{"id":2020,"date":"2025-12-31T07:01:28","date_gmt":"2025-12-31T07:01:28","guid":{"rendered":"https:\/\/serdarnasir.com\/?page_id=2020"},"modified":"2026-10-20T14:45:59","modified_gmt":"2026-10-20T14:45:59","slug":"hand-and-finger-tendon-injuries","status":"publish","type":"page","link":"https:\/\/serdarnasir.com\/en\/hand-surgery\/hand-and-finger-tendon-injuries\/","title":{"rendered":"Hand and Finger Tendon Injuries"},"content":{"rendered":"\n\t<section class=\"section\" id=\"section_1950279296\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n  <div id=\"page-header-1192533699\" class=\"page-header-wrapper\">\n  <div class=\"page-title dark simple-title\">\n\n    \n    <div class=\"page-title-inner container align-center text-center flex-row-col medium-flex-wrap\" >\n              <div class=\"title-wrapper is-xlarge flex-col\">\n          <h1 class=\"entry-title mb-0\">\n            Hand and Finger Tendon Injuries in Ankara, Turkey          <\/h1>\n        <\/div>\n                    <div class=\"title-content flex-col\">\n        <div class=\"title-breadcrumbs pb-half pt-half\"><\/div>      <\/div>\n    <\/div>\n\n     \n<style>\n#page-header-1192533699 .page-title-inner {\n  min-height: 150px;\n}\n#page-header-1192533699 .title-overlay {\n  background-color: rgba(255, 255, 255, 0);\n}\n<\/style>\n  <\/div>\n    <\/div>\n  \n\t\t<\/div>\n\n\t\t\n<style>\n#section_1950279296 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n  background-color: #213360;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_516968204\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-326203844\">\n\n\t<div id=\"col-1745313668\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p>Hand and finger tendon lacerations usually occur as a result of sharp-object injuries and can seriously affect the hand\u2019s range of motion. Depending on whether the flexor or extensor tendons are cut, loss of motion may occur in the fingers. Rapid and accurate intervention is of great importance.<\/p>\n<p>Flexor tendon lacerations occur especially on the palm and the volar (inner) surface of the fingers. They are characterized by an inability to bend the fingers. Repairs are difficult due to complex anatomical structures. Diagnosis is made with clinical examination, and surgical intervention is required.<\/p>\n<p>Extensor tendon lacerations are seen on the dorsal (outer) surface of the fingers and present with the complaint of being unable to straighten the fingers. Due to their superficial location, these injuries can be recognized more easily. If left untreated, permanent functional losses may develop.<\/p>\n<p>After the tendon ends are united with microsurgery, a hand rehabilitation process is initiated. Healing is supported with splint use, controlled exercise programs, and physiotherapy. Treatment success depends on early surgery and disciplined rehabilitation.<\/p>\n<table>\n<tbody>\n<tr>\n<td>Things You Should Know<\/td>\n<td>Information<\/td>\n<\/tr>\n<tr>\n<td>Definition<\/td>\n<td>Hand and finger tendon lacerations are the disruption of the integrity of flexor (bending) or extensor (straightening) tendons due to traumatic events. The hand\u2019s mobility is directly affected.<\/td>\n<\/tr>\n<tr>\n<td>Tendon Types<\/td>\n<td>Flexor tendons (on the palmar side): enable finger flexion. Extensor tendons (on the back of the hand): enable finger extension.<\/td>\n<\/tr>\n<tr>\n<td>Causes of Injury<\/td>\n<td>Glass cuts, knife injuries, occupational accidents, motor vehicle accidents, penetrating and cutting tool traumas.<\/td>\n<\/tr>\n<tr>\n<td>Associated Structures<\/td>\n<td>Tendon lacerations may often be accompanied by injuries to nerves, vessels, muscles, and bone structures (combined injuries).<\/td>\n<\/tr>\n<tr>\n<td>Symptoms<\/td>\n<td>Loss of motion in the finger, inability to bend or straighten, a gap along the tendon line, swelling, bruising, an open wound due to the laceration.<\/td>\n<\/tr>\n<tr>\n<td>Zone Classification in Tendon Lacerations (Flexor)<\/td>\n<td>Z1: Fingertip, Z2: Within the finger (\u201cno man&#8217;s land\u201d), Z3: Palm, Z4: Carpal tunnel region, Z5: Forearm.<\/td>\n<\/tr>\n<tr>\n<td>Zone Classification in Tendon Lacerations (Extensor)<\/td>\n<td>The Z1\u2013Z8 classification extends from the dorsum of the hand to the forearm; each region differs in terms of surgery and healing.<\/td>\n<\/tr>\n<tr>\n<td>Diagnostic Methods<\/td>\n<td>Active finger motion loss is assessed with physical examination; ultrasound and MRI may be required. Nerve-muscle integrity is also tested.<\/td>\n<\/tr>\n<tr>\n<td>Need for Emergency Intervention<\/td>\n<td>Because tendon lacerations lead to loss of function, surgical repair should be performed within the first 48\u201372 hours if possible.<\/td>\n<\/tr>\n<tr>\n<td>Surgical Treatment<\/td>\n<td>Suturing the tendon ends with microsurgical techniques; if necessary, grafting or tendon transfer may be performed.<\/td>\n<\/tr>\n<tr>\n<td>Postoperative Immobilization<\/td>\n<td>After surgery, the hand\/forearm is immobilized with a splint. The type and duration of the splint vary depending on the cut tendon and its zone.<\/td>\n<\/tr>\n<tr>\n<td>Physical Therapy and Rehabilitation<\/td>\n<td>Early controlled motion protocols are applied (e.g., Duran or Kleinert protocols); meticulous follow-up is required against the risks of adhesions and rupture.<\/td>\n<\/tr>\n<tr>\n<td>Healing Time<\/td>\n<td>Functional recovery begins on average within 8\u201312 weeks. Full functional recovery may take 3\u20136 months.<\/td>\n<\/tr>\n<tr>\n<td>Complications<\/td>\n<td>Tendon adhesions, re-rupture, joint stiffness, restricted motion, finger deformities, infection.<\/td>\n<\/tr>\n<tr>\n<td>Prevention (For Workplace and Home Accidents)<\/td>\n<td>Caution when using sharp tools, use of protective gloves, occupational safety training.<\/td>\n<\/tr>\n<tr>\n<td>Related Specialties<\/td>\n<td>Plastic surgery (hand surgery), orthopedics and traumatology, physical medicine and rehabilitation.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1745313668 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_516968204 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1605811803\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-25276940\">\r\n\r\n\n\t<div id=\"col-846109499\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner dark\" style=\"background-color:#213360;\" >\n\t\t\t\n\t\t\t\r\n\r\n<div class=\"row align-middle\"  id=\"row-1862157711\">\r\n\r\n\n\t<div id=\"col-1619450574\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div class=\"img has-hover border-gorsel x md-x lg-x y md-y lg-y\" id=\"image_1013038528\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"533\" height=\"800\" src=\"https:\/\/serdarnasir.com\/wp-content\/uploads\/2026\/01\/DSC08566-1-533x800.webp\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/serdarnasir.com\/wp-content\/uploads\/2026\/01\/DSC08566-1-533x800.webp 533w, https:\/\/serdarnasir.com\/wp-content\/uploads\/2026\/01\/DSC08566-1-267x400.webp 267w, https:\/\/serdarnasir.com\/wp-content\/uploads\/2026\/01\/DSC08566-1.webp 720w\" sizes=\"(max-width: 533px) 100vw, 533px\" \/>\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n<style>\n#image_1013038528 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1619450574 > .col-inner {\n  margin: 0px 0px -10px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-455466389\" class=\"col medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-4230093854\" class=\"text\">\n\t\t\r\n\r\n<div><strong><span style=\"font-size: 110%;\">Prof. Dr. Serdar Nas\u0131r<\/span><\/strong><strong><span style=\"font-size: 63%;\"><br \/>Specialist in Plastic, Reconstructive and Aesthetic Surgery, Hand Surgery<\/span><\/strong><\/div>\r\n\r\n\t\t\n<style>\n#text-4230093854 {\n  font-size: 1.55rem;\n}\n@media (min-width:550px) {\n  #text-4230093854 {\n    font-size: 1.85rem;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n<p>He completed his medical education at Ankara University Faculty of Medicine in 1996 and his specialty training between 1996\u20132002 at Hacettepe University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery.<\/p>\r\n<p>Between 2002\u20132009, he worked at S\u00fcleyman Demirel University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery.<\/p>\r\n<p>Since 2009, he has been working at Hacettepe University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery. He received the title of Associate Professor in 2011. In 2019, Dr. Nas\u0131r became a Professor and continues to work as a faculty member in this position.<\/p>\r\n<a href=\"\/en\/about-me\/\" class=\"button white\" style=\"border-radius:5px;\">\n\t\t<span>View More<\/span>\n\t<\/a>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-455466389 > .col-inner {\n  margin: 0px 0px -10px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-846109499 > .col-inner {\n  padding: 30px 25px 0px 25px;\n  margin: 0px 0px -30px 0px;\n  border-radius: 30px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1605811803 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_2131373165\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-631119581\">\n\n\t<div id=\"col-539193129\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/hand-and-finger-tendon-injuries\/#What_Are_Hand_and_Finger_Tendon_Lacerations\" >What Are Hand and Finger Tendon Lacerations?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/hand-and-finger-tendon-injuries\/#How_does_the_tendon_system_inside_our_hand_work_and_why_is_it_so_sensitive\" >How does the tendon system inside our hand work, and why is it so sensitive?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/hand-and-finger-tendon-injuries\/#Can_a_cut_tendon_heal_on_its_own\" >Can a cut tendon heal on its own?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/hand-and-finger-tendon-injuries\/#What_is_%E2%80%9CNo_Mans_Land%E2%80%9D_and_why_do_surgeons_fear_this_region\" >What is \u201cNo Man\u2019s Land,\u201d and why do surgeons fear this region?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/hand-and-finger-tendon-injuries\/#Do_extensor_tendon_injuries_on_the_back_of_the_hand_heal_more_easily\" >Do extensor tendon injuries on the back of the hand heal more easily?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/hand-and-finger-tendon-injuries\/#Is_looking_at_the_wound_alone_enough_to_understand_tendon_damage\" >Is looking at the wound alone enough to understand tendon damage?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/hand-and-finger-tendon-injuries\/#What_is_the_best_timing_for_surgery_and_is_it_risky_to_wait\" >What is the best timing for surgery, and is it risky to wait?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/hand-and-finger-tendon-injuries\/#How_strong_are_the_suture_techniques_used_during_surgery\" >How strong are the suture techniques used during surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/hand-and-finger-tendon-injuries\/#What_is_done_if_the_tendon_ends_do_not_reach_each_other_or_the_injury_is_very_old\" >What is done if the tendon ends do not reach each other or the injury is very old?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/hand-and-finger-tendon-injuries\/#How_is_two-stage_surgery_Hunter_Rod_performed_in_very_old_injuries\" >How is two-stage surgery (Hunter Rod) performed in very old injuries?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/hand-and-finger-tendon-injuries\/#How_do_tendon_transfers_provide_a_solution_in_patients_with_nerve_palsy\" >How do tendon transfers provide a solution in patients with nerve palsy?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/hand-and-finger-tendon-injuries\/#Frequently_Asked_Questions\" >Frequently Asked Questions<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"What_Are_Hand_and_Finger_Tendon_Lacerations\"><\/span>What Are Hand and Finger Tendon Lacerations?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Hand and finger tendon lacerations are the disruption of the integrity of flexor or extensor tendons that enable movement of the fingers and wrist due to sharp objects. As a result of these injuries, loss of motion, weakness, and functional impairment may develop in the fingers. Early diagnosis and appropriate surgical repair are of great importance to prevent permanent damage and restore hand functions. The rehabilitation process is an integral part of treatment.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_does_the_tendon_system_inside_our_hand_work_and_why_is_it_so_sensitive\"><\/span>How does the tendon system inside our hand work, and why is it so sensitive?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The mechanism that enables hand movement can actually be likened to a highly advanced pulley-and-rope system. While the strong muscles in our forearm serve as the \u201cmotor,\u201d the ropes that transmit the force produced by these muscles to the finger bones are the tendons. However, these tendons\u2014the ropes\u2014do not lie freely under the skin. There are very special tunnels and sheaths that ensure their orderly function:<\/p>\n<p>Especially the flexor tendons on the palm side pass through tunnels called \u201cpulleys\u201d that run along the finger bones. The role of these tunnels is vital; they prevent the tendon from bowstringing away from the bone and ensure that the force created when we bend our finger turns directly into movement without creating a bowstring effect. This system is so sensitive that the space between the tendon and the tunnel is at the millimetric level.<\/p>\n<p>Even the smallest bulge after an injury, a roughly placed stitch, or a firm healing tissue (scar) immediately disrupts this gliding and restricts finger motion. Therefore, the goal in hand surgery is not merely to suture the two cut ends together. The main objective is to restore the flawless function of this gliding tunnel system and make it possible for the tendon to glide through that narrow tunnel without catching. For this system to function properly, the following structures play a critical role:<\/p>\n<ul>\n<li>Musculus Flexor Digitorum Superficialis (FDS)<\/li>\n<li>Musculus Flexor Digitorum Profundus (FDP)<\/li>\n<li>Synovial sheaths<\/li>\n<li>Pulley system<\/li>\n<li>Vincula vascular structures<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Can_a_cut_tendon_heal_on_its_own\"><\/span>Can a cut tendon heal on its own?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>I encounter this question very often. Unfortunately, the answer is no. Tendons are, by their nature, quite taut, rubber-like tissues. The moment a tendon is cut, it creates an effect like cutting a tight rubber band in the middle with scissors. Together with the pulling force of the muscles, the two ends quickly move away from each other. The severed ends can often retract far above the level of injury, sometimes into the palm or even up to the wrist. We call this \u201cretraction\u201d in medical terms. Because of this mechanical separation, it is biologically impossible for the tendon ends to come together and heal on their own.<\/p>\n<p>In addition, tendon nourishment differs from other tissues. Tendons are nourished not so much by blood vessels but by a special fluid (synovial fluid) within their own sheaths. However, very thin capillary vascular structures called \u201cvincula\u201d are also critical for tendon viability. At the moment of injury, as the tendon tears, these fine vessels are also damaged. Without surgical intervention, the tendon ends cannot be nourished, lose viability, shrink, and the muscle function in that region is completely lost. Therefore, there is no such approach as \u201clet\u2019s wait a bit, maybe it will get better\u201d in tendon lacerations; surgical repair is an absolute and urgent necessity.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_is_%E2%80%9CNo_Mans_Land%E2%80%9D_and_why_do_surgeons_fear_this_region\"><\/span>What is \u201cNo Man\u2019s Land,\u201d and why do surgeons fear this region?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In the history of hand surgery, the region referred to as \u201cZone II\u201d\u2014the part from that famous line in the palm to the middle phalanx of the fingers\u2014was for many years called \u201cNo Man\u2019s Land.\u201d The reason for this name is quite dramatic; because in earlier periods, treating injuries in this region was so difficult that surgeons hesitated to touch it, and the results often ended in disappointment.<\/p>\n<p>So why is this region so troublesome? The problem arises entirely from anatomical crowding. In this narrow area, two different tendon systems that flex the finger (both the deep and superficial tendons) have to move stacked and intertwined within the same sheath. You can think of it like two trains trying to travel side by side in a narrow tunnel. As healing tissue forms after injury, the risk of these two tendons adhering to each other or to the surrounding sheath (adhesion) is very high. If adhesions occur, the finger locks and cannot move.<\/p>\n<p>The surgeon\u2019s task here is like walking on a tightrope: they must repair both tendons strongly enough not to rupture, but at the same time the sutures must be so delicate and smooth that they can glide without catching in that narrow tunnel. Fortunately, thanks to advances in microsurgical techniques, magnifying loupes, and specialized rehabilitation programs, we can now achieve very satisfying results even in this region that was once called \u201cno man\u2019s land.\u201d<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Do_extensor_tendon_injuries_on_the_back_of_the_hand_heal_more_easily\"><\/span>Do extensor tendon injuries on the back of the hand heal more easily?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>As a common misconception, injuries on the dorsum of the hand are thought to be simpler. Yes, extensor tendons on the back of the hand differ from those on the palm; they enable us to straighten our fingers and generally do not get trapped in narrow tunnels. However, this does not mean they are \u201ceasy.\u201d<\/p>\n<p>The biggest challenge here is that the skin on the dorsum of the hand is paper-thin. The tendons lie almost immediately under the skin and very close to the bones. There is no protective fat tissue or soft tissue cushion in this area. Therefore, in simple glass cuts or blunt impacts, situations such as skin loss, bone fractures, or opening into the joint are very common in addition to tendon injury.<\/p>\n<p>Also, extensor tendons are not round and rope-like like flexors; they are more like a flat band or strap. This flat structure makes suturing technically more difficult. The suture material can cut through the tendon like a \u201ccheese wire.\u201d Some special conditions according to the anatomical location of injuries in this region are as follows:<\/p>\n<ul>\n<li>Mallet Finger<\/li>\n<li>Boutonniere Deformity<\/li>\n<li>Sagittal Band Tears<\/li>\n<li>Metacarpal-Level Lacerations<\/li>\n<li>Junctura Tendinum Injuries<\/li>\n<\/ul>\n<p>In particular, \u201cMallet Finger\u201d at the fingertip or \u201cBoutonniere\u201d deformities at the middle joint can permanently distort the finger\u2019s shape if left untreated and seriously affect daily use. Therefore, dorsal hand injuries should be approached with at least as much seriousness as palmar injuries.<\/p>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-539193129 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_2131373165 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_131201337\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-2005587248\">\r\n\r\n\n\t<div id=\"col-1326142792\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(33, 51, 96);border-radius:10px;border-width:2px 2px 2px 2px;\">\n\t<\/div>\n\t\t\t\r\n\r\n<div class=\"row align-middle\"  id=\"row-1366253434\">\r\n\r\n\n\t<div id=\"col-762160013\" class=\"col medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-1507038744\" class=\"text\">\n\t\t\r\n\r\n<div><strong>Contact us to get information about treatments and create an appointment!<\/strong><\/div>\r\n\t\t\n<style>\n#text-1507038744 {\n  font-size: 1.25rem;\n  text-align: center;\n  color: #213360;\n}\n#text-1507038744 > * {\n  color: #213360;\n}\n@media (min-width:550px) {\n  #text-1507038744 {\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\n\t<div id=\"col-1053371500\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner text-right\"  >\n\t\t\t\n\t\t\t\r\n\r\n<a href=\"https:\/\/api.whatsapp.com\/send\/?phone=905330852159\" class=\"button success\" style=\"border-radius:5px;\" target=\"_blank\" rel=\"noopener\">\n\t\t<span>Contact via WhatsApp<\/span>\n\t<i class=\"icon-whatsapp\" aria-hidden=\"true\"><\/i><\/a>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1326142792 > .col-inner {\n  padding: 30px 15px 0px 15px;\n  margin: 0px 0px -30px 0px;\n}\n@media (min-width:550px) {\n  #col-1326142792 > .col-inner {\n    padding: 30px 20px 0px 20px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_131201337 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_872295382\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1736272511\">\n\n\t<div id=\"col-1131742632\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"Is_looking_at_the_wound_alone_enough_to_understand_tendon_damage\"><\/span>Is looking at the wound alone enough to understand tendon damage?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Absolutely not. The size of the skin cut can mislead us about the magnitude of the storm inside. Sometimes a hole as small as a needle tip may have completely severed deep tendons, while sometimes a large gash may have affected only the skin. Therefore, for an experienced physician, physical examination is the backbone of the diagnosis.<\/p>\n<p>Each finger and each tendon function must be tested separately. Because the mechanics of the hand are very complex; a problem in one finger\u2019s tendon can also affect the neighboring finger. For example, to determine whether the deep flexor tendon (FDP) is functioning, we look at whether you can bend only the fingertip joint. For the superficial tendon (FDS) test, we hold the other fingers still and ask you to bend only the injured finger.<\/p>\n<p>In addition to physical examination, we also benefit from technology. The methods we frequently use during the diagnostic phase are as follows:<\/p>\n<ul>\n<li>Detailed physical examination<\/li>\n<li>Elson test<\/li>\n<li>Ultrasonography (US)<\/li>\n<li>MRI imaging<\/li>\n<li>X-ray (in suspected fracture)<\/li>\n<\/ul>\n<p>Especially ultrasonography is an excellent, fast, and painless method to see how far the tendon ends have retracted or to understand whether the tendon is completely or partially cut. In much more complex, old, or suspicious situations, we map the inside of the hand with MRI imaging and plan our surgery.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_is_the_best_timing_for_surgery_and_is_it_risky_to_wait\"><\/span>What is the best timing for surgery, and is it risky to wait?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In tendon repairs, timing is the key to success, I can say. Ideally, intervention should be performed within the first 24 hours after the injury, when tissues are fresh. We call this \u201cPrimary Repair.\u201d If the wound is not heavily contaminated, the infection risk is under control, and the patient\u2019s general health condition is suitable, being taken to surgery immediately yields the best result.<\/p>\n<p>Sometimes patients may think the injury is \u201ca simple cut\u201d and do not take it seriously, or the diagnosis may be missed. Repairs performed up to the first 2 weeks (Delayed Primary) can still yield good results. However, as hours pass, things become more difficult. After 2 weeks, the tendon ends begin to shorten and shrink, the muscles they are connected to lose their elasticity, and the tunnels through which the tendon passes narrow due to disuse.<\/p>\n<p>After this stage (Secondary Repair), things become much more complex. It may no longer be possible to pull the tendon ends together. In short, in a tendon laceration, we do not have the luxury of saying \u201cit will pass tomorrow\u201d or \u201clet me wait a bit.\u201d The earlier the intervention, the more magnificent the functional return.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_strong_are_the_suture_techniques_used_during_surgery\"><\/span>How strong are the suture techniques used during surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In the past, tendons were simply secured end-to-end with two strands. However, these repairs were weak, could not tolerate early motion, and would rupture when the patient first bent the finger. Today, in light of biomechanical and engineering studies, we use much stronger and more complex suture techniques.<\/p>\n<p>Our basic philosophy in modern surgery is this: the tendon should be sutured strongly enough that the patient can begin moving the finger the day after surgery. Because motion is the enemy of adhesions. However, at the same time, the sutures must be so delicate that they glide smoothly through the tunnels without catching. To achieve this, we combine two different suture groups:<\/p>\n<p>Core Sutures: These are the main ropes that carry the primary load of the tendon. Instead of 2-strand repairs, we now use special 4- or 6-strand weaving techniques (such as Modified Kessler, Tsuge) to exponentially increase the strength of the repair.<\/p>\n<p>Epitendinous Sutures: These are hair-thin sutures that smooth out fraying at the cut tendon ends and create a smooth surface. These sutures facilitate tendon gliding and contribute significantly to repair strength.<\/p>\n<p>As suture material, special nonabsorbable (such as polypropylene) or very slowly absorbable threads are selected. Especially in areas like the dorsum of the hand where the skin is thin, choosing materials that are not palpable and do not cause tissue reaction increases patient comfort.<\/p>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1131742632 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_872295382 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1528506291\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-633514653\">\r\n\r\n\n\t<div id=\"col-7209709\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(33, 51, 96);border-radius:10px;border-width:2px 2px 2px 2px;\">\n\t<\/div>\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-248897777\">\r\n\r\n\n\t<div id=\"col-550142203\" class=\"col medium-7 small-12 large-7\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-377450198\" class=\"text\">\n\t\t\r\n\r\n<p><strong>Contact Us!<\/strong><\/p>\r\n\t\t\n<style>\n#text-377450198 {\n  font-size: 2rem;\n  text-align: center;\n  color: #1f437b;\n}\n#text-377450198 > * {\n  color: #1f437b;\n}\n@media (min-width:550px) {\n  #text-377450198 {\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\t<div id=\"text-733270356\" class=\"text\">\n\t\t\r\n\r\n<div>Contact us to get information about treatments and create an appointment!<\/div>\r\n\t\t\n<style>\n#text-733270356 {\n  font-size: 1.25rem;\n  text-align: center;\n  color: #2d304e;\n}\n#text-733270356 > * {\n  color: #2d304e;\n}\n@media (min-width:550px) {\n  #text-733270356 {\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-550142203 > .col-inner {\n  margin: 0px 0px 0px 0px;\n}\n@media (min-width:550px) {\n  #col-550142203 > .col-inner {\n    margin: 0px 0px -30px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-327277489\" class=\"col medium-5 small-12 large-5\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1791-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"1791\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/2020#wpcf7-f1791-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1791\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.2.3\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1791-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"randevu-form\">\n\t<div class=\"form-row\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-340\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Full Name\" value=\"\" type=\"text\" name=\"text-340\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel-10\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Phone\" value=\"\" type=\"tel\" name=\"tel-10\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-full\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-342\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Briefly write the subject\" value=\"\" type=\"text\" name=\"text-342\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p><button type=\"submit\">Create Appointment<\/button>\n\t<\/p>\n<\/div><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"226\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-327277489 > .col-inner {\n  margin: 0px 0px -20px 0px;\n}\n@media (min-width:550px) {\n  #col-327277489 > .col-inner {\n    margin: 0px 0px -30px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-7209709 > .col-inner {\n  padding: 30px 15px 0px 15px;\n  margin: 0px 0px -30px 0px;\n}\n@media (min-width:550px) {\n  #col-7209709 > .col-inner {\n    padding: 30px 20px 0px 20px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1528506291 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_788881405\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1661341940\">\n\n\t<div id=\"col-1237573514\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"What_is_done_if_the_tendon_ends_do_not_reach_each_other_or_the_injury_is_very_old\"><\/span>What is done if the tendon ends do not reach each other or the injury is very old?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>If months have passed since the injury or if a portion of the tendon tissue was torn away during the trauma, it is impossible to forcibly bring the ends together. Even if you force it, the finger will contract and cannot move. In such cases, \u201cTendon Grafting,\u201d so to speak, the use of \u201cspare parts,\u201d comes into play.<\/p>\n<p>There are tendons in our body that we can use as donors without causing functional loss. The donor tendons we most commonly use are:<\/p>\n<ul>\n<li>Palmaris Longus tendon (at the wrist)<\/li>\n<li>Plantaris tendon (in the leg)<\/li>\n<li>Extensor Indicis Proprius (in the index finger)<\/li>\n<li>Toe extensor tendons<\/li>\n<\/ul>\n<p>The Palmaris Longus tendon, especially at the wrist, is present in the vast majority of people and removing it does not cause any deficit in hand function. The surgeon harvests this tendon and sutures it like a bridge in place of the missing tendon. In this way, the discontinuity is eliminated.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_is_two-stage_surgery_Hunter_Rod_performed_in_very_old_injuries\"><\/span>How is two-stage surgery (Hunter Rod) performed in very old injuries?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Sometimes the situation is so complex that the tunnel and bed through which the tendon should pass are completely scarred and destroyed. If we place a new tendon directly there, it will also adhere and will not function. In this case, we implement a patient, two-stage plan called the \u201cHunter Rod\u201d technique.<\/p>\n<p>First Stage: We completely clean the damaged area. We place a silicone rod where the tendon should be. This silicone rod stays there for a while. The body forms a smooth, tunnel-like, gliding membrane around this silicone. We wait approximately 3 months for this biological tunnel to form.<\/p>\n<p>Second Stage: When the preparation is complete, we operate again. We remove the silicone rod from within that gliding tunnel that has formed. Immediately afterward, we pass the tendon graft taken from another area of the patient through this prepared tunnel and complete the repair. This method is a powerful tool that can provide mobility even in cases that appear the most hopeless.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_do_tendon_transfers_provide_a_solution_in_patients_with_nerve_palsy\"><\/span>How do tendon transfers provide a solution in patients with nerve palsy?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Sometimes the problem is not in the tendon itself but in the electrical line that gives it the \u201cfire\u201d command\u2014namely, the nerves. In radial, ulnar, or median nerve palsies, muscles do not work even if tendons are intact. The hand may remain in a \u201cwrist drop\u201d position or lose its ability to grip. This is where the engineering side of surgery comes into play: Tendon Transfers.<\/p>\n<p>In this procedure, we take the tendon of a \u201chealthy\u201d muscle in the arm that is functioning and can be sacrificed, and transfer it in place of another tendon that is not working but whose function is critical for the hand. You can think of it as rewiring the system. The factors that affect success in these surgeries are:<\/p>\n<ul>\n<li>Joint range of motion<\/li>\n<li>Strength of the muscle to be transferred<\/li>\n<li>Straight line of pull<\/li>\n<li>Brain adaptation (synergy)<\/li>\n<\/ul>\n<p>For example, in a patient who cannot lift the wrist (wrist drop), we transfer one of the finger-flexing muscles or a wrist-flexing muscle to the tendon that lifts the wrist. After surgery, the brain adapts to this change. The patient realizes that their wrist lifts when they think \u201cmake a fist,\u201d and they quickly get used to this new arrangement. In this way, a paralyzed hand becomes functional again.<\/p>\n\t<div id=\"text-3167622546\" class=\"text\">\n\t\t\n<h2><span class=\"ez-toc-section\" id=\"Frequently_Asked_Questions\"><\/span>Frequently Asked Questions<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\t\t\n<style>\n#text-3167622546 {\n  font-size: 1.25rem;\n}\n<\/style>\n\t<\/div>\n\t\n<div class=\"accordion\">\n\t<div id=\"accordion-3856115312\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3856115312-label\" class=\"accordion-title plain\" href=\"#accordion-item-which-accidents-most-commonly-cause-hand-and-finger-tendon-lacerations?\" aria-expanded=\"false\" aria-controls=\"accordion-3856115312-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Which accidents most commonly cause hand and finger tendon lacerations?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3856115312-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3856115312-label\">\n\t\t\t\n<p>These lacerations usually occur during glass cuts, knife injuries, machine accidents, or kitchen accidents. The palm and the flexor surfaces of the fingers are the most commonly affected areas.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2276446495\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2276446495-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-can-a-tendon-laceration-be-distinguished-from-a-nerve-laceration?\" aria-expanded=\"false\" aria-controls=\"accordion-2276446495-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How can a tendon laceration be distinguished from a nerve laceration?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2276446495-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2276446495-label\">\n\t\t\t\n<p>While loss of motion is prominent in tendon lacerations, sensory loss or a tingling sensation is more prominent in nerve lacerations. However, since both can be cut at the same time, careful examination and EMG may be required.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3986173785\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3986173785-label\" class=\"accordion-title plain\" href=\"#accordion-item-within-how-much-time-should-surgical-repair-be-performed-for-hand-tendon-lacerations?\" aria-expanded=\"false\" aria-controls=\"accordion-3986173785-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Within how much time should surgical repair be performed for hand tendon lacerations?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3986173785-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3986173785-label\">\n\t\t\t\n<p>Ideally, microsurgical repair should be performed within the first 24\u201348 hours. In delayed cases, repair becomes more difficult because the tendon ends retract, and the chance of success decreases.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-397872875\" class=\"accordion-item\">\n\t\t<a id=\"accordion-397872875-label\" class=\"accordion-title plain\" href=\"#accordion-item-which-area-in-finger-tendon-lacerations-is-called-\u2018zone-2,\u2019-and-why-is-it-difficult?\" aria-expanded=\"false\" aria-controls=\"accordion-397872875-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Which area in finger tendon lacerations is called \u2018zone 2,\u2019 and why is it difficult?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-397872875-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-397872875-label\">\n\t\t\t\n<p>\u2018Zone 2\u2019 is a complex area located in the middle of the fingers where both the superficial and deep flexor tendons pass together. Repairs in this region are difficult due to the risk of adhesions and loss of motion.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2939414892\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2939414892-label\" class=\"accordion-title plain\" href=\"#accordion-item-do-finger-movements-fully-return-after-a-tendon-laceration?\" aria-expanded=\"false\" aria-controls=\"accordion-2939414892-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Do finger movements fully return after a tendon laceration?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2939414892-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2939414892-label\">\n\t\t\t\n<p>After timely and appropriate surgical intervention, functions return in most patients. However, full range of motion depends on the surgical technique and the physical therapy applied afterward.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-4023920842\" class=\"accordion-item\">\n\t\t<a id=\"accordion-4023920842-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-does-the-physical-therapy-process-progress-after-tendon-repair?\" aria-expanded=\"false\" aria-controls=\"accordion-4023920842-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How does the physical therapy process progress after tendon repair?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-4023920842-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-4023920842-label\">\n\t\t\t\n<p>In the first weeks, passive exercises are started, and then active movements are added. Controlled rehabilitation prevents adhesions and allows the tendon to heal without re-rupturing.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1129523933\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1129523933-label\" class=\"accordion-title plain\" href=\"#accordion-item-do-hand-tendon-lacerations-heal-differently-in-children?\" aria-expanded=\"false\" aria-controls=\"accordion-1129523933-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Do hand tendon lacerations heal differently in children?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1129523933-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1129523933-label\">\n\t\t\t\n<p>Children have a higher tissue healing capacity. However, meticulous surgery and rehabilitation are required to ensure proper tendon repair and preserve function during the growth period.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1468772828\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1468772828-label\" class=\"accordion-title plain\" href=\"#accordion-item-why-do-adhesions-occur-after-hand-tendon-lacerations?\" aria-expanded=\"false\" aria-controls=\"accordion-1468772828-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Why do adhesions occur after hand tendon lacerations?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1468772828-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1468772828-label\">\n\t\t\t\n<p>Healing tissue around the tendon can result in excessive fibrosis. This prevents the tendon from gliding freely within the sheath and leads to restricted motion.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3145377694\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3145377694-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-advantages-do-microsurgical-techniques-provide-in-hand-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-3145377694-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What advantages do microsurgical techniques provide in hand surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3145377694-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3145377694-label\">\n\t\t\t\n<p>With microsurgery, tendon ends are sutured more precisely and surrounding tissues are minimally damaged. This provides better healing, fewer adhesions, and better function.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-857289954\" class=\"accordion-item\">\n\t\t<a id=\"accordion-857289954-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-long-does-it-take-to-return-to-work-after-a-tendon-laceration?\" aria-expanded=\"false\" aria-controls=\"accordion-857289954-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How long does it take to return to work after a tendon laceration?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-857289954-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-857289954-label\">\n\t\t\t\n<p>Although it varies depending on the tendon location and severity of the laceration, the time to return to work after full repair generally ranges between 6\u201312 weeks. This period may be longer in professions where hand function is critical.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3105414896\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3105414896-label\" class=\"accordion-title plain\" href=\"#accordion-item-which-department-or-doctor-should-be-consulted-for-hand-and-finger-tendon-lacerations?\" aria-expanded=\"false\" aria-controls=\"accordion-3105414896-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Which Department or Doctor Should Be Consulted for Hand and Finger Tendon Lacerations?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3105414896-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3105414896-label\">\n\t\t\t\n<p>For hand and finger tendon lacerations, the Plastic, Reconstructive and Aesthetic Surgery department should be consulted. These repairs performed with microsurgical techniques are carried out by plastic surgeons specialized in hand surgery.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n<\/div>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1237573514 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_788881405 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":1931,"parent":1906,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-blank.php","meta":{"footnotes":""},"class_list":["post-2020","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages\/2020","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/comments?post=2020"}],"version-history":[{"count":2,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages\/2020\/revisions"}],"predecessor-version":[{"id":2034,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages\/2020\/revisions\/2034"}],"up":[{"embeddable":true,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages\/1906"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/media\/1931"}],"wp:attachment":[{"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/media?parent=2020"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}