{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T21:28:16Z","timestamp":1781299696635,"version":"3.54.1"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,2,4]],"date-time":"2021-02-04T00:00:00Z","timestamp":1612396800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,2,4]],"date-time":"2021-02-04T00:00:00Z","timestamp":1612396800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Musculoskelet Disord"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>The current evidence base for the management of central slip avulsions is limited from obtaining a best approach. The purpose of this study was to evaluate the clinical effect and feasibility of repairing the fresh central slip avulsion by bone tunnel-tendon suture.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Twenty-four cases of open and closed central slip avulsions were prospectively studied. They were treated by suturing the tendon to the pre-holed bone through two parallel bone tunnels. Follow-up was conducted at 1\u2009month, 3\u2009months, 6\u2009months, 12\u2009months and 18\u2009months after the operation. Symptoms, degree of satisfaction with the appearance, complications, Crawford\u2019s evaluation, DASH scores and the total active movement (TAM) were collected.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The follow-up period was 6~18\u2009months (mean 13\u2009months). Finger function was assessed using the Crawford\u2019s evaluation criteria: excellent in 12, good in 10, average in 2, with an excellent and good rate of 91.7%. DASH scores ranged from 37 to 47(mean 39). According to the Chinese Medical Association\u2019s trial criteria for assessing the function of upper limbs, excellent, good and average cases were 9, 14 and 1 respectively. The range of motion gradually improved over time. <jats:bold>Conclusions<\/jats:bold> Good prognosis can be achieved through bone tunnel-tendon suture for the treatment of fresh central slip avulsion.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12891-021-04014-0","type":"journal-article","created":{"date-parts":[[2021,2,4]],"date-time":"2021-02-04T17:19:03Z","timestamp":1612459143000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Treatment of the fresh central slip avulsion of the extensor tendon by bone tunnel-tendon suture: a prospective cohort study"],"prefix":"10.1186","volume":"22","author":[{"given":"Bin","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiming","family":"Lu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tianliang","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaxiang","family":"Gu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2221-9308","authenticated-orcid":false,"given":"Naichen","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,2,4]]},"reference":[{"key":"4014_CR1","first-page":"168","volume-title":"Green's operative hand surgery [M]","author":"WW Scott","year":"2010","unstructured":"Scott WW, Robert NH, William CP. Green's operative hand surgery [M]. 6th ed. New York: Georg Thieme Verlag KG Stuttgart; 2010. p. 168\u20139.","edition":"6"},{"key":"4014_CR2","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1142\/S0218810407003377","volume":"12","author":"JC Chan","year":"2007","unstructured":"Chan JC, Purcell EM, Kelly JL. Surgical repair of central slip avulsion injuries with Mitek bone anchor--retrospective analysis of a case series. Hand Surg. 2007;12:29\u201334.","journal-title":"Hand Surg."},{"key":"4014_CR3","doi-asserted-by":"publisher","first-page":"231","DOI":"10.1016\/S0363-5023(84)80148-3","volume":"9","author":"GP Crawford","year":"1984","unstructured":"Crawford GP. The molded polythene splint for mallet finger deformities. J Hand Surg Am. 1984;9:231\u20137.","journal-title":"J Hand Surg Am"},{"key":"4014_CR4","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1186\/1471-2474-4-11","volume":"4","author":"C Gummesson","year":"2003","unstructured":"Gummesson C, Atroshi I, Ekdahl C. The disabilities of the arm, shoulder DASHand hand (DASH) outcome questionnaire: longitudinal construct validity and measuring self-rated health change after surgery. BMC Musculoskel Disord. 2003;4:11.","journal-title":"BMC Musculoskel Disord."},{"issue":"1","key":"4014_CR5","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1016\/j.jhsa.2010.10.007","volume":"36","author":"JA McAuliffe","year":"2011","unstructured":"McAuliffe JA. Early active short arc motion following central slip repair. J Hand Surg Am. 2011;36(1):143\u20136.","journal-title":"J Hand Surg Am"},{"key":"4014_CR6","doi-asserted-by":"publisher","first-page":"825","DOI":"10.1177\/1753193419845311","volume":"44","author":"L Geoghegan","year":"2019","unstructured":"Geoghegan L, Wormald JCR, Adami RZ, et al. Central slip extensor tendon injuries: a systematic review of treatments. J Hand Surg Eur Vol. 2019;44:825\u201332.","journal-title":"J Hand Surg Eur Vol."},{"key":"4014_CR7","doi-asserted-by":"publisher","first-page":"e91","DOI":"10.1016\/j.bjps.2008.08.055","volume":"62","author":"A Fox","year":"2009","unstructured":"Fox A, Kang N. Reinserting the central slip - a novel method for treating boutonniere deformity in rheumatoid arthritis. J Plast Reconstr Aesthet Surg. 2009;62:e91\u20132.","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"4014_CR8","doi-asserted-by":"publisher","first-page":"930","DOI":"10.1016\/j.jhsa.2009.01.025","volume":"34A","author":"F Ahmad","year":"2009","unstructured":"Ahmad F, Pickford M. Reconstruction of the Extensor Central Slip Using a Distally Based Flexor Digitorum Superficialis Slip. J Hand Surg. 2009;34A:930\u20132.","journal-title":"J Hand Surg"},{"key":"4014_CR9","first-page":"119","volume":"80","author":"LI Ying","year":"2014","unstructured":"Ying LI, Ding A, Zhimin HE, et al. Comparison of Proximal Turndown of Central slip Combined with Suture of Lateral Bands Versus Free Tendon Grafting for Central Slip Reconstruction after an Open Finger Injury. Acta Orthop Belg. 2014;80:119\u201325.","journal-title":"Acta Orthop Belg."}],"container-title":["BMC Musculoskeletal Disorders"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12891-021-04014-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s12891-021-04014-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12891-021-04014-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,2,4]],"date-time":"2021-02-04T17:25:15Z","timestamp":1612459515000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcmusculoskeletdisord.biomedcentral.com\/articles\/10.1186\/s12891-021-04014-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,4]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["4014"],"URL":"https:\/\/doi.org\/10.1186\/s12891-021-04014-0","relation":{},"ISSN":["1471-2474"],"issn-type":[{"value":"1471-2474","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,4]]},"assertion":[{"value":"16 June 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 January 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 February 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"All procedures performed in this study involving human participants were in accordance with the ethical standards of our institution (Northern Jiangsu People\u2019s Hospital) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Written informed consents were obtained from all participants if necessary.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"141"}}