Direct repair of the sagittal band for extensor tendon subluxation caused by finger flicking

Hong, In Tae; Oh, Chi Hoon; Sim, Young Suk; Han, Soo-Hong

doi:10.1007/s00132-017-3450-2

Cited by 9 publications

(15 citation statements)

References 17 publications

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“…Of these, 10 articles were excluded due to inclusion of less than 5 treated digits, 4 were review articles, 4 were descriptions of surgical techniques without any reported patient outcome data, 7 described treatment and outcomes for MCP capsular tears or collateral ligament injuries, and 1 included patients with rheumatoid arthritis. A total of 17 articles were included in the final systematic review and qualitative synthesis 1,3,5,[10][11][12][13][14][15][16][17][18][19][20][21][22][23] (Figure 1).…”

Section: Resultsmentioning

confidence: 99%

“…Four studies were single-center retrospective case series (Sackett level 4) with the defined inclusion and exclusion criteria, 13,14,17,22 and the remaining 13 were retrospective case reports (Sackett level 4). According to the SEQES scores, only 4 articles were considered to be of moderate quality (scores 17-32), 13,14,17,22 with the remaining being ranked as low-quality articles (scores 0-16). The mean SEQES score was 15 (range, 12-21), with no article achieving a high-quality rating (Figure 2).…”

Section: Study Selection Criteriamentioning

confidence: 99%

“…The literature search revealed 14 studies focusing on operative management of SB injuries, including 2 retrospective case series 13,14 and 12 retrospective case reports. 1,5,[10][11][12]15,16,[18][19][20][21]23 Indications for surgical management of SB injuries differed among studies and included patients who failed a trial of splinting, with delayed presentation, and inability to tolerate prolonged splinting such as in professional athletes.…”

Section: Surgical Managementmentioning

confidence: 99%

“…Broadly, the surgical management of SB injuries is divided into direct repair techniques and reconstructive techniques to recreate the pulley formed by the SBs. In acute injuries, exploration and direct repair of the SB produces good results overall 1,5,[10][11][12][13][14]19,20 ; however, authors differ in their preference for imbrication of the torn SB, 5,12,20 release of the nonaffected SB, 5,10,20 and repair of the dorsal capsule. 11,19 Most authors performed these procedures under local anesthetic to confirm tendon stability and proper tensioning through a full range of motion.…”

Section: Surgical Managementmentioning

confidence: 99%

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Treatment of Sagittal Band Injuries and Extensor Tendon Subluxation: A Systematic Review

Masschelein

Suh

2020

Hand (New York, N,Y.)

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Background: This systematic review assesses the current literature and reviews the clinical outcomes of treatment for sagittal band injuries and extensor tendon instability. Materials: A systematic search of MEDLINE, EMBASE, and the Cochrane databases was performed for English-language articles on the treatment of nonrheumatoid adult sagittal band injuries between 1969 and 2019. Two independent reviewers were involved in screening, data extraction, and critical appraisal. The level of evidence was assigned using the Sackett scale, and the methodological quality of the studies was evaluated using the Structured Effectiveness Quality Evaluation Scale (SEQES). Outcome measures were persistent pain, extensor lag, and recurrent tendon subluxation. Results: In all, 1653 abstracts were identified, with 43 articles reviewed in full text and 17 articles (429 treated digits) included in the final systematic review. There were 10 studies on surgical management, 3 on nonoperative management, and 4 on both. There were 4 retrospective case series and 13 retrospective case reports (Sackett level 4) with an average SEQES score of 15 (low quality). Studies on nonoperative management had on average more digits per study and higher SEQES scores (n = 27.7, SEQES = 19) compared with studies on surgical management (n = 11.8, SEQES = 13.8). Variability in reported outcome measures precluded meta-analysis. Conclusion: Qualitative synthesis of available literature suggests that acute sagittal band injuries can be successfully treated by splinting the injured digit in neutral or hyperextension. Patients with chronic injuries or those failing nonoperative management may benefit from surgical exploration. A lack of consistent outcome measures precluded comparison of surgical techniques.

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Section: Resultsmentioning

confidence: 99%

Section: Study Selection Criteriamentioning

confidence: 99%

Section: Surgical Managementmentioning

confidence: 99%

Section: Surgical Managementmentioning

confidence: 99%

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Treatment of Sagittal Band Injuries and Extensor Tendon Subluxation: A Systematic Review

Masschelein

Suh

2020

Hand (New York, N,Y.)

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“…Various surgical methods are known for the treatment of the sagittal band, and among them, the classic surgical method is to suture the tendon with the fiber of the damaged sagittal band. Hong et al [7] successfully treated 26 type II and III patients with spontaneous ruptures through direct repair. Tendon slip or juncturae tendinum is mainly used when direct repair is not possible due to the tissue gap or chronicity of the damaged sagittal band [8,9].…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of sagittal band injuries and classification according to operative findings

Lee

Song

Koh

et al. 2022

Arch Hand Microsurg

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Purpose: The indications for surgery in patients with acute closed sagittal band injuries are still undecided. The purpose of this study is to classify the types of injuries based on intraoperative findings of patients who underwent surgery for sagittal injury, and to present treatment plans and surgical methods.Methods: Twenty-five patients who had undergone surgical exploration for closed sagittal band injury between January 2011 and December 2020 were included in the study, comprising of 17 patients with acute injury within 3 weeks, four patients with chronic injury, and four patients who underwent surgery because symptoms did not improve during conservative treatment were included. Patients with laceration, fracture, and rheumatoid arthritis were excluded. Results: Sagittal band injury was classified into two groups: superficial sagittal band (SSB) injury and proper sagittal band (PSB) injury. SSB injury was observed in 75.0% of spontaneous rupture cases and PSB injury was observed in 66.7% of traumatic rupture cases. SSB injury was observed in 83.3% of Rayan and Murray classification type II cases and PSB injury was observed in 61.5% of type III cases (p=0.041). All four patients who failed conservative treatment and underwent surgery had PSB injuries.Conclusion: We successfully corrected the sagittal band injury with extensor digitorum communis tendon instability through surgical treatment. Sagittal band injury can be classified into two types depending on the anatomical injury pattern; SSB and PSB injuries. Surgical method and treatment plan can be chosen based on this.

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A new technique in surgical treatment of congenital and spontaneous extensor tendon snapping: Dorsalization-ulnarization of the metacarpal head

Özçelık

Sari

2021

Hand Surgery and Rehabilitation

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Direct repair of the sagittal band for extensor tendon subluxation caused by finger flicking

Cited by 9 publications

References 17 publications

Treatment of Sagittal Band Injuries and Extensor Tendon Subluxation: A Systematic Review

Treatment of Sagittal Band Injuries and Extensor Tendon Subluxation: A Systematic Review

Surgical treatment of sagittal band injuries and classification according to operative findings

A new technique in surgical treatment of congenital and spontaneous extensor tendon snapping: Dorsalization-ulnarization of the metacarpal head

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