Lesiones de los

tendones extensoresde la

mano

Las lesiones de las extensores son frecuentemente subestimadas

-No existe tanta literatura como para los flexores.

-Son fáciles de exponer y «parecen» fáciles de reparar.

-Cualquiera sabe que suturar un flexor es un reto, pero suturar un extensor… «se hace con local en un momentito».

-No hay tanta «mística» en su rehabilitación como la hay para los flexores

Las consecuencias de la lesión y reparación de los extensores

Grado de lesión.

Zona

Tratamiento

Zonas de lesión

Kleinert HE, Verdan C: Report of the committee on tendon injuries. J Hand Surg

Am 1983; 8:794-798.

Doyle JR: Extensor tendons acute injuries. In: Green DP, ed. Operative Hand

Surgery, 4th ed.. New York: Churchill Livingstone; 1999:1950-1987.

Kleinert HE, Verdan C: Report of the committee on tendon injuries. J Hand Surg

Am 1983; 8:794-798.

Doyle JR: Extensor tendons acute injuries. In: Green DP, ed. Operative Hand

Surgery, 4th ed.. New York: Churchill Livingstone; 1999:1950-1987.

Kleinert HE, Verdan C: Report of the committee on tendon injuries. J Hand Surg

Am 1983; 8:794-798.

Doyle JR: Extensor tendons acute injuries. In: Green DP, ed. Operative Hand

Surgery, 4th ed.. New York: Churchill Livingstone; 1999:1950-1987.

Kleinert HE, Verdan C: Report of the committee on tendon injuries. J Hand Surg

Am 1983; 8:794-798.

Doyle JR: Extensor tendons acute injuries. In: Green DP, ed. Operative Hand

Surgery, 4th ed.. New York: Churchill Livingstone; 1999:1950-1987.

ZONA I

Kleinert HE, Verdan C: Report of the committee on tendon injuries. J Hand Surg

Am 1983; 8:794-798.

Doyle JR: Extensor tendons acute injuries. In: Green DP, ed. Operative Hand

Surgery, 4th ed.. New York: Churchill Livingstone; 1999:1950-1987.

ZONA II

Kleinert HE, Verdan C: Report of the committee on tendon injuries. J Hand Surg

Am 1983; 8:794-798.

Doyle JR: Extensor tendons acute injuries. In: Green DP, ed. Operative Hand

Surgery, 4th ed.. New York: Churchill Livingstone; 1999:1950-1987.

ZONA III

Kleinert HE, Verdan C: Report of the committee on tendon injuries. J Hand Surg

Am 1983; 8:794-798.

Doyle JR: Extensor tendons acute injuries. In: Green DP, ed. Operative Hand

Surgery, 4th ed.. New York: Churchill Livingstone; 1999:1950-1987.

ZONA IV

Kleinert HE, Verdan C: Report of the committee on tendon injuries. J Hand Surg

Am 1983; 8:794-798.

Doyle JR: Extensor tendons acute injuries. In: Green DP, ed. Operative Hand

Surgery, 4th ed.. New York: Churchill Livingstone; 1999:1950-1987.

ZONA V

Kleinert HE, Verdan C: Report of the committee on tendon injuries. J Hand Surg

Am 1983; 8:794-798.

Doyle JR: Extensor tendons acute injuries. In: Green DP, ed. Operative Hand

Surgery, 4th ed.. New York: Churchill Livingstone; 1999:1950-1987.

ZONA VI

Kleinert HE, Verdan C: Report of the committee on tendon injuries. J Hand Surg

Am 1983; 8:794-798.

Doyle JR: Extensor tendons acute injuries. In: Green DP, ed. Operative Hand

Surgery, 4th ed.. New York: Churchill Livingstone; 1999:1950-1987.

ZONA VII

Kleinert HE, Verdan C: Report of the committee on tendon injuries. J Hand Surg

Am 1983; 8:794-798.

Doyle JR: Extensor tendons acute injuries. In: Green DP, ed. Operative Hand

Surgery, 4th ed.. New York: Churchill Livingstone; 1999:1950-1987.

ZONAS VIII y IX

Kleinert HE, Verdan C: Report of the committee on tendon injuries. J Hand Surg

Am 1983; 8:794-798.

Doyle JR: Extensor tendons acute injuries. In: Green DP, ed. Operative Hand

Surgery, 4th ed.. New York: Churchill Livingstone; 1999:1950-1987.

ZONAS PULGAR

Kleinert HE, Verdan C: Report of the committee on tendon injuries. J Hand Surg

Am 1983; 8:794-798.

Doyle JR: Extensor tendons acute injuries. In: Green DP, ed. Operative Hand

Surgery, 4th ed.. New York: Churchill Livingstone; 1999:1950-1987.

ZONA PULGARTI

Kleinert HE, Verdan C: Report of the committee on tendon injuries. J Hand Surg

Am 1983; 8:794-798.

Doyle JR: Extensor tendons acute injuries. In: Green DP, ed. Operative Hand

Surgery, 4th ed.. New York: Churchill Livingstone; 1999:1950-1987.

ZONA PULGARTII

Kleinert HE, Verdan C: Report of the committee on tendon injuries. J Hand Surg

Am 1983; 8:794-798.

Doyle JR: Extensor tendons acute injuries. In: Green DP, ed. Operative Hand

Surgery, 4th ed.. New York: Churchill Livingstone; 1999:1950-1987.

ZONA PULGARTIII

Kleinert HE, Verdan C: Report of the committee on tendon injuries. J Hand Surg

Am 1983; 8:794-798.

Doyle JR: Extensor tendons acute injuries. In: Green DP, ed. Operative Hand

Surgery, 4th ed.. New York: Churchill Livingstone; 1999:1950-1987.

ZONA PULGARTIV

Kleinert HE, Verdan C: Report of the committee on tendon injuries. J Hand Surg

Am 1983; 8:794-798.

Doyle JR: Extensor tendons acute injuries. In: Green DP, ed. Operative Hand

Surgery, 4th ed.. New York: Churchill Livingstone; 1999:1950-1987.

ZONA PULGARTV

TRATAMIENTO

Doyle JR: Extensor tendons—acute injuries, in Green DP, Hotchkiss

RN, PedersonWC(eds): Green’s Operative Hand Surgery, ed 4. New

York, NY: Churchill Livingstone, 1999, pp 1962- 1987.

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