Flexor tendon injuries in children: Rehabilitative options and confounding factors

Heyde, Rebecca von der

doi:10.1016/j.jht.2014.12.002

Cited by 6 publications

(4 citation statements)

References 21 publications

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“…However, in the study by Cooper et al, they also included tendon injuries in zones 3, 4, and 5. In another article, they present different mobilization regimes for flexor tendon injuries [25]. They concluded that studies have showed promising results for a more active mobilization regime in children, but it requires a careful analysis of age, developmental maturity, and the care givers possibility to give support [25].…”

Section: Discussionmentioning

confidence: 99%

“…They concluded that studies have showed promising results for a more active mobilization regime in children, but it requires a careful analysis of age, developmental maturity, and the care givers possibility to give support [25]. However, they also state that an initial immobilization regime is still the most supported mobilization regime [25].…”

Section: Discussionmentioning

confidence: 99%

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Early mobilization compared with immobilization after repair of a flexor tendon injury in children: A retrospective long time follow-up

Birkisson¹,

Dahlin²,

Rosberg³

2017

Hand Microsurg

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Objectives: To investigate if early mobilization and immobilization regimes influence long-term outcome after repair of a flexor tendon injury in fingers in children. Methods: A retrospective follow-up study (2003)(2004)(2005)(2006)(2007)(2008)(2009) was conducted in 27 children (1-16 years) with a flexor tendon injury, excluding a flexor tendon injury in the thumb. Early mobilization (n=17) or immobilization (n=10) was used. Range of motion (ROM; expressed in % of contralateral uninjured hand) in MCP, PIP, and DIP joints was measured, grip strength was recorded, and VAS for function and cosmetic was evaluated. Results: No ruptures or infections were observed. In the early mobilization group there were more boys; they had a higher age, more transection injuries, and more concomitant digital nerve injuries. However, no differences between the early mobilization and the immobilization groups for functional or cosmetic VAS, ROM for MCP, PIP, and DIP joints or for grip strength were found. Conclusions: The long-term outcome after a flexor tendon repair does not differ between early mobilization in older children and immobilization in younger children, implying that an early rehabilitation program is not necessary in young children.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Early mobilization compared with immobilization after repair of a flexor tendon injury in children: A retrospective long time follow-up

Birkisson¹,

Dahlin²,

Rosberg³

2017

Hand Microsurg

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“…Although four weeks of immobilisation appears to be short for enough healing, it is a preferred duration in children with flexor tendon injuries. 7,10 Moreover, in the literature, there are studies that reported that postoperative immobilisation up to four weeks led to good results, however, immobilisation longer than four weeks resulted in a functional decline. 5,20,21 Therefore, in our clinical practice, we prefer to use the splints for four weeks in children.…”

Section: Ta B L E 6 Comparisons Of the Hand Functions (Jthft)mentioning

confidence: 99%

“…in rehabilitative approaches and surgical procedures in the paediatric population compared to adults. 7 Although early mobilisation is an accepted procedure for flexor tendon injuries in adults, postoperative immobilisation is generally preferred for children, especially those who are unable to participate in an early motion protocol. 5,8 Immobilisation may cause tendon adhesions.…”

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confidence: 99%

Effect of hand dominance on functional outcomes in paediatric patients with flexor tendon injuries: A cross‐sectional study

et al. 2021

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After the head, the hands and upper extremities are the most frequently injured body parts in the paediatric population. Such injuries are among the most common causes of paediatric admission to the emergency department. 1 Upper extremity fractures and contusions are the main reasons for paediatric hand injuries, but tendon injuries are not uncommon. 2 The ratio of flexor to extensor tendon injuries is higher in the paediatric population than in adults. For children under 10 years of age, flexor tendon injuries are more common than extensor tendon injuries. 3,4 Flexor tendon injuries are not always easily diagnosed in children due to poor communication between physicians and patients and the limited compliance of children in the motor function assessment. 5,6 Moreover, isolated flexor tendon injuries are infrequent: neurovascular injuries usually accompany tendon injuries, and especially digital nerve injuries may be masked by limited cooperation. 6 The small size of the involved structures may also pose a challenge to their repair and reconstruction; therefore, meticulous surgical skills are required for the paediatric population.There are also some differences

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Beugesehnenverletzungen der kindlichen Hand

Singer

Schmidt

Amann

et al. 2022

Orthopädie Und Unfallchirurgie

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Flexor tendon injuries in children: Rehabilitative options and confounding factors

Cited by 6 publications

References 21 publications

Early mobilization compared with immobilization after repair of a flexor tendon injury in children: A retrospective long time follow-up

Early mobilization compared with immobilization after repair of a flexor tendon injury in children: A retrospective long time follow-up

Effect of hand dominance on functional outcomes in paediatric patients with flexor tendon injuries: A cross‐sectional study

Beugesehnenverletzungen der kindlichen Hand

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