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Journal of Hand Surgery (British and European Volume)
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Articles

Proximal Coiling of the Profundus Tendon After Laceration of the Finger

B. J. GAINOR

From the Division of Orthopaedic Surgery, University of Missouri Health Sciences Center, Columbia, U.S.A.

Correspondence: Barry J. Gainor, M.D., Associate Professor, Division of Orthopaedic Surgery, University of Missouri Health Sciences Center, Columbia, Missouri 65212, U.S.A.

Three patients who had delayed primary repair of a severed flexor digitorum profundus in the finger were found to have proximal coiling of the tendon in the palm. These patients’ hands had been inadequately immobilised during the interval between injury and surgery. The most likely pathomechanics of this unusual finding is secondary retraction and coiling of the severed tendon from unrestrained muscle contraction after division of the tendon. Precautions should be taken when retrieving the tendon stump for tenorrhaphy.

Journal of Hand Surgery (British and European Volume), Vol. 14, No. 4, 416-418 (1989)
DOI: 10.1016/0266-7681(89)90158-7
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