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Extensor Tendon Injuries in Children

Fitoussi, Frank MD; Badina, Alina MD; Ilhareborde, Brice MD; Morel, Etienne MD; Ear, Ravut MD; Penneçot, Georges F. MD

Journal of Pediatric Orthopaedics: December 2007 - Volume 27 - Issue 8 - p 863-866
doi: 10.1097/BPO.0b013e31815a60fc
Trauma: Original Article

Introduction: This study retrospectively analyzes primary extensor tendon repairs in children younger than 15 years.

Methods: Exclusion criteria were skin loss, devascularization, fractures, or flexor tendon injuries. Fifty patients who had sustained extensor tendon laceration with 53 digits injured were available for review. Treatment consisted of primary repair of the extensor tendon injury within the first 24 hours. The results were assessed by means of total active motion system and by Miller's rating system. The mean follow-up was 2 years.

Results: Although 98% of the digits were rated as good or excellent according to the total active motion system and 95% according to Miller's classification, 22% of the fingers showed extension lag or loss of flexion at the last follow-up.

Discussion: Pejorative influencing factors were injuries in zones I, II, and III; children younger than 5 years (P < 0.05), and complete tendon laceration. Articular involvement had no significant influence on final outcome.

From the Department of Orthopaedic Surgery, Robert Debre Hospital, Paris VII University, Paris, France.

None of the authors received financial support for this study.

Reprints: Frank Fitoussi, MD, Robert Debre hospital, Service de Chirurgie Orthopédique, 48 Blvd Serurier, 75019 Paris, France. E-mail:

© 2007 Lippincott Williams & Wilkins, Inc.