Hand Examination Flexor Tendons

[Zurison]

Thank you for this very clear, informative video. A great refresher. Two days after a dorsal wound to the little finger over the PIP joint: DIP joint can flex within a small range, less than the uneffected side. PIP joint can't flex BUT it is sutured dorsally and has steristrips closing wound (flexion of the PIP kept opening the wound). I think extensor tendon was exposed but did not appear severed. Would it be reasonable to think that this lack of PIPJ flexion is due to swelling and restriction from the stitches and bandaging dorsally? A dorsal wound wouldn't normally cause lack of flexion of the fingers at either PIP or DIP would it? There is still active flexion and extension of the MCP joint of the little finger (proximal to the wound).

[raghugodugu]

One week back IAM injured by accident doctors surgery the flexer tendon repair and I have one doubt I will get back my hand oldly or problemtic please tell me

[hippo-potamus]

all test are good then would that indicate that tendon AT the elbow joint is intact and not ruptured? Im asking because when I flat palm on table extend wrist upwards my forearm muscles move weird, they shift laterally more so on the arm that has tennis elbow pain. Im not sure if I ruptured one of the tendons or muscles due to serious and extended over use such that I cant even grip a 1lb object without pain or if its just severe DMOS and fatigue. Thanks for your help.

[MEDICINEinaNutshell]

Possibly. Would certainly suggest that your relative be assessed by a hand surgeon to ascertain the cause of the problem, and correct if necessary.

[MEDICINEinaNutshell]

Just going on whta you have said, it seems that the patient has ruptured or divided their flexor tendons of the little finger.

[bluesdirt]

Top of hand index finger the tendon moves toward my thumb, large joint seems to dislocate and grinder and is very weak with side pressure. .? Should I see a surgeon?

[adhu_n]

Patient presented with RIGHT hand little finger cant flex, but he can extend when we passively flex the little finger...

Little finger have mild swelling

What would be the condition????

[kdub]

Ex Athlete/coach here I was breaking a fight up between 2 of my dogs and got bit through the top of my hand and out my palm just behind the top of my middle finger knuckle by one tooth. I don’t have insurance so I’m winging it. I have a very high pain threshold but I was literally kicking my leg like crazy in the utility room because I didn’t want to scare my 2 young girls 7-9 but the pain was very intense. It’s been 8 days today and the wound is finally kinda healed still a droplet of blood on the band aid I can bend fingers but can’t close my fist completely and if I touch the spot of the wound it’s still pretty sensitive. My fingers feel kinda stiff and dry also there’s some odd sensations but not too often. I’m worried it could be a flexor tendon but hoping it’s internal inflammation or something like that ANY insight would be so appreciated. I can’t afford to go to the hospital I recently lost my insurance. I’m worried I could lose range of motion or in my hand or worse. I took some antibiotics from my nurse sister it was Doxycycline bc she didn’t have Amox culvate. Any advice, any info, any words of encouragement would be great. I hope everyone going through these similar problems heals up well.

*Is it very odd for a deep puncture wound dog bite like this to still be sore and as I described even after a week. I’m a slow healer in general but I just thought I’d be further a long after 7.5 days. If there’s a email I could send a photo to I’d truly appreciate it.

[nan]

My relative young boy is post elbow internal fixation, he can’t flex both index and thumb at the middle interphalangeal joints. Does this mean that the flexor tendons of the fingers are injured/ruptured and need tendon repair surgery?

[jameswilliams]

I have lacerated my fdp tendon on my pinkie finger (not sure if full or partial) and am scheduled for surgery on Monday. I haven’t lost any feeling and I feel like I can sense slight movement in the top when I try to flex it. Having done research into the recovery and levels of patent satisfaction I am honestly considering not having the procedure done. The laceration was not vastly deep. are there any major complications that could arise, not including the sacrifice of movement in my finger tip, from not going ahead with the procedure?

I am 23 year old boxer and exercise is an essential part of my life - I don’t know if I can go 3 or so months without working out and am seriously having doubts over the surgery. Also, many people report scar tissue inhibiting their ability to flex the joint anyway so is it worth it?

Any advice would be appreciated 👍🏻