Approach to Tendinopathies of the Upper Limb: What Works

Ronald D Brown; Stephen A Kennedy

doi:10.1016/j.hcl.2023.02.010

Approach to Tendinopathies of the Upper Limb: What Works

Hand Clin. 2023 Aug;39(3):417-425. doi: 10.1016/j.hcl.2023.02.010. Epub 2023 Mar 15.

Authors

Ronald D Brown¹, Stephen A Kennedy²

Affiliations

¹ Department of Plastic and Reconstructive Surgery, The Ohio State University Hand and Upper Extremity Center, The Ohio State University, 915 Olentangy River Road, Suite 3200, Columbus, OH 43212, USA.
² Department of Orthopaedics and Sports Medicine, University of Washington, Harborview Medical Center, 325 Ninth Avenue, MS 359798, Seattle, WA 98104, USA. Electronic address: sajk@uw.edu.

PMID: 37453768
DOI: 10.1016/j.hcl.2023.02.010

Abstract

Tendinopathies are some of the most common diagnoses treated by hand surgeons. Diagnoses such as trigger digit, de Quervain tenosynovitis, extensor carpi ulnaris tendinitis, and epicondylitis often resolve with nonoperative treatment and/or a single ambulatory procedure. When symptoms persist or worsen after surgery, patients are disappointed and treatment can be challenging. This article reviews practical points in evaluation of such cases, and surgical options that work in revision scenarios.

Keywords: Anconeus; Flap; Instability; Tendinopathy; Tendon; Tenosynovitis.

Publication types

Review

MeSH terms

Forearm / surgery
Humans
Muscle, Skeletal
Tendinopathy* / diagnosis
Tendinopathy* / surgery
Trigger Finger Disorder*