الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Aim of the work
To study injuries in the long tendons of the hand (flexor and extensor) including recent advances in management of acute and chronic injuries of these tendons.
Conclusion
Extensor tendon injuries are encountered much more frequently than flexon tendon injuries because of their less protected anatomic location. However, because of the misconception that they are comparatively simple to treat, they are often treated in the emergency room by un-initiated physicians who underestimate the injury. The management of extensor injuries demands the same degree of skill and knowledge required for the care of flexor tendon injuries. Recent clinical reports advocate the importance of initial treatment and post operative rehabilitation of extensor injuries, because good outcomes are not always as easily obtained as once assumed. Because excursion of the extensor tendon over the finger is less than with flexors, preservation of length is far more critical to restore normal tendon balance.
The immobilized tendons healed by an inflammatory response from the tendon sheath. This caused large tendon calluses and extrinsic adhesions, which interfered with the restoration of the smooth gliding surfaces so rehabilitation of hand after tendons repair are now routinely applied in an effort to assist the conversion of unfavorable scar to favorable scar.
Early mobilization protocols generally fall into three categories: active extension with rubber band flexion, controlled passive motion and controlled active motion.