A tendon is the fibrous tissue that attaches muscle to bone in the human body. The forces applied to a tendon may be more than 5 times your body weight. In some rare instances, tendons can snap or rupture. Conditions that make a rupture more likely include the injection of steroids into a tendon, certain diseases (such as gout or hyperparathyroidism), and having type O blood.

tendon repair and reconstruction

Although fairly uncommon, a tendon rupture can be a serious problem and may result in excruciating pain and permanent disability if untreated. Each type of tendon rupture has its own signs and symptoms and can be treated either surgically or medically depending on the severity of the rupture and the confidence of the surgeon.

there are two types of surgeries for hand tendon reconstruction and repair
  • Rotator cuff

    • Many surgeons will not attempt surgical repair until nonoperative treatment has failed, even in cases of larger tears.

    • Surgical treatment is usually reserved for a severe tear in a young person or in an older person (aged 60-70 years) who is suddenly unable to externally rotate their arm.

    • Acromioplasty, removal of the coracoacromial ligament and repair of the rotator cuff tendon, usually results in near full rotator cuff strength.

  • Biceps

    • In young people unwilling to accept the loss of function and mild deformity involved with this injury, surgery is performed to repair the tendon.

    • Surgery is also considered for the middle-aged person who requires full supination strength in their line of work.

    • You should leave your arm in a sling for a few days after surgery and then begin to use the affected arm as tolerated. After surgery, your elbow flexion and arm supination is near normal in about 12 weeks.

 

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