[Surgical therapy of frequent hand injuries. Part 2: Injuries of the tendons, neurovascular bundles and soft tissues].
Injuries to the extensor and flexor tendons are among the most common injuries to the hand (cf. Part 1 of this overview). Severance of individual flexor tendons as also isolated injuries to individual nerves may occasionally be overlooked. In the case of doubt, operative revision is to be recommended. With the aid of dynamic fixation as described by Kleinert, good functional results can be achieved even with injuries "in no-man's-land". In the event of infections following minor injuries, conservative treatment should be applied only in the early stage; thereafter, surgical revision is indicated. In the region of the flexor tendons, immediate surgery is necessary. Also in the case of a paronychia or a panaritium, early surgical treatment of the abscess and necroses is advisable.
Seif el Nasr
M
M
Abteilung Allgemeine Chirurgie mit Poliklinik, Universität Freiburg/Br.
Dombek
G
G
Lowka
K
K
D000328:Adult; D001158:Arteries / Q000293:injuries / Q000601:surgery; D002648:Child; D006225:Hand / Q000098:blood supply*; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D059348:Peripheral Nerve Injuries; D010525:Peripheral Nerves / Q000601:surgery; D013708:Tendon Injuries / Q000601:surgery*