Image description
Image description

Published yearly: 

4 Issues


ISSN: 2320-964X (Online) 

ISSN: 2320-7817  (Print)



Dr. Santosh Pawar 




Int. Journal of Life Sciences, 2017; 5(1):1-9  |    Available online, 31 March, 2017

Acute volar Wrist Injuries: Evaluation, Management and Rehabilitation



Hegazy Mogahed Altamimy1*,  Essam Ali Taman2,Walied khereba3, Sami Abdulhakim Mustafa1,

Abdulaziz Mustafa1 and Ahmed Abdelmoniem Negm1                                                                                                        

1Physical medicine and rehabilitation, 2Plastic surgery, 3Vascular surgery, Al Azhar University, Cairo.

*Corresponding author: Hegazy megahed Altamimy, MD. Assistant professor of physical medicine,

Rheumatology and Rehabilitation; AlAzhar University, Cairo.

Received: 23.02.2017 | Accepted: 01.03.2017 | Published : 31.03.2017

Volar wrist injuries constitute a unique surgical challenge. Our aim was to evaluate early, safety and efficacy of multidisplinary team in evaluation and management of acute volar wrist injuries with good rehabilitation program and return to work after trauma. 15 patients with acute volar wrist injuries from March 2013 to April 2015 at Al Azhar university Hospital. Hand functions were grouped as excellent, good, fair & poor. Nerve injury is tested using both sensory and motor components while assessment of the hand and fingers vascularity is carried out by clinical study, pulse oximeter and hand held Doppler. All cases were followed up in first postoperative year for vascularity, sensation and functions of the hand. 15 patients over a period of a two year of clinical follow up with rehabilitation program, there was marked reduction in morbidity and mortality with satisfactory significant hand functions and no ischemia, neuroma or tendon ruptures were observed during the follow-up period.  


Key words: Volar wrist injuries, Evaluation, Management, Rehabilitation.



Editor: Dr. Arvind Chavhan


Cite this article as:

Hegazy Mogahed Altamimy,  Essam Ali Taman, Walied khereba, Sami Abdulhakim Mustafa, Abdulaziz Mustafa and Ahmed Abdelmoniem Negm  (2017) Acute volar Wrist Injuries: Evaluation, Management and Rehabilitation, International J. of Life Sciences, 5  (1): 1-9.



Conflicts of interest: The authors stated that no conflicts of interest.



Copyright: © 2017 | Author(s), This is an open access article under the terms of the Creative Commons Attribution-Non-Commercial - No Derivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.


Allen GM, Drakonaki EE, Tan ML, et al (2008): High resolution ultrasound in the diagnosis of upper limb disorders: a tertiary referral center experience. Ann Plas Surg.Sep;61(3):259-64.

Andhadi Beikpour., M.D.(2006):Medical Journal of the Islamic Republic of Iran   Volume 20  Number 1 Spring 1385 ,May.

Barbeau G, Arsenault F, Gugas L, et al.(2004): Evaluation of the ulnopalmar arterial arches with pulse oximetry and plesthysmography: comparison with the Allen’s test in 1010 patients. Am Heart J.;147(3):489-493. (Cross-sectional analytical  study; 1010 patients)

Chin G, Weinzweig N, Mead M, Gonzalez M. (1998): "Spaghetti Wrist": Management and Results. Plast Reconstr Surg. 102(1): 96-102.

Courtney MT,  Daniel RB, Mark BEet al.,(2004) Text book of Surgery,17thedition.

Dolan RT, Khudairy A, McKenna P, et al. (2012) The upper hand on compartment syndrome. Am J Emerg 

Med.2012;30(9):2084e7-e10. (Case report)

Duran R, Houser R.(1975)  Controlled passive motion following flexor tendon repair in zone 2 and 3. AAOS symposium on tendon surgery in the hand. St. Louis: Mosby.

Green's Operative Hand Surgery. New York.(1998) Churchill Livingstone, Chap 59, Chap 43, pp. 1381-1404, 1851-1898.

Grunert BK, Smith CJ, Devine CA et al (1988) Early psycholo-gical aspects of severe hand injury.J. Hand Surg. (Br.) 13: 177, 1988.

Forest AM,Carter DC,and Macleod IB,(1999): Principles and Practices of Surgery, 3rd edition.

Jean-Bart Jaquet, Ingeborg van der Jagt,, Paul DL Kuypers, Ton AR, Schreuders AR, Sandra Kalmijn, Rotterdam and Utrecht, (2005) Spaghetti Wrist Trauma: Functional Recovery, Return to Work, and Psychological Effects The Netherlands Plast. Reconstr.Surg.115: 1609.

Kabak S, Halici M, Baktir A, Turk CY, Avsarogullari L. (2002): Results of treatment of the extensive volar wrist lacerations: 'the spaghetti wrist'. Eur J Emerg Med. Mar;9(1):71-6.

Katerega JB (1998): Hand injuries in Mulago [M.S. thesis of Medicine in Surgery].

Kleinert HE, Kutz JE, Cohen MJ(1975):  Primary repair of zone 2 flexor tendon lacerations. AAOS symposium on tendon surgery in the hand. St. Louis: Mosby, 1975.

Kleinert H.E. and Verdan C.(1987):: Report of the committee on tendon injuries. J. Hand Surg. (Am.), 8: 794, 1983.

Lawson D, Norley I, Korbon G.(1987): Blood flow limits and pulse oximeter signal detection. Anesthesiology; 67 (4): 599-603. (Prospective study; 10 subjects)

Lee DH, Robbin ML, Galliot R, et al. (2000): Ultrasound evaluation of flexor tendon lacerations.J Hand Surg Am; 25(2):236-241. (Prospective study; 10 patients, 20 flexor tendons).

Makobore P, Galukande M, Kalanzi E, and Kijjambu SC (2015):The Burden of Hand Injuries at a Tertiary Hospital in Sub-Saharan Africa Publishing Corporation Emergency Medicine International Volume, Article ID 838572,5 pages.

Mink van der Molen AB,  Ettema AM, and Hovius SER(2003): “Outcome of hand trauma: the hand injury severity scoringsystem (HISS) and subsequent impairment and disability,”Journal of Hand Surgery, 28(4): 295–299.

Ng CY, Chalmer J, Macdonald DJ, Mehta SS, Nuttall D, Watts AC.(2012):  Rehabilitation regimens following surgical repair of extensor tendon injuries of the hand: a systematic review of controlled trials. Journal of Hand and Microsurgery ; 4(2): 65-73.

Oberfeld E1, Zwahlen M2, Vögelin (2015): Return to work after traumatic hand injuries: medical, personal and work-related factors Handchir Mikrochir Plast Chir. 2015 Feb; 47(1):44-57. doi: 10.1055/s-0034-1398661.

Ouellette EA, Kelly R. (1996): Compartment syndromes of the hand. J Bone Joint Surg Am. 1996; 78(10):1515-1522. (Retrospective study; 19 patients)

Parviz mafi (2006): Mjiri, vol. 20, no.1, 5-7, 2006.Management and results of extensive volar wrist Lacerations: “the spaghetti wrist“in 124 patients during a 5 year period in 15thKhordad hospital Tehran.

Radid G,Dina R and Santhony S (2005): “Magnetic resonance imaging of finger tendons,”TheEuropean Journal of Radiology,vol. 56, no. 3, pp. 296–306, 2005.

Schumer E, Friedman F.(1995): Pulse oximetry for preopera-tive vascular assessment in a thumb near amputation.J Emerg  Med;13(6):753-755. (Case report)

Sharma R, Rao RB, Chu J. (2013): Compartment syndrome of the hand from prolonged immobilization secondary to drug overdose. J Emerg Med; 44(4):845-846.

Soubeyrand M, Biau D, Jomaah N, et al.(2008): Penetrating volar injuries of the hand: diagnostic accuracy of US in depicting soft-tissue lesions. Radiology;249(1):228-235. (Prospective study; 26 patients).

Tate DG (1992) Workers’ disability and return to work.Am. J. Phys. Med. Rehabil.71: 92.

Talbot Bowen and Ellen M Slaven MD (2014) Emergency Medicine practice, December 2014, 16(12).

Teefy SA, Middleton WD, Patel V, et al.(2004): The accuracy of high resolution ultrasound for evaluating focal lesions of the hand and wrist. J Hand Surg May; 29(3):393-9.

Unlu RE(2005): “Crush injuries of hand,”Ulus Travma Acil Cerrahi Derg, vol. 11, no. 4, pp. 324–328.

Wu TS, Roque PJ, Green J, et al. (2012): Bedside ultrasound evaluation of tendon injuries. Am J Emerg Med.2012; 30(8):1617-1621. (Prospective study; 34 patients).

Yii, NW, Urban M and Elliot D (1998) A prospective study of flexor tendon repair in zone 5.J. Hand Surg. Br) 23: 642. 







    Print ISSN : 2320-7817 

    Online ISSN:2320-964X

    UGC Approved Journal No. 48951


    46, Guruwandan, Jawahar Nagar, 

    VMV Road, Amravati- 444604

    Maharashtra, India.

    Tel  + 91- 9970559438