Zone II Flexor Tendon Injuries | Why the Difficulty?

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Zone II Flexor Tendon Repair
Zone II Injuries yield the most complicated treatment and longest recovery periods

You wouldn’t think much of a cut on the hand would you? The thing is, injuries on the palm of the hand are very dangerous because important tendons that control the mobility of the  hand can be damaged.

The most severe area of the hand to injure is Zone II of the flexor tendon. Take a look at the following important information on how to deal with Zone II injuries.

No Man’s Land

Zone II of the flexor tendon is referred to commonly as “No Man’s Land” or “NML.” This refers to the particular difficulty of treating Zone II injuries. It is the part of the hand that connects the palm of the hand to the main joint of the finger.

In this zone, two tendons must be repaired carefully, otherwise the risk of a failed post op is much higher. The complexity of the procedure is what gave Zone II its infamous name, derived from the WWI term referring to the area between opposing trenches. Since two tendons are connected in this zone, treatment for this injury has required a lot of attention throughout the years.

WAHS Method

WAHS is simply for Wide Awake Hand Surgery. Doctors have begun using this method to surgically treat those with Zone II tendon pulls or lacerations. The benefit of this method is apparent in the fact that the patient is either able or unable to move the affected area, denoting either a successful or failed operation. This instant feedback can ensure an easier recovery period, as well.

A cooperating patient will be able to test the connection accurately with the other unaffected fingers to determine a successful connection or not.

Recovery Period

Recovering from a Zone II injury has become easier, recently, with more varied medical testing. The success rate used to be much more difficult to achieve – it is still no easy task to come to a full recovery. Being cooperative with the doctor is the best option in order to guarantee the most successful recovery.

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