Flexor Tendon Injuries for Orthopaedic Exams

Description

This video transcript outlines a medical teaching session focusing on flexor tendon injuries, part of a series aimed at preparing participants for the FRCS (Fellowship of the Royal College of Surgeons) examination. The session is led by an upper limb surgeon named Kashif, who provides an in-depth discussion about tendon anatomy, injury types, assessment methods, surgical techniques, and rehabilitation protocols.



Key topics covered include:

1. **Tendon Anatomy and Function**: An initial explanation of tendon roles, including a discussion of the flexor-pronator tendons and their importance in hand function.



2. **Injury Classification**: Detailed information on how flexor tendon injuries are categorized by zones, with emphasis on the proximal and distal zones along the tendon path.



3. **Clinical Assessment**: Enumerates steps to inspect for injuries, including evaluating range of motion, integrity of the digital nerves, and vascular supply.



4. **Surgical Techniques**: Insight on surgical repairs, including timing, techniques (such as the modified Kessler method), and instructions for postoperative management.



5. **Rehabilitation**: Rehabilitation protocols are outlined, stressing the importance of controlled mobilization, passive and active motion therapies, and the collaboration with hand therapists.



6. **Complications**: Discussion on potential complications like repair failure or tendon re-rupture, underlining the significance of early active mobilization protocols.



7. **Viva Preparation**: Wraps up with preparation for viva examinations, including practical insights on commonly asked questions about tendon injuries and surgical approaches.



Throughout the transcript, participant interaction is noted, focusing on ensuring understanding and clarity on various discussed materials, indicating a collaborative environment conducive to learning.

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