Avulsion Injuries of the Flexor Digitorum Profundus Tendon

Single-Stage Flexor Tendon Grafting: Refining the Steps

“…We augment the bone anchor attachments with two 4-0 nonabsorbable figure-ofeight sutures between the tendon graft and profundus tendon stump. We like the strategy of Ruchelsman et al, 7 who combine a pull-out tendon and bone anchors to achieve maximum strength of the distal juncture. Bertelli et al 6 reported harvesting the plantaris tendon with a calcaneal bone fragment.…”

Avulsion Injuries of the Flexor Digitorum Profundus Tendon: An Unclassified Pattern of Injury

“…Based on this report and available literature regarding the types of FDP tendon avulsion injuries, we recommend the development of a new classification scheme for this condition. [1][2][3][4] The main reason behind classifying this injury is its impact on the management plan. The timing and technique of surgery differ between each type of injury.…”

“…This technique of reducing and fixing the bone and reinsertion of the avulsed tendon was used because rigid fixation of the fracture was unfeasible due to the comminution of the distal phalanx, and to ensure early post-operative rehabilitation. 1,4) Postoperatively, protected mobilization was done using a dorsal block slab for four weeks, and the patient underwent rehabilitation accordingly. At the final assessment of the patient six months following the operation, the range of flexion of the MCP, PIP and DIP joint of the injured finger were 90°, 90° and 77° respectively.…”

“…1) Classifications and types of this injury are being reported frequently since 1977. [1][2][3][4] The aim of such reports is to help in choosing appropriate interventions based on the pattern of injury.…”

Traumatic simultaneous closed avulsion of the both flexor tendons in the fourth finger

“…In the surgical treatment, primary repair or repair with graft is applied [5,6]. Primary repair is almost impossible in cases of wear-related ruptures and infiltrative ruptures.…”