An Alternative ‘Viewing Box’ for Hand X-rays
AbstractLetters to the Editor Letters of comment about recently published papers should be sent by email to: firstname.lastname@example.org or by post to: The Journal of Hand Surgery, PO Box 7704, Oakham LE15 ZH, UK. Letters are sent to the authors of the original papers for their comments but will be published without a reply if the authors do not wish to make a comment. The Editor reserves the right to make editorial and literary changes to letters and to reject those deemed to be of insufficient interest to readers. A New Technique for Reduction of Flexor Tendon Avulsions after Delayed Presentation Dear Sir, Delayed reduction of avulsed FDP tendons may be complicated by difficulty in passing the tendon through the A4 or, less often, the A2 pulley. The various techniques of doing this were comprehensively reviewed recently by Kamath and Bhardwaj (2007). We present a simple solution to this problem. A 6Fr urinary catheter is passed in a retrograde direction down the empty tendon sheath to the free end of the tendon. If necessary, the catheter can be inflated to dilate pulleys, as described by Jarvis et al. (2002), and this has proven helpful in 25% of cases.