Tendon injuries in the upper limb are common and can be associated with damage to adjacent nerves and blood vessels. Mechanisms of injury include sharp lacerations, blunt trauma, avulsions, or ruptures due to attrition in the inflammatory conditions like rheumatoid arthritis.

All suspected tendon injuries should be explored in the operating theatre, using sterile technique and tourniquet control. Perioperative intravenous antibiotics and anti-tetanus prophylaxis should be routine. Delayed treatment will compromise the functional outcome.

Typical posture of a cut flexor tendon



Extensor tendon injury, pre and post operation



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