18 19 20 21 22 23 24 25 26 27 28 ]. The first prerequisite for performing such studies would be the utilization of a test that is “suitable” for assessment of the tendon presence.…”

Section: Discussionmentioning

confidence: 99%

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Interobserver and intraobserver reliability of different methods of examination for presence of palmaris longus and examination of fifth superficial flexor function

et al. 2018

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The palmaris longus is harvested as a tendon graft in various surgical procedures. Several tests are used to assess the presence of palmaris longus tendon. In the present study, we attempted to assess the interobserver and intraobserver reliability of five of the most famous methods and also the examination of fifth superficial flexor function. Two observers, who had been trained on the tests and had practiced them, examined 105 volunteers on two separate occasions and in 1-month interval the results were recorded. The reliability of each method was assessed with Kappa measurement. Kappa ranged from 0.541 (moderate reliability) to 0.813 (almost complete agreement) for palmaris. The highest interobserver and intraobserver reliability and also the best agreement with other tests were of Schaeffer. The lowest kappa was for Thompson and the others have good to excellent reliability. Kappa for interobserver and intraobserver reliability for the fifth flexor were 0.415 and 0.500 (moderate reliability), respectively. The tests that were assessed have good reliability except for Thompson that has a moderate one. It seems that the standard test (Schaeffer) is the best method for the assessment of the absence or presence of palmaris longus. The method used for the evaluation of fifth superficial flexor variations assessment has a moderate interobserver and intraobserver reliability.

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Section: Discussionmentioning

confidence: 99%

“…The present study reached a medium reliability for fifth superficial flexor, which was unexpected. In fact, the examination method was so easy in our mind especially in comparison to other designed methods [ 27 28 29 ] that it seemed unnecessary to be assessed for reliability. But the results showed clearly that we were in mistake.…”

Section: Discussionmentioning

confidence: 99%

Interobserver and intraobserver reliability of different methods of examination for presence of palmaris longus and examination of fifth superficial flexor function

et al. 2018

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“…As mentioned above, the disruption of the flexor cascade of the affected fingers in extended position was also determined on inspection (1). Besides the classical examination, two hyperextension maneuvers were also described previously for testing superficial tendon motion (3,4). Doğan et al reported that, lacerated superficial flexor tendon, couldn't provide hyperextension of the DIP joint, to show up the pinch position (3).…”

Section: Discussionmentioning

confidence: 99%

“…If the patient was not examined carefully, the superficial tendon injuries can be missed because of active deep tendon movements. Previously, the diagnosing methods of superficial tendon lacerations were reported in the literature (1)(2)(3)(4). However, no detailed reports were found about the diagnosis of partially lacerated superficial flexor tendons.…”

Section: Introductionmentioning

confidence: 99%

A Rarely Seen Hyperflexion Deformity of the Distal İnterphalangeal Joints as a Consequence of Partially Lacerated Superficial Flexor Tendons in the Palmar Region

Koçman¹,

Günay²,

Köse³

et al. 2015

Osmangazi̇ Journal of Medicine

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We present a 35-year-old female patient with an unusual clinical presentation of partially lacerated superficial flexor tendons of the right hand. Although the superficial tendons were partially lacerated, the distal interphalangeal joints of the third and fourth finger were positioned in hyperflexed condition. This rarely seen examination findings and possible mechanisms were discussed in this study.KEY WORDS: Flexor tendon examination, injury, hand injuries ÖZET: Sağ elinde yüzeyel fleksör tendonlarının kısmi yırtığı olan 35 yaşındaki kadın hastanın nadir bir klinik tablosunu sunduk. Yüzeyel fleksör tendonların kısmi yırtığı olmasına rağmen, üçüncü ve dördüncü parmak distal interfalangeal eklemler hiperfleksiyon pozisyonunda konumlanmıştır. Bu nadir görülen fizik muayene bulgusu ve olası mekanizmalar bu çalışmada tartışılmıştır.ANAHTAR KELİMELER: Fleksör tendon muayenesi; yaralanma; el yaralanmaları

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“…If the patient could flex the PIP joint at least 90 degrees (with no flexion in distal interphalangeal joint), she or he was considered to have a functional fifth FDS. Those who could not perform this were asked to undergo two additional tests: the modified superficial flexor test [10] and the Mishra test [11]. For the modified superficial flexor test, the examiner held the second and third fingers of the patient in full extension and then asked the patient to flex the fourth and fifth fingers.…”

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confidence: 99%

The relationship of presence or absence of palmaris longus and fifth flexor digitorum superficialis with carpal tunnel syndrome

Saied

Karamoozian

2009

Euro J of Neurology

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A new test for demonstrating the action of flexor digitorum superficialis (FDS) tendon

Cited by 10 publications

References 1 publication

Interobserver and intraobserver reliability of different methods of examination for presence of palmaris longus and examination of fifth superficial flexor function

Interobserver and intraobserver reliability of different methods of examination for presence of palmaris longus and examination of fifth superficial flexor function

A Rarely Seen Hyperflexion Deformity of the Distal İnterphalangeal Joints as a Consequence of Partially Lacerated Superficial Flexor Tendons in the Palmar Region

The relationship of presence or absence of palmaris longus and fifth flexor digitorum superficialis with carpal tunnel syndrome

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