Abstract
The extensor system is composed of an extrinsic system and an intrinsic system that work in synergy during the digital extension. It is extra-synovial, except at the level of the extensor retinaculum where it is surrounded by a synovial sheath allowing its lubrication and nutrition. The most frequent injuries are subcutaneous ruptures in zones 1, 2 or 3, which are treated with orthotic, or open traumas that are treated with surgery.
In every case, rehabilitation must start as early as possible to limit fibrosis, which is responsible for the loss of glidings in the extensor system. It must also be dosed in order not to put excessive tension on the tendinous callus. The protocols are different depending on the damaged area and the type of injury.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
Bibliography
Landsmeer JMF (1949) The anatomy of the dorsal aponeurosis of the human finger and its functional significance. Anat Rec 104:31–44
Hirai Y, Yoshida K, Yamanaka K et al (2001) An anatomic study of the extensor tendons of the human hand. J Hand Surg [Am] 26:1009–1015
Warren RA, Kay NRM, Norris SH (1988) The microvascular anatomy of the distal digital tendon. J Hand Surg 13:161–163
Garcia-Elias M, An KM, Berglund L, Linscheid RL, Cooney WP, Chao EYS (1991) Extensor mechanism of the fingers. A quantitative geometric study. J Hand Surg 16:1130–1136
Evans RB, Burkhalter WE (1986) A study of the dynamic anatomy of extensor tendons and implications for treatment. J Hand Surg [Am] 11:774–779
Merle M, Dautel G (1997) La main traumatique: l’urgence. Masson, Paris
Liverneaux PH, Chantelot C (2011) La traumatology des parties molles de la main. Springer, Paris
Rouzaud J-C, Allieu Y, Bénichou M (1990) Les lésions des tendons extenseurs de la main. Ann Kinésithérapie 17:255
Le Nen D, Laulan J (2001) Sémiologie de la main et du poignet. Sauramps médical, Montpellier
Tubiana R, Thomine J-M (1990) La main, anatomie fonctionnelle et examen clinique. Masson, Paris
Baratz ME, Schmidt CC, Hughes TB (2005) Extensor tendon injuries. In: Green DP, Hotchkiss RN, Pederson WC et al (eds) Operative hand surgery, 5th edn. Churchill Livingstone, New York
Isel M, Merle M (2012) Orthèses de la main et du poignet, protocols de rééducation
Dovelle S, Heeter PK, Fisher DR, Chow JA (1989) Rehabilitation of extensor tendon injury of the hand by means of early controlled motion. Am J Occup Ther 43:115–119
Hung LK, Chan A, Chang J, Leung PC (1990) Early controlled active mobilization with dynamic splintage for extensor tendon injuries. J Hand Surg Am 15:251–257
Russell RC, Jones M, Grobbelaar A (2003) Extensor tendon repair: mobilise or splint? Chir Main 22:19–23
Howell JW, Merrit WH, Robinson SJ (2005) Intermediate controlled active motion following zone 4–7 extensor tendon repair. J Hand Ther 18:182–190
Abouna JM, Brown H (1968) The treatment of mallet finger: the results in a series of 148 consecutive cases and a review of the literature. Br J Surg 55:653–667
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
Copyright information
© 2015 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Mesplié, G., Lemoine, S. (2015). Injuries of the Extensor Tendons. In: Hand and Wrist Rehabilitation. Springer, Cham. https://doi.org/10.1007/978-3-319-16318-5_9
Download citation
DOI: https://doi.org/10.1007/978-3-319-16318-5_9
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-16317-8
Online ISBN: 978-3-319-16318-5
eBook Packages: MedicineMedicine (R0)