Flexor Tendon Injuries: Causes, Symptoms And Treatment

by Administrator 25. April 2017 07:26

Tendons join the muscles to the bone and are responsible for the various hand movements. The tendons located on top of the fingers are known as extensor tendons and help to straighten the fingers. On the other hand, tendons located on the palm side are known as flexor tendons and assist in bending the fingers. Any injury in the hand can affect the flexor tendons and make thumb or finger movements difficult.
A flexor tendon injury can cause damage to the nerves in the fingers as well. In serious injuries, the blood vessels also get cut leaving the finger with no blood supply.

Causes

  • Sports injuries while wrestling or playing football
  • Rheumatoid Arthritis
  • Deep cuts on the hands or arms
  • ‘Jersey Finger’, where one player gets hold of other’s jersey and a finger gets pulled

Symptoms

  • Inability to bend the finger
  • A visible injury on the palm
  • Discomfort and pain while bending the finger
  • Numbing sensation in the fingertip
  • Tenderness along the palm

Diagnosis

  • A thorough physical examination of the patient’s hand may be done by the orthopedic doctor
  • The patient may be asked to make certain finger movements so that the extent of injury can be assessed
  • The patient’s hand may also be tested for sensation
  • The doctor may conduct examination to rule out injuries of the nerves and blood vessels
  • Imaging tests such as X-Rays may provide a clear picture of the injury and damage

Treatment

Generally, a tendon that has been cut will not heal without surgery. However, a partially torn tendon can be repaired with the use of splint or physical therapy.

Non-surgical treatment

  • Application of ice packs immediately after a cut on the hand may be beneficial
  • Keeping the hand in an elevated position to stop blood flow
  • The doctor may give an injection and administer antibiotics to prevent infection
  • The injured finger is placed in a splint to protect the hand from further damage before surgery

Surgical treatment

  • Surgery for a flexor tendon injury may be performed within ten days of the injury
  • A dressing and splint may be applied after the surgery
  • The fingers and wrist may be positioned in a bent arrangement to keep tension off the repair
  • Physical therapy may be recommended after surgery to regain normal hand motion
  • Long-term stiffness after flexor tendon injuries is common
  • In certain patients, another surgery may have to be performed to treat the scar tissue and help the patient use his hand normally

Get in touch with an hand and wrist doctors at OrthoTexas in case you suspect a Flexor Tendon Injury. For an appointment, call at (214) 618 – 5502.

Tags: ,

Wrist Sprain: Orthopedic Frisco

by Administrator 12. January 2016 05:56

A sprain refers to an injury of the ligaments or the connective tissues joining the bones. The human wrist consists of many ligaments that can be stretched or torn leading to a sprain. It may be a result of forceful bending of the wrist, a sudden fall on an outstretched hand or any day to day activity that might injure the joint. Such injuries are most commonly seen in sportspersons involved in skateboarding, gymnastics, basketball, skiing etc. Wrist sprains can be classified on the basis of severity of the injury as follows:

  • Grade 1- involves mild stretching of the ligaments
  • Grade 2- moderate injury which may lead to partial tearing of the ligaments and some loss of function
  • Grade 3- severe injury which is accompanied by complete tearing and damage to the ligaments. The tear may involve breaking a part of the attached bone and is referred to as an avulsion fracture

In most cases, wrist sprain can be treated by conservative methods and the time required to recover may vary from two to ten weeks.

Causes

  • A sudden fall on the hand that puts pressure on the forearm and the hand
  • Twisting the wrist
  • Direct trauma or hit to the wrist

Symptoms

  • Swelling and tenderness at the point of injury
  • Pain which can be mild to severe depending on the severity of the injury
  • Pain worsens with movement
  • A popping sound at the time of injury
  • A sense of heat or warmth may spread across the injured wrist and arm
  • Stiffness, redness, bruising
  • Loss of function which can range from partial to complete
  • The wrist joint feels loose
  • Discoloration of the skin around the wrist

Diagnosis

  • Thorough physical examination by the orthopedic doctor
  • Detailed analysis of the patient’s previous medical records and injuries to the wrist or hand
  • Imaging tests such as X-ray, CT scan, MRI to determine the location and extent of damage that has occurred
  • Arthrography test may be conducted for a better view of the ligaments

Treatment

  • Resting the injured wrist and arm on an elevated surface to reduce swelling and strain
  • Applying ice packs at regular intervals for the first 48 hours of injury or as suggested by the physician
  • Compression with an elastic bandage
  • Pain killers and anti inflammatory drugs may be prescribed
  • Immobilization of the wrist using a splint or a cast for about a week or more
  • Physical therapy and suitable stretching exercises to regain mobility and strength
  • Grade 3 injuries may require surgical intervention
  • Arthroscopy which may involve surgically repairing the torn ligament

For treatment of wrist sprain and other orthopedic conditions, visit OrthoTexas. To schedule an appointment with the hand and wrist specialists in Frisco, TX, you can call at (214) 618 – 5502.

Tags: ,

Tag cloud