|
|
LETTER TO THE EDITOR |
|
Year : 2014 | Volume
: 7
| Issue : 2 | Page : 260-261 |
|
|
Successful management of double level multiple flexor tendon injury
Ananta A Kulkarni1, Suhas Abhyankar1, Santosh Bhatia1, Rohit Singh2
1 Department of Plastic Surgery, Padmashree Dr. D.Y. Patil Hospital and Research Centre, Nerul, Navi Mumbai, Maharashtra, India 2 Department of Surgery, Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai, Maharashtra, India
Date of Web Publication | 4-Feb-2014 |
Correspondence Address: Ananta A Kulkarni Department of Plastic Surgery, Padmashree Dr. D.Y. Patil Hospital and Research Centre, Sector -5, Nerul, Navi Mumbai - 400 706, Maharashtra India
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/0975-2870.126394
How to cite this article: Kulkarni AA, Abhyankar S, Bhatia S, Singh R. Successful management of double level multiple flexor tendon injury. Med J DY Patil Univ 2014;7:260-1 |
Sir,
We would like to report a case of traumatic injury of forearm where the flexor tendons were cut at multiple levels which were successfully repaired. Single tendon injuries are common in any trauma center. We are describing a double level tendon injury repair.th
A 23-year-old male presented with history of injury to his right wrist due to a fall of heavy broken glass. On examination, he was found to have a deep avulsion injury on the volar aspect of his right wrist with a distally based triangular skin flap and the wound was deep up to the bone. All the volar structures were completely cut except the ulnar nerve [Figure 1]. Index and middle finger showed decreased vascularity.
On exploration, there were five pieces of flexor tendons lying separately in the wound along with a large gap in the radial and ulnar artery. The vessels were repaired using a vein graft and tendon repair was done after 72 h once the circulation of the finger was well-established. After 3 months of surgery, the patient had a good hand function. The postoperative appearance is shown in [Figure 2]. Out of the five pieces, four were flexor digitorum superficialis and one flexor digitorum profundus of middle finger. This shows that even with such double level injury to flexor tendons, a good result can be achieved with primary repair. There is a tendency to underestimate damage to deeper structures due to glass injuries to the hand. [1] Our result match a larger series of similar injuries reported by Noaman. [2]
References | | |
1. | Provencher MT, Allen LR, Gladden MJ, Shin AY. The underestimation of a glass injury to the hand. Am J Orthop (Belle Mead NJ) 2006;35:91-4. |
2. | Noaman HH. Management and functional outcomes of combined injuries of flexor tendons, nerves, and vessels at the wrist. Microsurgery 2007;27:536-43. |
[Figure 1], [Figure 2]
|