The results of treatment for isolated zone 3 extensor tendon injuries

Abstract

A proper suture technique combined with the short arc motion protocol provides good results in the treatment of isolated zone 3 extensor tendon injuries.

Improving the Extensor Lag and Range of Motion following Free Vascularized Joint Transfer to the Proximal Interphalangeal Joint

“…When it was attenuated (type I), reconstruction of the central slip followed a similar strategy for repairing the acute or chronic central slip injury. [19][20][21] When the lateral bands were in-continuity with the extensor digitorum communis and a type I joint was harvested, the former were simply centralized and the proximal interphalangeal joint was splinted in full extension to allow them to assume a more dorsal position. When the lateral bands were damaged or missing, additional tendons from the vicinity had to be mobilized to stabilize the joint.…”

Therapeutic management of closed central slip injuries: Outcome of a service evaluation

“…The Strickland-Glogovac criteria, where the TAM percentage is graded as excellent, good, fair or poor, was applied to this service review, as it has been regularly used in post-operative CS rehabilitation literature. 9–11,13,58,59 Despite it being a non-standardised outcome measure, originally applied to flexor tendon repairs, it does consider extension deficit and is useful to record in order to compare conservative and post-operative therapy outcomes. The method of calculating the Strickland-Glogovac grade is presented in Table 1.…”

“…44 However, the tolerance of an injured (but not surgically repaired) tendon is relatively unknown due to variations in anatomy, injury and healing potential as well as the inevitable ethical implications such a study would entail in humans. 45 Due to the unknown tolerance of a healing CS in practice, the updated guidelines advised therapists to progress conservatively within the parameters of postoperative CS rehabilitation guidelines using either the SAM [11][12][13]46,47 or a dynamic Capener splint. 9,10,16,48,49 Therapists were also guided by presentation of an extension lag, patient reports of pain as well as regular assessment of oedema, redness and joint stiffness during face-to-face appointments.…”

“…[1][2][3] Despite this, they have not received much attention in the literature. 4,5 Central slip (CS) injuries have been recognised as the second most common tendon to be damaged in two large-scale retrospective reviews, 6,7 and while there is a relatively well-developed evidence base for surgically repaired CS injuries, [8][9][10][11][12][13] there is a scarcity of literature regarding the therapeutic (non-surgical) management of these injuries. Where treatments are described, they are markedly variant and based on small-scale retrospective case studies [14][15][16] or expert opinion pieces.…”