Treatment of acute flexor tendon injury: zones III-V

Hand Clin. 2005 May;21(2):181-6. doi: 10.1016/j.hcl.2004.11.007.


Many of the principles of flexor tendon repair and rehabilitation can be applied to zones III-V. Injuries in zones III-V are rarely isolated and neurovascular involvement is common. Because of the often extensive and unknown degree of injury, there should be a low threshold for surgical wound exploration. Primary repair of injured tendons and neurovascular structures is recommended by way of a systematic approach. Good to excellent outcomes in range of motion and tendon function can be expected; however, functional outcomes of associated nerve injuries are varied, with younger patients generally demonstrating the best results (Fig. 2E).

Publication types

  • Review

MeSH terms

  • Forearm / anatomy & histology
  • Forearm Injuries / diagnosis
  • Forearm Injuries / etiology
  • Forearm Injuries / surgery*
  • Humans
  • Outcome Assessment, Health Care
  • Physical Therapy Modalities
  • Tendon Injuries / classification
  • Tendon Injuries / diagnosis
  • Tendon Injuries / etiology
  • Tendon Injuries / surgery*
  • Wrist Injuries / diagnosis
  • Wrist Injuries / etiology
  • Wrist Injuries / surgery*