title: Gliding resistance and modifications of gliding surface of tendon: clinical perspectives.
abstract: The smooth gliding of the normal human digital flexor is maintained by synovial fluid lubrication and lubricants bound to the tendon surface. This system can be disrupted by degenerative conditions such as trigger finger, or by trauma. The resistance to tendon gliding after surgical repair of the lacerated digital flexor tendon relates to location of suture knots, exposure of suture materials, and type of surgical repair and materials. Restoration of a functioning gliding surface after injury can be helped by using low-friction, high-strength suture designs, therapy that enables gliding, and the addition of lubricants to the tendon surface.
authors: Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. pamadio@mayo.edu
authors: Peter C
authors: PC
authors: Amadio
mesh_terms: D000818:Animals; D001696:Biomechanical Phenomena; D005383:Finger Injuries / Q000503:physiopathology* / Q000601:surgery*; D005385:Fingers / Q000503:physiopathology* / Q000601:surgery*; D017276:Friction; D006801:Humans; D006820:Hyaluronic Acid / Q000494:pharmacology; D054327:Lubricants / Q000494:pharmacology; D013536:Suture Techniques; D013708:Tendon Injuries / Q000503:physiopathology* / Q000601:surgery*; D013709:Tendon Transfer / Q000379:methods*; D013710:Tendons / Q000503:physiopathology* / Q000601:surgery*; D000267:Tissue Adhesions / Q000517:prevention & control; D023822:Tissue Engineering
chemical_list: D054327:Lubricants; D006820:Hyaluronic Acid
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