title: Multiple closed avulsions of flexor tendons of the hand caused by a firecracker blast.
abstract: Closed avulsion, in the absence of pathology, of both flexor digitorum profundus and superficialis tendons from the same finger is uncommon. We report a multiple closed avulsion of long fingers flexor tendons, associated with pulleys rupture in the left hand of a healthy, 16-year-old boy. The lesion was caused by a firecracker blast which the patient had tried to hide. No injuries were found in the volar or dorsal areas of the hand. All affected flexor tendons were reinserted; in addition, second and third digits fourth annular pulleys were resutured to prevent posterior bowstringing. At present, the patient has completely recovered his range of motion and has obtained his driver license.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Virgen de las Nieves University Hospital, Granada, Spain. obducm2@gmail.com
authors.forename: Obdulia
authors.initials: O
authors.lastname: Cañadas Moreno
authors.forename: Rosa
authors.initials: R
authors.lastname: Martínez González-Escalada
authors.forename: Francisco José
authors.initials: FJ
authors.lastname: Lara García
mesh_terms: D000293:Adolescent; D001753:Blast Injuries / Q000209:etiology / Q000601:surgery*; D006230:Hand Injuries / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods*; D013708:Tendon Injuries / Q000209:etiology / Q000601:surgery*; D014949:Wounds, Nonpenetrating / Q000209:etiology / Q000601:surgery*