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Wando Mount Pleasant Library
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Phone: (843) 572-4094
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Folly Beach Library
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*open the 2nd and 4th Saturday
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Dorchester Road Library
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Pre- and post-treatment in flexor tendon tenolysis: An observational study.
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- Author(s): Seppi, Simone; Vecchi, Simona; Raccagni, Ivan; Novelli, Chiara; Pajardi, Giorgio E.
- Source:
Journal of Hand Therapy; Jul2024, Vol. 37 Issue 3, p412-418, 7p- Subject Terms:
TENDON physiology; TENDON surgery; POSTOPERATIVE care; PAIN measurement; MEDICAL protocols; SURGERY; PATIENTS; POSTOPERATIVE pain; SCIENTIFIC observation; PREOPERATIVE care; TREATMENT effectiveness; RETROSPECTIVE studies; DESCRIPTIVE statistics; FINGER physiology; ORTHOPEDIC surgery; FINGER injuries; TENDON injuries; MEDICAL records; ACQUISITION of data; COMPARATIVE studies; RANGE of motion of joints; EVALUATION - Source:
- Additional Information
- Abstract: Glide deficit of the distal flexors' tendons following primary repair in zone 1–3 are very common. Adhesions of tendons have multi factorial origins and are closely related to the healing of the affected tissues. The surgical practice used to resolve these complications is tenolysis. The purpose of this study was to identify and compare the Visual Analog Scale (VAS) relate to pain and Total Active Motion (TAM) of adult patients of both sexes undergoing tenolysis surgery. The results will then be compared to existing research to confirm their significance. Case-series. Retrospective data for TAM and pain VAS were extracted from the medical records for 63 patients (73 fingers) who underwent flexor tenolysis between 2017 and 2019. Data were compared pre-operatively and 3 months after surgery. All patients underwent pre- and post-surgery therapy by hand therapists. The sample presented very encouraging improvements, except in the VAS and active range of motion (AROM) of thumb where some patients maintained the same assessment. The fingers reported statistically significant results, whereas the thumb group did not meet significant criteria. Overall, TAM improved from 134.6° to 196.7 and VAS decreased from 2.7 to 1.2. According to the results and the data change between pre- and post-treatment, the sample demonstrated improvements in all areas examined, reporting statistically significant results for the fingers with an improvement of TAM of 62.1° with a percentage value (%TAM) of 75.6%. A specific treatment for this type of surgery is required for the patients so they can return to their daily and working activities. This article can be used as a starting point for further studies. ● Tendon adhesion is a complication after tendon repair and is resolved with tenolysis. ● This protocol demonstrated clinical improvements in TAM and pain VAS. ● This article can be used as a starting point for further research. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Journal of Hand Therapy is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Abstract:
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