This paper is only available as a PDF. To read, Please Download here.
This study correlates the excursion of the extrinsic finger extensors in zones V,
VI, and VII and the extensor pollicis longus tendon in zones T IV and T V (“T” is
used to designate thumb zones) with joint motion. Excursion was estimated by review
of the literature, biomechanic calculations, and intraoperative observations. A simple
equation determines extrinsic extensor tendon excursion in zone V, VI, and VII. This
equation is substantiated by Brand's work on radians and by intraoperative studies.
Guidelines are suggested for controlled motion for extrinsic finger extensors and
the extensor pollicis longus tendon on the basis of our 6 years experience of treating
extensor tendon injury with early passive motion.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Hand SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Therapeutic management of extensor tendon injuries.in: Hand clinics. WB Saunders Co, Philadelphia1986: 157-169
- Report of the committee on tendon injuries.J Hand Surg. 1983; 7: 794-798
- Early care of flexor tendon injuries: Application of principles of tendon healing and early motion.in: Hunter JM Schneider LH Mackin EJ Bell JA Rehabilitation of the hand. The CV Mosby Co, St. Louis1978: 187-196
- Primary flexor tendon repair followed by immediate controlled mobilization.J Hand Surg. 1977; 2: 441-451
- The rate of healing of tendons: an experimental study of tensile strength.Ann Surg. 1941; 113: 424-459
- Wound healing: The biological basis of hand surgery.in: Hunter JM Schneider LH Mackin EJ Bell JA Rehabilitation of the hand. The CV Mosby Co, St. Louis1978: 105-112
- Management of flexor tendon lacerations in zone 2 using controlled passive motion postoperatively..in: Hunter JM Schneider LH Mackin EJ Bell JA Rehabilitation of the hand. The CV Mosby Co, St. Louis1978: 217-224
- Early active motion in flexor tendon healing.J Bone Joint Surg [Am]. 1972; 54: 911
- Primary repair of zone II flexor tendon lacerations.in: AAOS symposium on tendon injury. The CV Mosby Co, St. Louis1975: 91-104
- Digital function following flexor tendon repair in zone II: A comparison of immobilization and controlled passive motion techniques.J Hand Surg. 1980; 5: 537-543
- Controlled passive motion following flexor tendon repair on zones 2 and 3.in: AAOS symposium on tendon surgery in the hand. The CV Mosby Co, St. Louis1975: 105
- Bunnell's surgery of the hand. JB Lippincott Co, Philadelphia1964: 13-20
- Kinesiology of the human body under normal pathological condition. Charles C. Thomas Co, Springfield1964: 517-540
- Funcntional and surgical anatomy of the hand. ed 2. JB Lippincott Co, Philadelphia1965: 3-19
- Architecture and functions of the hand.in: Tubiana R The hand. WB Saunders Co, Philadelphia1981: 19-93
- Physiology of extension of the fingers.in: Tubiana R The hand. WB Saunders Co, Philadelphia1981: 389-398
- Clinical mechanics of the hand. The CV Mosby Co, St. Louis1985: 30-194
- Joint Motion - method of measuring and recording.Am Acad of Ortho Surg. 1965; : 27
- The clinical examination of the hand.in: Tubiana R The hand. WB Saunders Co, Philadelphia1981: 616-647
Article info
Publication history
Received:
June 10,
1986
Footnotes
+Publication of this paper was sponsored by grants from the following Florida members of the American Society of Hand Therapists: Linda C. Bledsoe, O.T.R.; Virginia H. Clark, O.T.R.; Patricia Davis, O.T.R.; Ana Garcia, O.T.R.; Wendy Holt, O.T.R.; James N. Hough, R.P.T.; Jodi J. Jones, O.T.R./L.; Rhea Cohn Mc Vey, M.A., L.P.T.; Ruth E. Muniz, O.T.R.; Shirley Ollas Pearson, M.S., O.T.R./L.; Linda Shultis-Kieman, O.T.R.; Kathryn Hutcherson Schultz, O.T.R.; CXE.; Robin Miller Wagman, O.T.R./L.
Identification
Copyright
© 1986 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
