17 papers · updated 2026-09-26 · Hand & Upper Extremity · All topics
The newest papers on flexor tendon injuries from the orthopaedic journals The Reduction reads, newest first, each with a one-line summary. The list is drawn from the digest’s archive and refreshed every week.
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One-knot flexor tendon repair provides better gap resistance than two-knot repair, potentially reducing early gapping and improving early rehabilitation outcomes.
Digital stethoscope recordings in 20 healthy volunteers revealed digit-specific acoustic signatures of flexor tendon gliding, providing reference data that could aid future diagnosis of conditions like trigger finger.
Flexor tendon rupture after single corticosteroid injection is rare but possible; extra-tendinous low-dose injection with activity restriction minimizes risk.
Radiographic Risk Factors for Flexor Tendon Ruptures Following Distal Radius Volar Plating.
Excessive lateral carpal alignment (CARD >4.9mm) was the strongest predictor of flexor tendon rupture after volar plating, so correcting carpal alignment intraoperatively may reduce this risk when the plate is prominent.
Shear wave elastography ratios measured 2 weeks after flexor tendon repair predicted 12-week functional recovery, suggesting a role for imaging-guided, personalized rehab protocols.
Zone-specific pitfalls in flexor tendon rehabilitation: management and prevention.
This review outlines zone-specific complications like adhesions and contractures after flexor tendon repair and offers strategies for their prevention and management during rehabilitation.
Complications of flexor tendon repair.
Adhesion formation and IP joint stiffness remain complications after flexor tendon repair; early active mobilization and shorter splinting effectively prevent these sequelae.
Relative motion flexion following zone I-III flexor tendon repair: Concepts, evidence and practice.
This narrative review and small case series supports relative motion flexion orthoses with early active motion as a promising but still under-evidenced rehabilitation strategy after zone I-III flexor tendon repair.
Flexor Tendon Repair: Avoidance and Management of Complications.
This review discusses strategies to prevent and manage flexor tendon repair complications like rupture and adhesions, emphasizing that a strong, gap-free repair is key to enabling safe early motion.
This review covers flexor tendon anatomy, healing, zone-specific repair techniques, and rehabilitation protocols that influence surgical outcomes.
Tips to Successful Flexor Tendon Repair and Reconstruction with WALANT.
This article shares practical tips for improving flexor tendon repair and reconstruction outcomes using WALANT, leveraging intraoperative patient movement to refine technique.
Flexor Tendon Repair Techniques: M-Tang Repair.
Multi-institution experience shows M-Tang zone 2 flexor tendon repair with early active motion yields 80-90% good/excellent results and near-zero rupture rates, though rupture rose slightly during the pandemic due to less supervised therapy.
Flexor Tendon Adhesion Formation: Current Concepts.
Despite advances in antiadhesion technologies, no method perfectly inhibits flexor tendon adhesions while maintaining repair strength; emerging biomaterials show promise in animal models.
Pediatric Flexor Tendon Injuries.
Pediatric flexor tendon injuries require age-appropriate examination, delayed diagnosis management, and tailored postoperative protocols for successful outcomes.
Zone 1 Flexor Tendon Repairs: Laceration and Avulsion Injuries.
Zone 1 flexor tendon injuries from laceration or avulsion are well tolerated with appropriate repair techniques, though proximity to the DIP joint risks stiffness and flexion contracture.
Direct Repair of Flexor Tendons Close to Bony Insertion and Ruptured Collateral Ligaments.
This Hand Clinics article discusses direct suture repair techniques for flexor tendon lacerations near bony insertion and for ruptured collateral ligaments, as alternatives to pullout suture methods.
Rehabilitation after flexor tendon repair and others: a safe and efficient protocol.
The author outlines a partial-range early active-passive flexion protocol after flexor tendon repair, emphasizing daily exercise volume, and proposes it as a generalizable principle for other hand conditions.
No abstract available; unable to provide clinical summary.
Primary flexor tendon repair followed by immediate controlled mobilization
Foundational study establishing that primary flexor tendon repair followed by immediate controlled mobilization improves outcomes, underpinning modern zone 2 tendon rehabilitation protocols.
Flexor tendon forces: In vivo measurements
Flexor tendon forces during pinch reach 12 kgf; measured force data guides postoperative rehabilitation protocols and tendon repair load requirements.
Effects of early intermittent passive mobilization on healing canine flexor tendons
In a canine model, early passive mobilization of repaired flexor tendons produced markedly greater tensile strength and joint motion than delayed mobilization or immobilization, supporting early protected motion protocols.
Development of flexor tendon surgery: Twenty-five years of progress
This J Hand Surg Am piece reviews 25 years of advances in flexor tendon surgery techniques and outcomes.
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