Therapie der akuten Sehnenverletzung an der Hand View Full Text


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Article Info

DATE

2013-06-22

AUTHORS

H. Menke

ABSTRACT

EpidemiologyHands are often affected by traumatic injuries which predominantly occur during leisure activities followed by domestic incidents and the professional environment. The most common injuries of the hand are fractures followed by tendon injuries and are often localized in the area of the fingers.TherapyThe treatment of tendon injuries necessitates detailed knowledge of the complex anatomy of the tendons and associated structures in the hand which must be reconstructed as exactly as possible. Acute treatment with primary sutures within 8 h of the injury represents the standard form of treatment and results in better outcome than with delayed primary and early or delayed secondary treatment. Extensor tendon sutures are usually U-shaped and carried out with tear-proof monfilament suture material of strength 4/0. For flexor tendons the classical suture technique of Kirchmayr-Kessler is the standard form of treatment.Follow-up treatmentThe so-called early functional follow-up treatment has a decisive influence on the healing of tendons and the result of surgery and is, therefore, indispensible.ConclusionsInjuries to the hand can be treated with good results but without exact knowledge of the acute and follow-up treatment, unsatisfactory healing processes and permanent functional limitations are not uncommon. Hand injuries must therefore receive specialized treatment. More... »

PAGES

153-157

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10039-013-1958-1

DOI

http://dx.doi.org/10.1007/s10039-013-1958-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1005597851


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