MEDICAL REHABILITATION IN PATIENT WITH LEFT MEDIAN NERVE PALSY, FLEXOR CARPI RADIALIS RUPTURE, BILATERAL FLEXOR DIGITORUM PROFUNDUS RUPTURE, AND LEFT FLEXOR POLLICIS LONGUS RUPTURE
Abstract
The flexor tendons of the hand are quite vulnerable to laceration and rupture. The injuries are most commonly seen in individuals whose work involve being around moving equipment, using knives or washing glass dishes. Flexor tendon injuries are a challenging problem for both the orthopedic surgeon and PM&R Physician due to 3 main reasons. Firstly, flexor tendon injuries of the hands are a clinical problem because they cannot heal without surgical treatment. Secondly, post-operative management needs to be carefully planned as mobilization has shown to be essential to prevent adhesions and improve gliding but this can risk rupture. Lastly due to the unique anatomy of the tendons of the tendons running through flexor tendon sheaths to function, surgeons need to plan preventing increasing the bulkiness of the tendon through its sheath. The aim of rehabilitation after tendon repair is to achieve function and gliding but avoiding rupture of the tendon.We report the rehabilitative course of a middle-aged male patient who had undergone reparative surgery of the hand that has shown good outcome.
Key Words: flexor tendons, rupture, post-operative management
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