Injuries to the flexor tendons of the hand can be particularly challenging. Without finger flexion, patients will have difficulties with many tasks of daily living. The challenge to the surgeon is to re-attach the muscle to the bone in a way that glides smoothly within the pulley system of the hand. Flexor tendon injuries to the index and long finger tend to impede tasks that require fine motor skills; injuries to the flexor tendons of the ring or small fingers usually have a greater impact on grip strength.
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