Epl Tendon Zones

Extensor tendon repair zones 78. The blood vessels that feed oxygen and nutrients to the tissue are far up and down the tendon and must filter. Splint design 2 components 1.
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Epl tendon zones. Extensor tendon repair zones 2 4 lateral band repair. Wrist splint 20 25 degrees of wrist extension 2. Over metacarpal phalangeal joint mcp sagittal bands sb zone vi. Zone ii disruption of tendon over middle phalanx or proximal phalanx of thumb epl zone iii disruption over the pip joint of digit central slip or mcp joint of thumb epl and epb.

Eip to epl tendon transfer. 1 67 to 97 centimetres 26 to 38 in in length the tendon passes through a long and superficial synovial sheath which passing obliquely from the radial border of the forearm into the thumb extends from the proximal border of the extensor retinaculum to the. Extensor tendon repair zone 1. Odd numbers are used for regions overlying articular structures with even numbers being assigned to the regions between joints as follows see the image below 2 3 4.

Over the proximal phalanx zone v. Over metacarpal bone and dorsum of the hand zone vii. Flexor tendon repair zones 1 3 early mobilization. Tendons can retract if vincula are disrupted.

Zone is unique in that fdp and fds in same tendon sheath both can be injured within the flexor retinaculum. Zone iv vii extensor tendon repair this protocol has been modified from howell jw. Dynamically assist finger extension that unloads the tendon repair. There are hundreds of tendons in our bodies yet we commonly see only a select few tendon problems.

Konstantin inozemtsev getty images. Zone i disruption of terminal extensor tendon distal to or at the dip joint of the fingers and ip joint of the thumb epl mallet finger. The dorsum of the hand wrist and forearm are divided into nine anatomic zones to facilitate classification and treatment of extensor tendon injuries. These problem types of tendonitis occur in watershed zones of the tendon where the blood supply to that specific area of tissue is furthest away.

Extensor tendon repair zones 56. The tendon is finally inserted on the base of the distal phalanx of the thumb. Immediate controlled active motion following zone 4 7 extensor tendon repair. Epl edceip edqp american academy of professional coders ecu 6 dorsal compartments session 1a 10 1130 am friday october 26th 2012 hand flexor tendons origin at medial elbow volar forearm fcr fpl fds4fdp4 pl fcu american academy of professional coders session 1a 10 1130 am friday october 26th 2012.

Direct repair of both tendons followed by early rom duran kleinert. Zones of extensor tendon injuries. Flexor tendon repair zones 1 4 delayed.

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