Effectiveness of Peripheral Nerve Block for Early Active Exercise: Three Cases of Pyogenic Flexor Tenosynovitis
To prevent limitations in the range of motion after hand surgery, it is crucial to minimize scar tissue formation and adhesions. Thus, it is important to initiate active hand exercises during the early postoperative period. Peripheral nerve blocks (PNBs) may be employed for active hand exercises as...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2025-01-01
|
| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/cro/4789432 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849426839951376384 |
|---|---|
| author | Takahiro Sato Tsuyoshi Shirahata Koji Nozaka Naohisa Miyakoshi |
| author_facet | Takahiro Sato Tsuyoshi Shirahata Koji Nozaka Naohisa Miyakoshi |
| author_sort | Takahiro Sato |
| collection | DOAJ |
| description | To prevent limitations in the range of motion after hand surgery, it is crucial to minimize scar tissue formation and adhesions. Thus, it is important to initiate active hand exercises during the early postoperative period. Peripheral nerve blocks (PNBs) may be employed for active hand exercises as they minimize postoperative pain. We reported three cases of pyogenic flexor tendonitis in which PNB was administered postoperatively, and changes in the range of motion were observed. In all cases, a pulp–palmar distance (PPD) of 1 mm was achieved within 1 week after surgery under PNB, and all cases were evaluated as “good” in Flynn’s functional evaluation at the last observation. However, PPD worsened at 3 weeks postoperatively, and all patients exhibited limited proximal interphalangeal joint extension at the final observation. Although our method effectively improved the flexion range of motion, additional measures should be taken to improve the extension range of motion. |
| format | Article |
| id | doaj-art-559177693faf4bba9bd49d954fe98541 |
| institution | Kabale University |
| issn | 2090-6757 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-559177693faf4bba9bd49d954fe985412025-08-20T03:29:14ZengWileyCase Reports in Orthopedics2090-67572025-01-01202510.1155/cro/4789432Effectiveness of Peripheral Nerve Block for Early Active Exercise: Three Cases of Pyogenic Flexor TenosynovitisTakahiro Sato0Tsuyoshi Shirahata1Koji Nozaka2Naohisa Miyakoshi3Department of Orthopedic SurgeryDepartment of Orthopedic SurgeryDepartment of Orthopedic SurgeryDepartment of Orthopedic SurgeryTo prevent limitations in the range of motion after hand surgery, it is crucial to minimize scar tissue formation and adhesions. Thus, it is important to initiate active hand exercises during the early postoperative period. Peripheral nerve blocks (PNBs) may be employed for active hand exercises as they minimize postoperative pain. We reported three cases of pyogenic flexor tendonitis in which PNB was administered postoperatively, and changes in the range of motion were observed. In all cases, a pulp–palmar distance (PPD) of 1 mm was achieved within 1 week after surgery under PNB, and all cases were evaluated as “good” in Flynn’s functional evaluation at the last observation. However, PPD worsened at 3 weeks postoperatively, and all patients exhibited limited proximal interphalangeal joint extension at the final observation. Although our method effectively improved the flexion range of motion, additional measures should be taken to improve the extension range of motion.http://dx.doi.org/10.1155/cro/4789432 |
| spellingShingle | Takahiro Sato Tsuyoshi Shirahata Koji Nozaka Naohisa Miyakoshi Effectiveness of Peripheral Nerve Block for Early Active Exercise: Three Cases of Pyogenic Flexor Tenosynovitis Case Reports in Orthopedics |
| title | Effectiveness of Peripheral Nerve Block for Early Active Exercise: Three Cases of Pyogenic Flexor Tenosynovitis |
| title_full | Effectiveness of Peripheral Nerve Block for Early Active Exercise: Three Cases of Pyogenic Flexor Tenosynovitis |
| title_fullStr | Effectiveness of Peripheral Nerve Block for Early Active Exercise: Three Cases of Pyogenic Flexor Tenosynovitis |
| title_full_unstemmed | Effectiveness of Peripheral Nerve Block for Early Active Exercise: Three Cases of Pyogenic Flexor Tenosynovitis |
| title_short | Effectiveness of Peripheral Nerve Block for Early Active Exercise: Three Cases of Pyogenic Flexor Tenosynovitis |
| title_sort | effectiveness of peripheral nerve block for early active exercise three cases of pyogenic flexor tenosynovitis |
| url | http://dx.doi.org/10.1155/cro/4789432 |
| work_keys_str_mv | AT takahirosato effectivenessofperipheralnerveblockforearlyactiveexercisethreecasesofpyogenicflexortenosynovitis AT tsuyoshishirahata effectivenessofperipheralnerveblockforearlyactiveexercisethreecasesofpyogenicflexortenosynovitis AT kojinozaka effectivenessofperipheralnerveblockforearlyactiveexercisethreecasesofpyogenicflexortenosynovitis AT naohisamiyakoshi effectivenessofperipheralnerveblockforearlyactiveexercisethreecasesofpyogenicflexortenosynovitis |