Flexor Tendon Injury
Flexor tendons are the tendons on the palm side of the hand and wrist that enable you to bend or flex your fingers and wrist. Flexor tendon injuries are uncommon injuries that usually occur from a traumatic laceration to the palm side of the hand or finger, but can occasionally occur from a trauma without a cut or laceration. In most cases, flexor tendon injuries require surgical treatment to regain motion of the injured finger maximize long term function.
Causes and risks factors
A deep cut or laceration in the wrist, palm or finger
Closed, hyper extension injury to the finger
Certain medical conditions such as rheumatoid arthritis may place patients at a higher risk of developing a flexor tendon injury
Symptoms
Pain, swelling in the wrist/palm/hand
Inability to flex (bend) a digit or one of the joints of a digit
Diagnosis and treatment
In most cases, the diagnosis is made clinically based off your physical examination findings. Additional imaging such as MRI or ultrasound can be indicated to confirm the diagnosis. If a flexor tendon is completely lacerated or ruptured, then surgery is generally advised to regain motion and maximize long term function. Dr. Holt will discuss the injury, treatment options and expectations at length to develop an appropriate plan for you.
Flexor tendon injuries, especially in the fingers are complex injuries. Rehabilitation can be lengthy and requires dedicated hand therapy to optimize function. Most patients will regain the ability to use the affected digit, but the motion often does not return to normal. Occasionally patients develop significant scar tissue that can affect their function and may require additional surgery to release.
Flexor Tendon Repair Surgery Information/Post Operative Instructions
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