Signs
1. Variable loss of active finger extension
2. Inspect all Lacerations for Tendon Injury
3. Metacarpal-phalangeal joint (MCP) may be most difficult
  1. Tendon retracts most at this location
4. Exploration may require Laceration extension
  1. Allows for tendon visualization
Management
1. Direct end to end repair of tendon
  1. Indications
    1. Full tendon Laceration
    2. Partial tendon Laceration over 33% of tendon
  2. Technique
    1. Use non-Absorbable Suture (nylon) 4-0
    2. Figure of eight repair
2. Splint wrist and finger in extension for 4 weeks

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 5/10/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.