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Journal of Hand Surgery (British and European Volume)
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Articles

Forces Transmitted Along Human Flexor Tendons During Passive and Active Movements of the Fingers

E. S. POWELL
I. A. TRAIL

From the Department of Hand and Upper Limb Surgery, Wrightington Hospital NHS Trust, Hall Lane, Wrightington, Nr Wigan, UK

Correspondence: Dr E.S. Powell, Department of Hand and Upper Limb Surgery, Wrightington Hospital NHS Trust, Hall Lane, Wrightington, Nr Wigan, UK. Tel: +44-1257-256248; fax: +44-1257-256248; E-mail: powelleric{at}beeb.net

The in vivo forces in human digital flexor tendons were determined in 33 patients undergoing a carpal tunnel decompression surgery using a newly developed device. The tendons were tested in passive and active flexion, and flexing against resistance of up to 500 g. Forces in the range of 0.2 to 50 N were noted. Whilst the mean of these forces remained below the force normally required to dehisce a fresh modified Kessler repair, the range of values was such that we would only recommend early movement with great caution and under supervision.

Key Words: forces • flexor tendons • hand • in vivo

Journal of Hand Surgery (British and European Volume), Vol. 29, No. 4, 386-389 (2004)
DOI: 10.1016/J.JHSB.2004.02.004


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Home page
J Hand Surg Eur VolHome page
E. S. POWELL and I. A. TRAIL
Forces Transmitted Along Human Flexor Tendons - The Effect of Extending the Fingers Against the Resistance Provided by Rubber Bands
J Hand Surg Eur Vol., April 1, 2009; 34(2): 186 - 189.
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