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Journal of Hand Surgery (British and European Volume)
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Colour Doppler Ultrasound in the Diagnosis, Management and Follow-Up of a Digital Flexor Pulley Injury

T. R. CRESSWELL
C. ALLOTT
J. M. AUCHINCLOSS

From the Department of Orthopaedics and Trauma Surgery, Macclesfield District General Hospital and the Department of Cardiovascular and Musculo-skeletal Research, Zeneca Pharmaceuticals, Macclesfield, UK

Correspondence: Dr T. R. Cresswell, Department of Orthopaedics and Trauma, The Royal Hospital, Chesterfield S44 5BL. UK. E-mail: tim.cresswell{at}lineone.net

We present the case of a rock climber with a rupture of the A3 flexor sheath pulley. The diagnosis was confirmed with Colour Doppler Imaging (CDI) and with B-mode ultrasound imaging, and the surgical repair was evaluated in the same way. Vertical displacement of the flexor tendon meant that using CDI measurements of the longitudinal movements was not possible. However, using computer analysis of digitized B-mode images from texture patterns identified in the tendons, the vertical and longitudinal components of movement during flexion were calculated. The repair of the pulley was shown to produce tendon movement ratios nearer those of the control digit of the opposite hand.

Journal of Hand Surgery (British and European Volume), Vol. 23, No. 5, 655-657 (1998)
DOI: 10.1016/S0266-7681(98)80021-1
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