Hand Specialist Orange County

Hand Surgeon Orange County


11190 Warner Ave, Suite 307 Fountain Valley, CA 92708
15000 Kensington Park Dr. Suite 350 Tustin, CA 92782

Coronavirus COVID-19 Advisory: To protect our patients and our staff all patients and visitors
will be screened prior to appointment and required to wear a face mask inside our facilities.



Call us714-434-3518
  • Home
  • Services
    • Hand Surgery
      • Animal Bites
      • Hand Rejuvenation / Hand Lift
      • Carpal Tunnel Syndrome
      • Cubital Tunnel Syndrome
      • de Quervain’s Tendonitis
      • Dupuytren’s Disease
      • Extensor Tendon Injuries
      • Flexor Tendon Injuries
      • Fingertip Injuries
      • Ganglion Cysts
      • Hand Fractures
      • Gout and Pseudogout
      • Mallet Finger
      • Nail Bed Injuries
      • Nerve Injuries
      • Trigger Finger
  • Surgeon
    • Dr. Ying Chi, MD
    • News
  • Gallery
  • New Patients
  • Direct Pay Services
  • Hand Rejuvenation
    • RADIESSE® Hand Rejuvenation
    • Chemical Peels
  • 中文 Chinese
    • National’s / Service
  • Contact

Extensor Tendon Injuries

olderWOmanBlondeFace

What is an Extensor Tendon?

Extensor tendons, located on the back of the hand and fingers, allow you to straighten your fingers and thumb (see Figure 1).  These tendons are attached to muscles in the forearm.  As the tendons continue into the fingers, they become flat and thin.  In the fingers, smaller tendons from small muscles in the hand join these tendons.  It is these small-muscle tendons that allow delicate finger motions and coordination.

How are Extensor Tendons Injured?

Extensor tendons are just under the skin, directly on the bone, on the back of the hands and fingers.  Because of their location, even a minor cut can easily injure them.  Jamming a finger may cause these thin tendons to rip apart from their attachment to the bone.  After this type of injury, you may have a hard time straightening one or more joints.  Treatment is necessary to return use to the tendon and finger.

How are Extensor Tendon Injuries Treated?

Cuts that split the tendon may need stitches, but tears caused by jamming injuries are usually treated with splints.  Splints stop the healing ends of the tendons from pulling apart and should be worn at all times until the tendon is fully healed.  Your doctor will apply the splint in the correct place and give you directions on how long to wear it.  Sometimes a pin is placed through the bone across the joint as an internal splint in addition to the external splint.

What are the Common Extensor Tendon Injuries?

Mallet finger refers to the droop of the end joint where an extensor tendon has been cut or separated from the bone (see Figure 2).  Sometimes a piece of bone is pulled off with the tendon, but the result is the same:  a fingertip that cannot actively straighten.  Whether the tendon injury is caused by a cut or jammed finger, splinting is necessary.  Often the cut tendon requires stitches.  A splint is used to keep the fingertip straight until the tendon is healed.  The size of the splint and length of time you will have to wear it is determined by the type and location of your injury.  The splint should remain in place constantly during this time.  The tendon may take four to eight weeks, or longer in some patients, to heal completely.  Removing the splint early may result in drooping of the fingertip, which may then require additional splinting.  Your physician will instruct you to remove the splint at the proper time.  Sometimes there is a mild permanent droop, despite proper splint wear.

Cheap Jerseys free shipping,wholesale jerseys,wholesale nfl jerseysNot wipe outs. Not spread. Not commissions. cheap nfl jerseys,cheap jerseys,wholesale jerseys from china.Cheap Jerseys free shipping,wholesale jerseys,wholesale nfl jerseysThe organization has scored sold out opening night games for its first 12 seasons and is hoping for a lucky No. 13.”We’ve sold out every year, and we’re hoping to continue that,” said Rich Meyers, director of game operations.With ticket prices holding steady and new promotions and giveaways on the horizon, Griffins games often can be a bargain for fans, Meyers said.”With the economy, we make sure we do everything we can to ensure (fans) have a great time out,” Meyers said. “From the moment you walk in to the moment you leave, it’s packed with entertainment.”This season, cheap jerseys, fans will be treated to an assortment of celebrity appearances, half time entertainment and give aways including a timely promotion with Presidential candidate bobblehead dolls all of which are a bonus to the action on the ice.And hockey fans who were bummed about the Griffins’ somewhat mediocre performance last year have something to look forward to this season.”We have just an incredible team,” Meyers said of the recharged lineup.Arrive early Saturday night for a pregame show dedicated to “Stanley Cup Champions: Raised in Grand Rapids.” Be one of the first 5,000 fans through the door and snag a pair of LED equipped thundersticks, perfect for when the lights are dimmed at the start of the game (or when you want to distract the other team).There also will be a post game open skate and autograph session.Sunday’s theme is “Pink at the Rink” hosted in conjunction with Susan G. cheap nfl jerseys,cheap jerseys,wholesale jerseys from china.Cheap Jerseys free shipping,wholesale jerseys,wholesale nfl jerseysSee note 3, supra.[1] Of the Zephrine A. Anderson Revocable Trust.[2] Eileen Sweeney Wright, Donna Lee Johnson, Edward Sherman, William Leary, Eugene A. Lavoie, Shriners Hospital for Children, St. cheap nfl jerseys,cheap jerseys,wholesale jerseys from china.Cheap Jerseys free shipping,wholesale jerseys,wholesale nfl jerseysWebster said he spoke with several students who claimed Johnson was lured into the high school’s old gymnasium, cheap jerseys, beaten and rolled up in a mat. But Webster admitted none of the students claimed to have witnessed such an incident. Nor, Webster said, was he able to confirm any of their accusatory statements.. cheap nfl jerseys,cheap jerseys,wholesale jerseys from china.Cheap Jerseys free shipping,wholesale jerseys,wholesale nfl jerseysExperience in the industry has made her pretty sceptical about recent wellness trends and food bloggers many of whom have few qualifications and make bold claims about food.word wellness means nothing. It basically people beating themselves up with so many rules in what they should and shouldn be eating, and making themselves miserable.you want to read more about this then look at Hadley Freeman article for The Guardian, she wrote a really amazing expose about the wellness industry. It is an article that needed to be written, and she wrote it brilliantly. cheap nfl jerseys,cheap jerseys,wholesale jerseys from china.Cheap Jerseys free shipping,wholesale jerseys,wholesale nfl jerseysThe 1964 Wilderness Act defines wilderness in part as area where the earth and its community of life are untrammeled by man, cheap jerseys, where man himself is a visitor who does not remain. Untrammeled, cheap jerseys, a somewhat arcane word, was nonetheless deliberately chosen for this definition because it essentially means un manipulated by humankind. The 1964 law further defines wilderness and also emphasizes that the primary purpose of the law is to wilderness character. cheap nfl jerseys,cheap jerseys, cheap jerseys,wholesale jerseys from china.Cheap Jerseys free shipping,wholesale jerseys,wholesale nfl jerseysJim Yount and Ron Townsend nailed three hits each for CJs, with Fred Kramer, Leon Schmitt, and Bill Dauch having two hits. Kramer, Schmitt and Fran Diotte whacked a triple. Yount had four RBIs, Kramer and Schmitt two. cheap nfl jerseys,cheap jerseys,wholesale jerseys from china.Cheap Jerseys free shipping,wholesale jerseys,wholesale nfl jerseysHe called the Dragados USA, cheap jerseys, the main contractor for the I 75 work zone between Griffin Road and I 595 and was told they weren’t responsibleHe turned to the Sun Sentinel, cheap jerseys, which put him in touch with the project’s public information officeAs many as 180,000 vehicles a day travel I 75 on its busiest stretch in Broward south of Royal Palm BoulevardIn the past year, construction has expanded to include all of I 75 from I 595 to the Palmetto Expressway. Crews are adding express lanes two in each direction in the median, upgrading some interchanges and building noise walls. The dirt will be compacted and then topped by more than 200,000 tons of asphalt, which would pave a two lane road from Fort Lauderdale to MelbourneUnder Florida law, contractors are responsible for construction related property damage claims and the majority of the dump trucks delivering material are independent subcontractorsBut the state offers assistance in helping motorists settle those claims by directing them to the company responsible, said project spokeswoman Monica Diaz”This is considered a third party claim between the vehicle owner and the respective contractor,” she said. cheap nfl jerseys,cheap jerseys,wholesale jerseys from china

Boutonniere deformity describes the bent-down (flexed) position of the middle joint of the finger from a cut or tear of the extensor tendon at the middle joint (see Figure 3).  Treatment involves splinting the middle joint in a straight position until the injured tendon is fully healed.  Sometimes, stitches are necessary when the tendon has been cut and even if the tendon is torn.  If the injury is not treated, or if the splint is not worn properly, the finger can quickly become even more bent and finally stiffen in this position.  Be sure to follow your doctor’s instructions and wear your splint for a minimum of four to eight weeks.  Your doctor will tell you when you may stop wearing the splint.

Lacerations or cuts on the back of the hand that go through the extensor tendons cause difficulty in straightening the finger at the large joint where the fingers join the hand.  Stitching the tendon ends together is the usual way of treating these injuries, followed by splinting to protect the repair.  The splint for a tendon injury in this area may include the wrist and part of the finger.  Dynamic splinting, which is a splint with slings that allows some finger motion, may be used for injuries of this kind.  The dynamic splint allows early movement and protects the healing tendon.

What Can I Expect as a Result of my Extensor Tendon Injury?

Extensor tendon injuries may form scar that causes the tendon to adhere to nearby bone and scar tissue, limiting the movement of the tendon. The scar tissue that forms may prevent full finger bending and straightening even with the best of treatment.  Many factors can affect the seriousness of the injury, including fracture, infection, medical illnesses, and individual differences.  To improve motion, hand therapy may be necessary.  Surgery to free scar tissue may sometimes by helpful in serious cases of motion loss.   Your physician will explain the risks and benefits of the various treatments of extensor tendon injuries.

Extensor1_c

Extensor tendons, located on the back of the hand and fingers, allow you to straighten your fingers and thumb.

Extensor2_c

Figure 2: The mallet finger deformity causes a droop of the fingertip. This is caused by injury to the extensor tendon at the last finger joint.

Extensor3_c

Figure 3: The boutonnière deformity with progressive flexion, or bending, of the middle joint may result in a stiff finger in this position if not treated. The end joint also hyperextends (bends backward) from the altered force across the finger.

 

Hours & Location

Hours:
Mon-Fri 8:00am - 4:00pm

Orange County Hand Surgery Specialists
Phone: 714-434-3518

Fountain Valley Office

Tustin Office

© 2021 ochandsurgery.com | Site Map | TOS/Privacy Policy | OC Hand Surgery