[Vascular bed of the fingers in injuries of flexor tendons and arteries]. 1989

S E L'vov, and E P Roslova, and A V Kodin, and I O Golubev

Active movements of 161 fingers after a tendon suture in the "critical" area have been examined in 36 +/- 1.4 months after injuries. Impairments of the vasculo-neural fascicles have been detected in 61.2% of fingers whose movements did not differ from the movements of the fingers with intact innervation and circulation. Contrast arteriography (in cadaver experiments) of cut wounds of the fingers with disruptions of the tendons and arteries has shown that disruption of both the main arteries with crossing the soft tissues of the palmar and lateral surfaces of 2-5 fingers excludes the arteries distal to the injury from the blood flow. Intact soft tissues could provide the functioning of the collaterals along approximately 10 mm on the proximal phalanx and 6 mm on the middle one. After tendon sutures the tendons regeneration takes place in conditions of intact collateral circulation in cases with wounds of 2-5 fingers, involving injury to one artery, or of the main arteries of 1 finger, or with intact soft tissues on the palm surface of 2-5 fingers.

UI MeSH Term Description Entries
D011859 Radiography Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film). Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D005383 Finger Injuries General or unspecified injuries involving the fingers. Injuries, Finger,Finger Injury,Injury, Finger
D005385 Fingers Four or five slender jointed digits in humans and primates, attached to each HAND. Finger
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001158 Arteries The vessels carrying blood away from the heart. Artery
D013537 Sutures Materials used in closing a surgical or traumatic wound. (From Dorland, 28th ed) Staples, Surgical,Surgical Staples,Staple, Surgical,Surgical Staple,Suture
D013708 Tendon Injuries Injuries to the fibrous cords of connective tissue which attach muscles to bones or other structures. Injuries, Tendon,Injury, Tendon,Tendon Injury
D013997 Time Factors Elements of limited time intervals, contributing to particular results or situations. Time Series,Factor, Time,Time Factor

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