Exceptional laceration of flexordigitorum tendons proximal to a severe palmarhand wound: a case report with literature review

Hand wounds are common, poor functional outcomes are marked because of sequelae inherent to posttraumatic and postoperative complications. Suitable surgery repair in emergency can ensure best results. Classically, tendons injuries occur near theinjured area and their repair depend on traumatized zon...

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Main Authors: Badr Ennaciri, Mustapha Mahfoud, Ahmed El Bardouni, Mohamed Saleh Berrada
Format: Article
Language:English
Published: The Pan African Medical Journal 2015-11-01
Series:The Pan African Medical Journal
Subjects:
Online Access: https://www.panafrican-med-journal.com/content/article/22/266/pdf/266.pdf
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author Badr Ennaciri
Mustapha Mahfoud
Ahmed El Bardouni
Mohamed Saleh Berrada
author_facet Badr Ennaciri
Mustapha Mahfoud
Ahmed El Bardouni
Mohamed Saleh Berrada
author_sort Badr Ennaciri
collection DOAJ
description Hand wounds are common, poor functional outcomes are marked because of sequelae inherent to posttraumatic and postoperative complications. Suitable surgery repair in emergency can ensure best results. Classically, tendons injuries occur near theinjured area and their repair depend on traumatized zone, sutures techniques, associated lesions and surgeon's abilities. We report a case of a farmer who has sustained of a severe hand wound due to blades of a combine harvester. Clinical examination showed exceptional laceration of 2nd and 3rd flexor digitorum tendons from musculo-tendinous junction, without any lesion in their palmar section. We proceeded; after extensive debridement, abundant lavage and removal of foreign body; to modified Kessler sutures using PDS 4.0 followed by dorsal splint for protecting tendons repair, and progressive rehabilitation program. Final result was interesting after 12 weeks. Thinking to tendon laceration is important, when manipulating machines with rotational movements.
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spelling doaj.art-e60ebd37b97e433cbcb5a1a0307083472022-12-21T18:33:43ZengThe Pan African Medical JournalThe Pan African Medical Journal1937-86881937-86882015-11-012226610.11604/pamj.2015.22.266.74957495Exceptional laceration of flexordigitorum tendons proximal to a severe palmarhand wound: a case report with literature reviewBadr Ennaciri0Mustapha Mahfoud1Ahmed El Bardouni2Mohamed Saleh Berrada3 Department of Orthopedics, Avicenna University Hospital, Rabat, Morocco Department of Orthopedics, Avicenna University Hospital, Rabat, Morocco Department of Orthopedics, Avicenna University Hospital, Rabat, Morocco Department of Orthopedics, Avicenna University Hospital, Rabat, Morocco Hand wounds are common, poor functional outcomes are marked because of sequelae inherent to posttraumatic and postoperative complications. Suitable surgery repair in emergency can ensure best results. Classically, tendons injuries occur near theinjured area and their repair depend on traumatized zone, sutures techniques, associated lesions and surgeon's abilities. We report a case of a farmer who has sustained of a severe hand wound due to blades of a combine harvester. Clinical examination showed exceptional laceration of 2nd and 3rd flexor digitorum tendons from musculo-tendinous junction, without any lesion in their palmar section. We proceeded; after extensive debridement, abundant lavage and removal of foreign body; to modified Kessler sutures using PDS 4.0 followed by dorsal splint for protecting tendons repair, and progressive rehabilitation program. Final result was interesting after 12 weeks. Thinking to tendon laceration is important, when manipulating machines with rotational movements. https://www.panafrican-med-journal.com/content/article/22/266/pdf/266.pdf flexor tendonskessler suturehand wound
spellingShingle Badr Ennaciri
Mustapha Mahfoud
Ahmed El Bardouni
Mohamed Saleh Berrada
Exceptional laceration of flexordigitorum tendons proximal to a severe palmarhand wound: a case report with literature review
The Pan African Medical Journal
flexor tendons
kessler suture
hand wound
title Exceptional laceration of flexordigitorum tendons proximal to a severe palmarhand wound: a case report with literature review
title_full Exceptional laceration of flexordigitorum tendons proximal to a severe palmarhand wound: a case report with literature review
title_fullStr Exceptional laceration of flexordigitorum tendons proximal to a severe palmarhand wound: a case report with literature review
title_full_unstemmed Exceptional laceration of flexordigitorum tendons proximal to a severe palmarhand wound: a case report with literature review
title_short Exceptional laceration of flexordigitorum tendons proximal to a severe palmarhand wound: a case report with literature review
title_sort exceptional laceration of flexordigitorum tendons proximal to a severe palmarhand wound a case report with literature review
topic flexor tendons
kessler suture
hand wound
url https://www.panafrican-med-journal.com/content/article/22/266/pdf/266.pdf
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AT mustaphamahfoud exceptionallacerationofflexordigitorumtendonsproximaltoaseverepalmarhandwoundacasereportwithliteraturereview
AT ahmedelbardouni exceptionallacerationofflexordigitorumtendonsproximaltoaseverepalmarhandwoundacasereportwithliteraturereview
AT mohamedsalehberrada exceptionallacerationofflexordigitorumtendonsproximaltoaseverepalmarhandwoundacasereportwithliteraturereview