Characteristics of Neurovascular Injury Associated with Tendon Injury of Hand: A Retrospective Study

Abstract

Introduction: Normal function of a hand depends much on the integrity of its anatomical structures. Musculotendinous injuries of the hand are frequently associated with neurovascular injury. Repair or reconstruction of all structures is important for optimal restoration of hand function. Aim: To determine the characteristics of neurovascular injury associated with musculotendinous injuries of the hand. Materials and Methods: The present study was a retrospective observational study conducted in the trauma care centre of a tertiary care teaching hospital from September 2020 to August 2021. Patients sustaining acute tendon injury of the hand of all age group and both sexes were included (n=38). Various epidemiological data like age, sex, occupation etc., and clinical and operative findings were collected and were analysed. Descriptive statistics were used and results were expressed in terms of frequency and percentages. Results: The mean age of the study population was 24 years with male patients being 30 and female patients was eight. As far as side of involvement was concerned, 17 (44.7%) patients had left-side of injury and 21 (55.3%) patients had right-side of injury. Majority of the patients, 27 (71.1%) sustained flexor Zone V injury. As to the neurovascular involvement, isolated median nerve, i.e., 10 (41.7%) and radial artery i.e., 8 (44.4%) injuries were more common. Conclusion: Neurovascular injuries associated with tendon injury of the hand is common finding. Prior knowledge of their presence and association with specific tendon injuries are beneficial for their identification and management, which ultimately leads to optimal restoration of hand function.

Keywords

• forearm
• nerve
• vessels