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...
Main Authors: | , , , |
---|---|
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
|
_version_ | 1819125569548189696 |
---|---|
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. |
first_indexed | 2024-12-22T07:42:13Z |
format | Article |
id | doaj.art-e60ebd37b97e433cbcb5a1a030708347 |
institution | Directory Open Access Journal |
issn | 1937-8688 1937-8688 |
language | English |
last_indexed | 2024-12-22T07:42:13Z |
publishDate | 2015-11-01 |
publisher | The Pan African Medical Journal |
record_format | Article |
series | The Pan African Medical Journal |
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
|
work_keys_str_mv | AT badrennaciri exceptionallacerationofflexordigitorumtendonsproximaltoaseverepalmarhandwoundacasereportwithliteraturereview AT mustaphamahfoud exceptionallacerationofflexordigitorumtendonsproximaltoaseverepalmarhandwoundacasereportwithliteraturereview AT ahmedelbardouni exceptionallacerationofflexordigitorumtendonsproximaltoaseverepalmarhandwoundacasereportwithliteraturereview AT mohamedsalehberrada exceptionallacerationofflexordigitorumtendonsproximaltoaseverepalmarhandwoundacasereportwithliteraturereview |