Extensor Tenolysis
Problem
- The extensor tendons are stuck down and do not glide.
Cause
- Adhesions have formed between the tendon and underlying bone or metalware. This usually occurs after trauma.
Diagnosis
- There is a lack of active extension, i.e. – patient’s arm muscle power
- The fingers can usually be passively extended, lifted by other hand or by therapist.
- X-rays should confirm that underlying fractures have healed, and presence of metalware.
Treatment
- Hand therapy will usually make gains up to three months post initial injury/surgery.
- If no further progress is being made, surgery is recommended.
- Surgery – GA – Day Surgery
- Removal of contributing metalware.
- Division of adhesions by surgical dissection.
Potential Complications
- Infection, haematoma, neurovascular injury
- Inability to remove all metalware
- Further stiffening and adhesions
Post Op Care
- Light Dressings
- Early hand therapy to push active and passive range of motion, for up to three months.
