Turkish Journal of Physical Medicine and Rehabilitation 2009 , Vol 55 , Num 1
Early Rehabilitation Outcome and Demographic and Clinical Features of Patients with Traumatic Tendon Injury
Bengi Öz 1 ,Serpil Bal 2 ,Cenk Demirdöven 3 ,Asuman Memiş 4 ,Alev Gürgan 5 ,Barış Şahin 3 ,Hasan Yücel Öztan 3
1 Atatürk Eğitim ve Araştırma Hastanesi, Fizik Tedavi ve Rehabilitasyon Kliniği, İzmir
2 Atatürk Eğitim ve Araştırma Hastanesi 2. Fizik Tedavi ve Rehabilitasyon Kliniği, İzmir, Türkiye
3 Atatürk Eğitim ve Araştırma Hastanesi, Plastik ve Rekonstrüktif Cerrahi Kliniği, İzmir
4 Atatürk Eğitim ve Araştırma Hastanesi Fiziksel Tıp ve Rehabilitasyon Kliniği, İzmir
5 Atatürk Eğitim ve Araştırma Hastanesi Fizik Tedavi ve Rehabilitasyon Kliniği, İzmir

Objective: Tendon injuries are among the most common forms of traumatic hand injuries. We aimed in this study to report the rehabilitation outcomes of flexor, extensor and combined tendon injuries.
 

Materials and Methods: Thirty-seven patients (110 digits) with traumatic hand injury who were treated  by plastic and reconstructive surgery and attended our outpatient clinic for rehabilitation were included in the study. Twenty-five patients (67.6 %) with 78 tendons had flexor (FTI), 8 patients (21.6%) with 18 tendons had extensor (ETI), and 4 patients (10.8%) with 12 tendons had both flexor and extensor tendon injury (combined) (CTI). Patients with FTI were treated by the Kleinert protocol, and those with ETI and CTI were treated by the immobilization technique. Patients in all groups were assessed by the total active motion (TAM) scoring system of the American Society of Surgery of Hand (ASSH), distal palmar crease-finger tip distance (DPCFD), and wrist range of motion (ROM) at the 4th and 8th weeks of the rehabilitation protocol.
 

Results: Excellent and good results were obtained in 51.3% of FTI patients, 94.4% of ETI patients and 58.4% of CTI patients.
 

Conclusion: Even at the 8th week of the rehabilitation period ETI results of our patients were satisfactory. Both FTI and CTI patients had fewer excellent and good results at the 8th week and these injuries need close and longer follow up of the patients. 

Keywords : Rehabilitation outcome, traumatic tendon injury