Exceptional laceration of flexordigitorum tendons proximal to a severe palmarhand wound: a case report with literature review

Abstract

Hand wounds are common, poor functional outcomes are marked because of sequelae inherent to posttraumatic and postoperative complications. Suitable surgery repair in emergency can ensure best results. Classically, tendons injuries occur near theinjured area and their repair depend on traumatized zone, sutures techniques, associated lesions and surgeon's abilities. We report a case of a farmer who has sustained of a severe hand wound due to blades of a combine harvester. Clinical examination showed exceptional laceration of 2nd and 3rd flexor digitorum tendons from musculo-tendinous junction, without any lesion in their palmar section. We proceeded; after extensive debridement, abundant lavage and removal of foreign body; to modified Kessler sutures using PDS 4.0 followed by dorsal splint for protecting tendons repair, and progressive rehabilitation program. Final result was interesting after 12 weeks. Thinking to tendon laceration is important, when manipulating machines with rotational movements.

Keywords

• flexor tendons
• kessler suture
• hand wound