The role of flexor tenolysis in the palm and digits.
Seventy-seven digitis in 70 patients undergoing a technique of thorough flexor tenolysis, with instillation of local triamcinolone, and immediate motion were studied. Classification of the results utilized a method which determined the percentage of passive joint flexion potential actively achieved and by a second system which graded the results in the finger as a whole. A further categorization into three patient groups, depending on the etiology of the tendon adhesions, was carried out. Using these classifications 84% or the proximal interphalangeal joints, 86% of the distal interphalangeal joints, and 80% of the fingers as a whole were improved by this procedure. These results were comparable or superior to those of other published reports. Improvement in digital flexion was consistent, often with restoration of near-normal function. The incidence of tendon rupture, infection, and delayed wound healing have not been great.
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D004434:Early Ambulation; D005383:Finger Injuries / Q000188:drug therapy / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009068:Movement; D013708:Tendon Injuries / Q000188:drug therapy / Q000601:surgery*; D013710:Tendons / Q000601:surgery*; D000267:Tissue Adhesions; D014221:Triamcinolone / Q000627:therapeutic use
D014221:Triamcinolone