{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:44:58Z","timestamp":1787755498986,"version":"build-2784847793"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We present a 67-year-old woman with long finger extrinsic extensor tightness and a 56-year-old man with limited index finger flexion due to extrinsic extensor tightness secondary to tendon transfers for radial nerve palsy. Both patients underwent prior surgical procedures that led to limited range of motion (ROM). Subsequently, they elected for central tendon tenotomy (CTT), which demonstrated postoperative ROM improvement and satisfactory patient outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Surgical management of extrinsic extensor tendon tightness of the hand is generally addressed by performing tenolysis to improve tendon excursion. We present a novel and simple technique of CTT with pertinent anatomy, descriptive cases, and a cadaveric video.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.23.00639","type":"journal-article","created":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T14:03:57Z","timestamp":1720706637000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Central Tendon Tenotomy for Management of Extrinsic Extensor Tightness of the Hand"],"prefix":"10.2106","volume":"14","author":[{"given":"Morad","family":"Chughtai","sequence":"first","affiliation":[{"name":"Division of Hand and Upper Extremity Surgery, Department of Orthopaedic Surgery, University of Florida College of Medicine, Gainesville, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-5836-837X","authenticated-orcid":false,"given":"Ryan","family":"Parrish","sequence":"additional","affiliation":[{"name":"Division of Hand and Upper Extremity Surgery, Department of Orthopaedic Surgery, University of Florida College of Medicine, Gainesville, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7507-7967","authenticated-orcid":false,"given":"Arman","family":"Tabarestani","sequence":"additional","affiliation":[{"name":"University of Florida College of Medicine, Gainesville, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5004-2178","authenticated-orcid":false,"given":"Courtney","family":"Dougherty","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, College of Public Health and Health Professions, University of Florida College of Medicine, Gainesville, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert C.","family":"Matthias","sequence":"additional","affiliation":[{"name":"Division of Hand and Upper Extremity Surgery, Department of Orthopaedic Surgery, University of Florida College of Medicine, Gainesville, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul C.","family":"Dell","sequence":"additional","affiliation":[{"name":"Division of Hand and Upper Extremity Surgery, Department of Orthopaedic Surgery, University of Florida College of Medicine, Gainesville, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,7]]},"reference":[{"key":"bib1-20240731","first-page":"200","article-title":"Intrinsic muscles of the fingers: function, dysfunction, and surgical reconstruction","volume":"24","author":"Smith","year":"1975","journal-title":"Instr Course Lect."},{"issue":"1","key":"bib2-20240731","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/j.jht.2010.09.068","article-title":"Composite flexion splint for the stiff hand","volume":"24","author":"Wang","year":"2011","journal-title":"J Hand Ther."},{"issue":"6","key":"bib3-20240731","doi-asserted-by":"crossref","first-page":"e960","DOI":"10.1097\/BCR.0000000000000529","article-title":"Burn hand or finger goniometric measurements: sum of the isolated parts and the composite whole","volume":"38","author":"Richard","year":"2017","journal-title":"J Burn Care Res."},{"issue":"1","key":"bib4-20240731","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/S0749-0712(21)01038-6","article-title":"Complications in phalangeal and metacarpal fracture management. Results of extensor tenolysis","volume":"10","author":"Creighton","year":"1994","journal-title":"Hand Clin."},{"issue":"15","key":"bib5-20240731","doi-asserted-by":"crossref","first-page":"563","DOI":"10.5435\/JAAOS-D-18-00218","article-title":"Failed extensor tendon repairs: extensor tenolysis and reconstruction","volume":"27","author":"Desai","year":"2019","journal-title":"J Am Acad Orthop Surg."},{"issue":"3","key":"bib6-20240731","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1177\/1558944715627238","article-title":"Results of operative intervention for finger stiffness after fractures of the hand","volume":"11","author":"Lutsky","year":"2016","journal-title":"Hand (N Y)."},{"issue":"7","key":"bib7-20240731","doi-asserted-by":"crossref","first-page":"681.e1","DOI":"10.1016\/j.jhsa.2017.12.010","article-title":"Mechanics of metacarpophalangeal joint extension","volume":"43","author":"Marshall","year":"2018","journal-title":"J Hand Surg."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.23.00639","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:43:38Z","timestamp":1787751818000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.23.00639"}},"subtitle":["Surgical Technique and Case Reports"],"short-title":[],"issued":{"date-parts":[[2024,7]]},"references-count":7,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.23.00639","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7]]}}}