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This Concept Map, created with IHMC CmapTools, has information related to: Annular Check Ligament Desmotomy, To relieve constriction of the palmar/plantar annular ligament (PAL) → improved circulation and gliding movement of flexor tendons. (MO) To do the procedure we must know The anatomy of Annular Ligament (MO), To relieve constriction of the palmar/plantar annular ligament (PAL) → improved circulation and gliding movement of flexor tendons. (MO) Procedure for annular ligament desmotomy includes: Recovery for Annular Ligament Desmotomy. (MO), To relieve constriction of the palmar/plantar annular ligament (PAL) → improved circulation and gliding movement of flexor tendons. (MO) Include Specific injuries and tears of the DDFT and/or SDFT within the DFTS including longitudinal linear tears and damage to the manica flexoris., To relieve constriction of the palmar/plantar annular ligament (PAL) → improved circulation and gliding movement of flexor tendons. (MO) Procedure for annular ligament desmotomy includes: Commonly used techniques, To relieve constriction of the palmar/plantar annular ligament (PAL) → improved circulation and gliding movement of flexor tendons. (MO) Include • Desmotomy near its point of insertion: small avulsion fractures of the palmar border of the proximal sesamoid bone - Proximal sesamoid: fracture, Commonly used techniques are Tenoscopic techniques, To relieve constriction of the palmar/plantar annular ligament (PAL) → improved circulation and gliding movement of flexor tendons. (MO) Include Complex chronic tenosynovitis - Digital sheath: tenosynovitis cases where there is multiple chronic pathology of which PAL constriction is one part. To perform tenoscopy of these cases proficiently often requires PAL desmotomy early on to increase the room within the sheath or full exploration and surgical management., To relieve constriction of the palmar/plantar annular ligament (PAL) → improved circulation and gliding movement of flexor tendons. (MO) Include Septic tenosyonvitis - to promote lavage and drainage - Digital sheath: tenosynovitis, To relieve constriction of the palmar/plantar annular ligament (PAL) → improved circulation and gliding movement of flexor tendons. (MO) Include Primary AL desmitis and constriction., Annular Ligament Desmotomy what is it? To relieve constriction of the palmar/plantar annular ligament (PAL) → improved circulation and gliding movement of flexor tendons. (MO), To relieve constriction of the palmar/plantar annular ligament (PAL) → improved circulation and gliding movement of flexor tendons. (MO) Include Indicated for the management of DDFT and SDFT tendinitis lesions in the region of the digita l flexor tendon sheath (DFTS), where the annular ligament (AL) is impeding movement of these tendons., Commonly used techniques are 'Closed' - minimally invasive surgery. (MO), Commonly used techniques are Open surgery - when adhesions in severe and chronic tendonitis preclude the easy insertion of instruments. (MO)