Die Ruptur der FDP-Sehne ist generell schwieriger zu therapieren. Bei sehr distalen Rupturen ist evtl. eine Reinsertion möglich, alternativ bleibt die Kapsulodese oder Arthrodese des DIP-Gelenks.

Bei kombinierten Rupturen beider Beugesehnen stehen prinzipiell 2 Möglichkeiten zur Verfügung: Die Kombination der Endgelenkarthrodese mit der Reinsertion einer der beiden Flexoren in die Mittelgliedbasis oder die 2-zeitige Sehnenrekonstruktion.

Interessenkonflikt: Keine angegeben

Korrespondenzadresse

Dr. med. Thomas Geyer

ATOS Praxisklinik Heidelberg

Praxis für Hand-, Ellenbogen-
und Fußchirurgie

Bismarckstraße 9–15

69115 Heidelberg

assoziationhand@web.de

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Fussnoten

1 ATOS Praxisklinik Heidelberg, Praxis für Hand-, Ellenbogen- und Fußchirurgie