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Flexor Tendon Repair Surgery

The flexor tendons are crucial for our hand movements and function. However, these can suffer from damage and injuries such as tears or ruptures, which can severely hamper your ability to perform daily tasks. At Pristyn Care, we offer state-of-the-art treatment procedures for flexor tendon repair, offering you a fast and effective recovery. If you're experiencing trouble moving your fingers or thumb, don't delay and contact Pristyn Care to consult with our expert doctors.

The flexor tendons are crucial for our hand movements and function. However, these ... Read More

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What is a Flexor Tendon?

The flexor tendons are a part of your hand’s intricate system that enables you to bend and flex your fingers and thumb. These powerful, cord-like tissues connect the muscles in your forearm to the bones in your fingers and thumb. Each finger has two flexor tendons, while the thumb has one. These tendons pass through tunnels at the wrist and fingers, similar to how a bicycle brake cable works.

In the hustle and bustle of life in India, where hands are constantly used in various occupations, sports, or even daily chores, the health of these essential tendons often gets overlooked. Still, any damage to them can result in significant problems with movement and function. Notably, these tendon injuries do not heal on their own due to the cut ends separating because of tension in the tendon.

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What Causes Flexor Tendon Injuries?

Flexor tendon injuries often result from several factors that lead to either tears or wear and tear. Here are some common causes:

  • Deep cuts: Lacerations or deep cuts on the forearm, wrist, fingers or thumb can cause direct injury to the tendons.
  • Physical sports: Intense physical sports like rugby, wrestling, and football expose you to potential injuries that can tear your flexor tendon.
  • Activities involving pressure on hands: Activities like rock climbing can strain your hands leading to damage of the tendon sheath.
  • Occupations involving extensive hand use: Jobs requiring frequent and repetitive use of hands and arms can cause progressive wear and tear of the tendons over time.
  • Health conditions: Conditions like rheumatoid arthritis can cause deterioration of the tendons.
  • Violent pulling injuries: A harsh pull to your finger can detach the tendon from the bone, causing injury.

If you’re experiencing any discomfort or difficulty in moving your fingers or thumb, it’s vital to consult a doctor immediately to determine if you’ve suffered a flexor tendon injury.

Types of Flexor Tendon Injuries

All injuries to the flexor tendon are not the same. They can be broadly classified into two categories:

  • Partial Tears: In these cases, the tendon is not completely cut through. However, this partial tear can cause discomfort and restrict your hand’s movement. You might find it difficult to bend your finger fully.
  • Complete Tears: This is a more severe scenario where the tendon is completely severed. If you have suffered a complete tear, you will be unable to bend the affected finger or thumb at all. Such an injury usually happens due to an intense pull or laceration.

Symptoms of Flexor Tendon Injuries

Recognizing a flexor tendon injury early can vastly improve your chances of full recovery. Watch out for these common signs:

  • An open wound on your hand, wrist, or forearm’s palm side
    • Difficulty in bending one or more finger joints
    • Pain while trying to bend the finger
    • Tenderness along your hand’s palm side
    • Numbness or tingling sensation in the fingertips
    • Affected fingers appear more straightened compared to healthy ones

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Diagnosis and Evaluation of Flexor Tendon Injuries

Suspecting a flexor tendon injury? This is what your doctor might do. Your doctor will first conduct a physical examination, assessing the strength and movement of your hand and fingers. They might manipulate your fingers to gauge the extent of the damage.

Next, imaging tests such as X-rays may be ordered. These are primarily done to rule out possible fractures. Additionally, your doctor may also order an MRI or ultrasound scan. These scans can provide intricate details about the tendon and the surrounding structures. Lastly, if required, your doctor might refer you to a specialist for further consultation.

Flexor Tendon Treatment Options

Treating flexor tendon injuries usually involves surgical intervention, especially for complete tears. Here’s what the treatment process may look like:

  • Surgical Repair: The first step usually involves surgically re-joining the cut ends of the tendon. This procedure, known as flexor tendon repair, can be performed under local or general anaesthesia in an operation theatre (OT).
  • Post-Operative Care: After surgery, your hand will be placed in a splint to prevent movement and protect the repaired tendon.
  • Rehabilitation: A structured rehabilitation programme is indispensable for recovery. It will include a transition from a plaster splint to a lighter plastic one and gradually incorporate exercises under professional guidance. These exercises help smooth tendon gliding and prevent adhesions.

Following a structured rehabilitation programme rigorously is crucial for restoring function and preventing complications such as gapping or rupture of the tendon during healing after flexor tendon repair. If you’ve sustained a flexor tendon tear or rupture, don’t ignore it. Timely consultation with your doctor can help you get back on track swiftly and safely.

When is a Flexor Tendon Injury Considered Serious?

A flexor tendon injury in the hand is not just a small matter. It’s essential to understand when such an injury might be considered serious. Typically, the seriousness of a flexor tendon injury is assessed based on the following factors:

  • Complete Tear: An incident where the flexor tendon is completely severed, it results in an inability to bend the affected finger or thumb. This can significantly impair your hand function.
  • Complications: If the injury involves damage to surrounding structures such as nerves or blood vessels, it can lead to symptoms like numbness and tingling or even loss of blood supply to the finger. Such conditions necessitate immediate medical attention.
  • Delayed Treatment: Any delay in conducting a surgical repair within 7 to 10 days post-injury reduces the chances of successful recovery. It may also lead to complications like tendon gapping or scarring, leading to long-term functional deficits.

Prevention of Flexor Tendon Repair

While it’s not always possible to predict and prevent a flexor tendon tear, you can certainly take steps to mitigate risks. Regular warm-up exercises before partaking in physical activities can help prepare your tendons for exertion. Wearing protective gloves during sports or while handling sharp tools can safeguard your hands against cuts and injuries.

If you are experiencing persistent hand pain or discomfort, don’t disregard it as trivial fatigue. Consult your family doctor for an examination as early detection can help manage a possible flexor tendon rupture effectively.

Myths & Facts About Flexor Tendon Repair

Flexor tendon injuries are often misunderstood. Let’s dispel some common myths and lay down the facts.

Myths:

  • Flexor tendon injuries heal on their own: Truth is, due to the tension that pulls ends apart, surgical intervention becomes necessary for complete tears.
  • Only athletes are at risk for these injuries: While physically demanding sports can increase risks, anyone handling sharp tools or doing heavy manual work is equally susceptible.
  • All cuts on the hand will damage tendons: Not all cuts are severe; superficial ones usually do not affect the tendons.

Facts:

  • Certain sports like football, wrestling and climbing can increase your risk of flexor tendon injuries.
  • Early diagnosis and treatment can significantly improve recovery outcomes.
  • A structured rehabilitation program post-surgery is necessary to restore movement and prevent complications.

When to Consult a Doctor for a Flexor Tendon Repair?

If you are unable to bend a finger, experience pain or tenderness, or if there are visible wounds on the palm side of your hand, it could indicate a flexor tendon tear. Such symptoms warrant an immediate visit to your family doctor or orthopaedic specialist. Early detection and treatment of a flexor tendon rupture can significantly improve the recovery process.

Questions to Ask Your Doctor About Flexor Tendon Repair

  1. What are the signs that I have a flexor tendon injury?
  2. How is a flexor tendon injury diagnosed?
  3. What is the treatment for a flexor tendon injury?
  4. What are the risks of flexor tendon repair?
  5. How long does recovery take after a flexor tendon repair?
  6. Are there any activities I should avoid to prevent further injury?
  7. Can I get back to my normal routine post-surgery?
  8. What type of rehabilitation programme will be needed after surgery?

FAQs

How is a flexor tendon tear diagnosed?

Diagnosing a flexor tendon tear involves a combination of physical examination and medical imaging. During the physical examination, your doctor will check for pain, swelling, and any limitation in the movement of the finger. In some cases, an X-ray or an MRI scan may be needed to confirm the diagnosis and determine the extent of the injury.

What leads to a flexor tendon rupture?

A flexor tendon rupture can occur due to violent force, such as a direct blow or sharp cut to the hand. It can also be the result of excessive strain or stress on the tendon due to repetitive movements or overuse. Certain medical conditions like rheumatoid arthritis or diabetes can make your tendons more susceptible to rupture.

What are the signs that I need flexor tendon repair?

If you have trouble bending your finger or feel a sharp pain when you try to do so, it may indicate a flexor tendon injury requiring repair. Other signs include swelling, bruising, inability to grasp objects properly, and a noticeable gap or depression where the tendon has ruptured.

Can I treat my flexor tendon injury at home?

While minor injuries can be managed with rest, ice application and over-the-counter painkillers, serious injuries like a complete tear or rupture require medical intervention. It’s important not to ignore these symptoms as untreated flexor tendon injuries can lead to permanent disability.

What does the procedure for flexor tendon repair involve?

Flexor tendon repair is a surgical procedure that involves re-attaching the torn or ruptured tendons using sutures. Depending on the severity of the injury, your doctor may also decide to use grafts from other tendons in your body. The surgery is usually performed under local or general anaesthesia in an operation theatre (OT).

How long does it take to recover from a flexor tendon repair surgery?

Recovery time varies depending on the severity of the injury and your overall health. However, most people regain full function of their hand within 8-12 weeks following surgery. Physical therapy plays a crucial role in recovery to regain strength and flexibility in the fingers.

Are there any risks associated with flexor tendon repair?

As with any surgical procedure, flexor tendon repair comes with certain risks. These include infection, nerve damage, stiffness or loss of movement in the finger, and the possibility of the repaired tendon rupturing again. However, such complications are rare and the surgery is generally considered safe and effective.

What can I do to prevent flexor tendon injuries?

To prevent a flexor tendon injury, it’s important to use protective gear when playing sports or doing heavy-duty work. Regularly performing hand and wrist exercises can also strengthen your tendons and make them less prone to injury.

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