Tendon Laceration

Tendon Laceration is a topic covered in the 5-Minute Emergency Consult.

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Basics

ALERT
Tendons near lacerations must be explored through complete range of motion to rule out injury.

Description

  • Based on mechanism
  • External trauma:
    • Penetrating trauma:
      • Gunshot wounds
      • Glass
      • Knives
      • Foreign bodies
    • Blunt trauma:
      • Crushing force or avulsion from hyperextension of a joint
  • Internal trauma:
    • Entrapment/laceration from bony fracture (rare)

Etiology

Tendon injuries grossly categorized into those affecting upper vs. lower extremities:
  • Upper-extremity injuries frequently related to the workplace, home, an assault, or attempted suicide
  • Lower-extremity injuries most often associated with work or motor vehicle accident

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