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Medical students and surgical residents
Preparing for an orthopedic or hand surgery board exam covering flexor tendon anatomy and injury management.
Use cases
About
The delayed flexor tendon injuries mind map template provides a structured overview of surgical zones, classification systems, and treatment options for chronic flexor tendon lacerations in the hand. Covering 5 zones from the forearm to the fingertip, it includes detailed anatomical landmarks such as 'no man's land' (zone 2) and the 'Leddy and Packer' classification for zone 1 injuries. The template also outlines the Boyes preoperative grading system (grades 1–5) and surgical decision-making, including tenolysis and tendon grafting. This Xmind template serves as a concise reference for orthopedic and hand surgeons, residents, and medical students preparing for exams or clinical practice.
Terms and ConditionsWhen to use this template
Hand surgeons and orthopedic surgeons
Planning a surgical approach for a patient with a chronic zone 2 flexor tendon laceration.
Occupational therapists and hand therapists
Teaching a hand therapy course on flexor tendon rehabilitation and surgical decision-making.
How to use this template
Step 1
Open and explore the anatomical zones
Open the template in Xmind to navigate through the five surgical zones and their corresponding anatomical landmarks.
Step 2
Review clinical classifications and grading system
Expand the branches to study the Leddy and Packer classification and Boyes preoperative grading system for surgical decision-making.
Step 3
Customize and export your medical notes
Add your own clinical cases or images to the map before exporting it as a PDF or image for study and sharing.
Frequently asked questions
Zone 2, or 'no man's land', extends from the proximal A1 pulley to the FDS insertion. Repairs here have higher adhesion risk, often requiring single-tendon repair (FDP only) as per Tang's recommendation.
Zone 1 injuries are classified by Leddy and Packer: type I (stump in palm), type II (stump at FDS chiasm), and intra-articular vs. extra-articular subtypes. MRI may locate the proximal stump.
Boyes grades 1–5 evaluate scar extent and tissue quality: 1 (minimal scar), 2 (heavy scar), 3 (restricted ROM), 4 (nerve damage/atrophic skin), 5 (multiple scars or atrophy). It guides surgical planning.
Definitive repair delayed over 3 weeks often prevents end-to-end repair, making single- or two-stage tendon grafting necessary. Two-stage grafting uses a silicone rod for 3 months.
Yes, you can edit the .xmind file to add your own clinical notes, images, or references. The template is fully editable in Xmind desktop or web.
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