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    The range of excursion of flexor tendons in Zone V: a comparison of active vs passive flexion mobilisation regimes.

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    Authors
    Panchal, J
    Mehdi, S
    O'Donoghue, J M
    O'Sullivan, S T
    O'Shaughnessy, M
    O'Connor, T P
    Affiliation
    Department of Plastic Surgery, Cork University Hospital, Ireland.
    Issue Date
    1997-10
    MeSH
    Cadaver
    Follow-Up Studies
    Forearm
    Humans
    Movement
    Postoperative Care
    Tendon Injuries
    Tendons
    Wrist Injuries
    
    Metadata
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    Citation
    The range of excursion of flexor tendons in Zone V: a comparison of active vs passive flexion mobilisation regimes. 1997, 50 (7):517-22 Br J Plast Surg
    Journal
    British journal of plastic surgery
    URI
    http://hdl.handle.net/10147/200102
    PubMed ID
    9422949
    Abstract
    A number of early postoperative mobilisation regimes have been developed in an attempt to increase tendon excursion and gliding and thereby reduce formation of adhesions following repair of flexor tendons. Early active flexion mobilisation regimes are becoming more popular, and have replaced early passive flexion regimes in many centres. The aim of the present study was: (a) to determine the range of excursion of flexor tendons in Zone V, and (b) to compare the excursion ranges between active (Belfast) and passive (modified Duran) flexion mobilisation regimes postoperatively. This was done (a) in two cadavers, and (b) in two patients intraoperatively, and postoperatively at 10 days, 3 weeks and 6 weeks. With passive flexion, the mean tendon excursion in Zone V in cadavers was 1 mm for flexor digitorum superficialis (FDS), flexor digitorum profundus (FDP) and flexor pollicis longus (FPL) tendons respectively. With simulated active flexion, the mean tendon excursion was 14 mm, 10 mm and 11 mm respectively. The mean tendon excursion in clinical cases intraoperatively following passive flexion was 2 mm for FDS, FDP and FPL respectively; following simulated active flexion it was 10 mm, 11 mm and 11 mm for FDS, FDP and FPL respectively. On the tenth day following repair, the mean excursions of FDS, FDP and FPL were 1 mm, 4 mm and 4 mm on passive flexion as compared to 3 mm, 10 mm and 12 mm on active flexion respectively. Three weeks postoperatively, the mean excursions of FDS, FDP and FPL tendons were 1 mm, 2 mm and 1 mm on passive flexion as compared to 5 mm, 15 mm on active flexion respectively. Six weeks postoperatively, the mean excursions of FDS, FDP and FPL tendons were 9 mm, 7 mm and 4 mm on passive flexion as compared to 12 mm, 33 mm and 20 mm on active flexion respectively. These results demonstrate an increased excursion of repaired flexor tendons in Zone V following an active flexion mobilisation regime as compared to a passive flexion mobilisation regime.
    Item Type
    Article
    Language
    en
    ISSN
    0007-1226
    Collections
    Cork University Hospital

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