Flexor tendon injury of little finger, following carpal tunnel release surgery is a rare complication. Missed tendon injuries can occur when either the patient or the initial examining physician fails to appreciate subtle findings. Attention to the carpal tunnel anatomy, meticulous surgical techniques, and safe surgical skills will certainly prevent these complications. flexor tendon injuries are a traumatic condition classified by the zone of injury ... for longer surgery > 2 hours .

Tendons are tough, stretchy tissues that join muscles to bone.   Patients with more advanced infection may require the entire sheath to be surgically exposed to clean out the infection. Lilly SI(1), Messer TM. Generally speaking however the following four specific complications connected to surgery on flexor tendon injuries may be distinguished: Risk of infection At the time the severance took place bacteria travelled from the knife or surrounding skin deep into the wound. View This Abstract Online; Complications of flexor tendon injuries. After a severe infection (and surgery) to a tendon sheath, the gliding motion of the flexor tendon is considerably compromised.

2006 Jul;14(7):387-96.

Despite the many advances in the surgical and rehabilitative management of flexor tendon injuries, problems of adhesion, contracture, and rupture continue to limit the restoration of function in a significant number of cases. COMPLICATIONS OF INJURY. Flexor tendon sheath infection, or pyogenic flexor tenosynovitis is an aggressive, closed-space bacterial infection that can lead to significant morbidity if not effectively managed. Hand Clin. In some cases there are complications after surgery, such as infection or the repaired tendon snapping or sticking to nearby tissue.

In some cases, long-term complications may develop.

Pyogenic flexor tenosynovitis accounts for 2.5-9.4% 1,2 of all hand infections, and treatment typically consists of intravenous (IV) antibiotics and surgical drainage of the sheath with open or closed irrigation. J Am Acad Orthop Surg. After a flexor tendon repair it is quite common for some fingers not to regain full movement, although the tendon repair will still give a better result than no surgery. Complications .

COMPLICATIONS IN HAND SURGERY. As a general rule, the sooner tendon repair surgery is done after the injury, the easier the surgery is and the easier the recovery. Their job is to allow the body to move and to transfer weight.
Complications after treatment of flexor tendon injuries. add 10cc of 0.5% bupivacaine with 1:200,000 epi; location . Surgery to clean out the flexor sheath can usually be accomplished by making two small incisions, one at the base of the finger and one near the tip. A cute flexor tendon injuries are uncommon 1 but this debilitating injury can create a substantial burden to the individual and society.

Author information: (1)Department of Orthopaedics, University of North Carolina School of Medicine, Chapel Hill, NC, 27610, USA. J L Drapé, O Silbermann-Hoffman, P Houvet, T Dubert, A Thivet, Z Benmelha, B Frot, J Y Alnot, R Benacerraf; J L Drapé, O Silbermann-Hoffman, P Houvet, T Dubert, A Thivet, Z Benmelha, B Frot, J Y Alnot, R Benacerraf
If You Believe You Have Finger Flexor Tendon Rupture, Contact HandSport Surgery Institute. Only a surgical approach at the opportune time can prevent the development of substantial mobility malfunctions as a result of adhesions. Saline fluid is then washed through the sheath to clean out the infection. Taras JS; Gray RM; Culp RW. Doctors perform tendon repair surgery to fix a tendon injury. Complications during two-stage flexor tendon recon­ struction may jeopardize the function of the repaired tendons.

Complications of tendon injuries. Whereas impressive progress has been made in biomaterials, surgical technique, and rehabilitation protocols, 2 treatment of flexor tendon injuries remains challenging in the modern era of hand surgery. People experiencing Finger Flexor Tendon Rupture should be evaluated to optimize their recovery.

Partial tendon lacerations (partend.htm) should be suspected when the patient has apparent full motion, but has pain when attempting to use the tendon against resistance. We reviewed complications encountered in 89 patients ( i09 digits) treated with a two-stage flex­ or tendon reconstruction using either silicone or Hunter rods.

Other complications include joint contracture, tendon rupture, triggering, and pulley failure with tendon bowstringing. But repairing the tendon is better than not repairing it. Complications of flexor tendon repair in the hand: MR imaging assessment.

wing flexor tendon injuries continue to occur, even in patients treated by experienced surgeons and therapists. 1994; 10(1):93-109 (ISSN: 0749-0712).