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Doctor insights on: Cut Tendon

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Could a deep cut on the volar side of the thumb cut the extensor tendon while leaving the flexor tendon intact?

Could a deep cut on the volar side of the thumb cut the extensor tendon while leaving the flexor tendon intact?

No: The extensor tendon is on the dorsal or top side. A volar injury is likely to. Injure a flexor tendon or nerve. See a hand surgeon. ...Read more

Tendon (Definition)

Tendons are made up of collagen and are the functional tissue that interfaces between muscles and bone. Muscles generate force that is transmitted through its tendon that inserts on a specific bone that is moved in the plane of the connecting joint made ...Read more


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2.5 cm cut, top of foot below big toe, 6 stiches. Hallucis longus tendon was partially cut, wearing a cam boot. Is it ok to be on feet 5 hours?

2.5 cm cut, top of foot below big toe, 6 stiches. Hallucis longus tendon was partially cut, wearing a cam boot. Is it ok to be on feet 5 hours?

Don't even ask.: This is an example of one of those hypotheticals that that surgeons are expected to have an answer for without knowing all the details. After practicing for almost forty years, my answer has never wavered. "If you have to ask, the answer is NO." ...Read more

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During foot reconstruction for foot compartment syndrome damage, cut plantar fascia off my heel bone. Will it scar back to heel or remain floating?

During foot reconstruction for foot compartment syndrome damage, cut plantar fascia off my heel bone. Will it scar back to heel or remain floating?

It Will Scar down: The ligament will grow and attach in an elongated status. Massage frequently during the first 8 weeks to minimize scar fibrosis, scaring and use an arch support or orthotic to decrease stress on this plantar fascial ligament. ...Read more

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Clean knife cut on thumb, will i need stitches?

Clean knife cut on thumb, will i need stitches?

That depends on: Things like the depth of the cut, if there is a problem controlling bleeding and it the laceration keeps bulging open. If you haven't had a tetanus shot in the last 10 years or you don't know then you need a tetanus shot. When in doubt seek medical evaluation. ...Read more

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Will i need foot surgery for focal longitudinal split tear of the peroneus longus tendon, tenosynovitis of the flexor tendons, or a non visualized atf?

Will i need foot surgery for focal longitudinal split tear of the peroneus longus tendon, tenosynovitis of the flexor tendons, or a non visualized atf?

MAYBE: For the flexor tenosynovitis, no; PT, rest w/ a boot, NSAID's may help. "Non-visualized ATF?" I would have to see you clinically. Do you have an unstable ankle? "Split PL tendon"-I would start w/ a boot or brace, maybe PT. If it does not get better and it hurts, may need repair. Good luck! Dr. Latva ...Read more

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What takes the longest to heal torn muscle, torn ligament, or torn tendon? Area is back and knee.

What takes the longest to heal torn muscle, torn ligament, or torn tendon? Area is back and knee.

Torn muscle: Healing depends on degree of trauma, type of muscle, location of joints, age, and degree of rest. Like wise so many variable. Some doesn't heal at all without surgical treatment. ...Read more

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Peroneal tendons subluxing. Extensor retinaculum repair just failed. Cavus foot from CS. Can both retinacula (2) & cavus be fixed at once? Techniques?

Peroneal tendons subluxing. Extensor retinaculum repair just failed. Cavus foot from CS. Can both retinacula (2) & cavus be fixed at once? Techniques?

Yes: the cavus is the bone position typically as in your condition at the heel. A bone cut can be made to align the heel. The retinacular repair can be done at the same time. ...Read more

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Tfcc injured. Will immobilization of the wrist heal cartilage?

Varies: It varies quite a bit, depending in part on the severity of the injury to the TFCC. Some people may have a very mild injury and do fine without even immobilization, while others can have injuries severe enough they need surgery. Initial immobilization is appropriate for many TFCC injuries to see if they will heal. May want to discuss specifics if your injury with your MD. ...Read more

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(labral tear-pt & injection haven't helped) surgeon wants to cut hip flexor tendon & repair labrum - is cut necessary? Will it create more problems?

(labral tear-pt & injection haven't helped) surgeon wants to cut hip flexor tendon & repair labrum - is cut necessary? Will it create more problems?

Depends: Depends somewhat based upon your problem. If it is only the label tear itself, then a repair would be sufficient. He seems to think you also have some pathology if the hip flexor itself, which very well may be the case. ...Read more

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MRI of ankle shows tenosynovitis of flexor longus tendon. Can that contribute to tarsal tunnel?

MRI of ankle shows tenosynovitis of flexor longus tendon. Can that contribute to tarsal tunnel?

Tenosynovitis: Tenosynovitis means inflammation of the internal lining/membrane of a tendon. The Flexor Hallucis Longus or Flexor Digitorum longus tendons run along the medial ankle to the bottom of the foot to each respective toe. The FHL and FDL tendons, along with the Posterior Tibial Tendon and a Neurovascular bundle run in the tarsal canal, so, yes, inflammation of any of these tendons can affect Tarsal T ...Read more

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Can surgery to remove a ganglion on my hand (extensor ) damage your tendon sheath?

Can surgery to remove a ganglion on my hand (extensor ) damage your tendon sheath?

Yes and no: Often the tendon sheath need to be opened slightly, especially for the small gangglions TAH appear in the dorsal part of the rwrist near the radiocarpal joint near the distal edge or the extensor retinaculum, in fact if the tendon sheatht or retinaculum os not opened there the ganglion can be missed....And typically it is not repaired.So yes it is "damaged" but not in the sense of the word. ...Read more

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Is surgery necessary for longitudinal peroneal tendon split?

Is surgery necessary for longitudinal peroneal tendon split?

Function : Studies show surgery if indicated for ruptures or when injuries diminish function. See ortho surgeon for expert consultation. http://emedicine.medscape.com/article/91344-treatment#d10 ...Read more

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Peroneal retinaculum repaired twice, peroneus brevis to longus tenodesis. New MRI shows hypertrophic tear of peroneus longus. What are my options?

Peroneal retinaculum repaired twice, peroneus brevis to longus tenodesis.  New MRI shows hypertrophic tear of peroneus longus.  What are my options?

I would try: And figure out what stresses are being placed on the tendon.....For whatever the reason it seems the peroneals have alot of pressure on them.....I would think of how to destrees or remove load from them or whatever is causing them to fail. ...Read more

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Injured rotator cuff almost torn in half and my bicep tendon muscle ruptured surgery now trigger finger problems. Normal?

Injured rotator cuff almost torn in half and  my bicep tendon muscle ruptured surgery  now trigger finger problems. Normal?

Yes: That sounds pretty typical. The biceps tear and rotator cuff tear occurs together as part of the same degenerative process. The tears (along with the surgery) cause swelling that involves the entire hand. The swelling and inflammation makes trigger fingers worse by swelling the finger tendons that no longer fit through their tendon sheaths. ...Read more

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Can a nail injury on plica semilunaris heal?

Can a nail injury on plica semilunaris heal?

Injury: I am assuming this is a fingernail-induced injury. If muscle and lacrimal canals have not been injured, then the wound ought to heal. However, i would suture this wound, to insure that the appropriate tissues coapt well. ...Read more