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Journal of Hand Surgery (European Volume)
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Articles

The Role of Ultrasound in the Management of Flexor Tendon Injuries

K. JEYAPALAN
M. A. BISSON
J. J. DIAS
Y. GRIFFIN
R. BHATT

From the Departments of Radiology, Orthopaedic Surgery and Plastic Surgery, University Hospitals of Leicester, Leicester, UK

Correspondence: Mr Marcus A. Bisson, MRCS, MD, SpR Plastic Surgery, Leicester Royal Infirmary, Infirmary Square, Leicester LE1 5WW, UK. Tel.: +7980 286466; fax: +116 2585852. E-mail: marcus{at}mbisson.fsnet.co.uk.

The use of ultrasound scanning to establish tendon pathologies was assessed retrospectively in 17 patients in 18 digits. The ultrasound scan demonstrated four patterns: (1) normal intact tendons in four, (2) ruptured tendons in three, (3) tendons in continuity but attenuated in five and (4) tendons in continuity but thickened with fibrosis and decreased movement representing adhesions in five patients. Surgery was undertaken in only three cases, confirming the ultrasound diagnosis in two. Surgery was offered to all three patients with ruptures but was declined by two. Ultrasound imaging helped to avoid surgery in 14 cases by excluding flexor tendon re-ruptures. This allowed on-going mobilisation, leading to recovery of function.

Key Words: flexor tendon • ultrasound • tendon rupture

Journal of Hand Surgery (European Volume), Vol. 33, No. 4, 430-434 (2008)
DOI: 10.1177/1753193408090097
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