Page 40 - 2021 IDMT Digital
P. 40

FLEXOR TENDON INJURIES
          Introduction:
            •  7KH IOH[RU GLJLWRUXP VXSHUILFLDOLV  )'6  DQG WKH IOH[RU GLJLWRUXP SURIXQGXV  )'3  DUH
               WKH SULPH IOH[RU WHQGRQV RI WKH ILQJHUV
            •  7KH LQMXUHG WHQGRQ FDQ EH LGHQWLILHG E\ WKH ORFDWLRQ RI LQDELOLW\ WR PRYH WKH ILQJHU
            •  $Q LQMXU\ WR D IOH[RU WHQGRQ DQ\ZKHUH RQ WKH KDQG FDQ GHQ\ WKH DELOLW\ WR JULS HIIHFWLYHO\
               DQG PXVW EH UHFRJQL]HG IRU DGHTXDWH WUHDWPHQW WR RFFXU DQG WR DYRLG SHUPDQHQW
               GLVDELOLW\
          Subjective:
            •  6LJQV DQG 6\PSWRPV
                 o  3DLQ LQ WKH DIIHFWHG ILQJHU
                 o  ,QDELOLW\ WR IOH[ WKH ILQJHU DW 3,3  ',3 RU ERWK
            •  )RFXVHG +LVWRU\
                 o  +DQG GRPLQDQFH
                 o  0HFKDQLVP RI LQMXU\
                 o  +LVWRU\ RI LQMXU\ WR KDQG RU ILQJHUV
                 o  1XPEQHVV RU WLQJOLQJ DVVRFLDWHG ZLWK LQMXU\
          Objective:
            •  3K\VLFDO ([DP
                 o  2EYLRXV GHIRUPLW\ PD\ EH SUHVHQW
                 o  (FFK\PRVLV
                 o  6ZHOOLQJ
                 o  $520 PD\ EH UHGXFHG
                 o  3520 VKRXOG EH LQWDFW
                 o  7HVW VWUHQJWK DJDLQVW RSSRVLWH ILQJHUV
                       ƒ  ',3 DQG 3,3  WHVWLQJ   GLIIHUHQW WHQGRQV
            •  7RROV
                 o  0DLQO\ D FOLQLFDO GLDJQRVLV  EXW ; UD\V PD\ VKRZ D VPDOO DYXOVLRQ IUDFWXUH
          Assessment:
            •  'LIIHUHQWLDO
                 o  )UDFWXUH  QRWHG RQ ; UD\V LI DYDLODEOH
                 o  'LVORFDWLRQ  QRWHG RQ ; UD\V RU REYLRXV GHIRUPLW\ RI WKH ILQJHU
          Plan:
            •  16$,'V QDUFRWLFV IRU SDLQ FRQWURO
            •  6SOLQW ZLWK ZULVW DQG KDQG LQ IOH[HG SRVLWLRQ  EXW QRW ZLWK D ILVW
            •  (9$& RU WUDQVIHU
            •  7KLV LQMXU\ UHTXLUHV VXUJLFDO LQWHUYHQWLRQ


















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