Eur J Plast Surg (2014) 37:177–178 DOI 10.1007/s00238-013-0913-5 LETTER TO THE EDITOR Aiding flexor sheath cannulation to retrieve retracted flexor tendons in the hand Guirgis Arsanios Awad & James Warbrick-Smith Received: 26 October 2013 /Accepted: 15 November 2013 /Published online: 6 December 2013 Springer-Verlag Berlin Heidelberg 2013 Sir, Flexible retrieval devices, e.g., infant feeding tubes, have Retrieval of the proximal end of flexor tendons in zones I and many features to recommend their use, being soft, blunt- II injuries can be challenging. The proximal end often retracts tipped, fine gauge, and deformable. Nevertheless, these very into the palm. This must be identified and delivered through features can also be their downfall. The feeding tube can the sheath atraumatically, preserving the pulley system, espe- commonly coil upon itself within the flexor tendon sheath. It cially A2 and A4. The relation between flexor digitorum is sometimes challenging to pass it retrogradely through the profundus (FDP) and the chiasm of flexor digitorum FDS chiasm attempting FDP retrieval. Repeated attempts at superficialis (FDS) must also be preserved. This is often very passage increase the likelihood of trauma to the sheath, tissue challenging when FDP is severed beyond the chiasm and swelling and more
European Journal of Plastic Surgery – Springer Journals
Published: Mar 1, 2014
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