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Frische Beugesehnenverletzung der Hand

Acute flexor tendon injuries of the hand

  • Leitthema
  • Published:
Trauma und Berufskrankheit

Zusammenfassung

Die Behandlung der Beugesehnenverletzung stellt an alle Beteiligten eine hohe Anforderung. So sind gute anatomische Kenntnisse, eine sorgfältige und schonende Operationstechnik verbunden mit einer intensiven physio- und handergotherapeutischen Übungsbehandlung für ein gutes Ergebnis unabdingbar. Derzeit besteht kein Konsens hinsichtlich der optimalen Nahttechnik und des zu verwendenden Nahtmateriales. Einen guten Kompromiss kann jedoch eine 4‑Strang-Naht mit zusätzlicher adaptierender Zirkulärnaht darstellen. Diese schafft eine ausreichend stabile Situation, um mit einer frühfunktionellen, aktiven Beübung zur Vermeidung von Verklebungen der Sehnen beginnen zu können.

Abstract

The treatment of flexor tendon injuries remains a challenge for all involved; therefore, good anatomical knowledge, a precise operative procedure and excellent postoperative physiotherapeutic and ergotherapeutic care are important to achieve a good functional result. Up to now no consensus has been reached or a high level of evidence achieved concerning the suture technique and suture material. Nevertheless, a 4-strand core suture with a circular running suture represents a good compromise. This achieves a sufficiently stable situation to be able to initiate early functionally active mobility to prevent adhesion between the tendon and the surrounding soft tissues.

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Correspondence to H. Schöll.

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Interessenkonflikt

M. Sauerbier hat einen Berater-Vertrag bei der Medartis AG, Basel. H. Schöll, I.M. Mehling und A. Arsalan-Werner geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Schöll, H., Mehling, I.M., Arsalan-Werner, A. et al. Frische Beugesehnenverletzung der Hand. Trauma Berufskrankh 18, 174–180 (2016). https://doi.org/10.1007/s10039-016-0187-9

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