tenolysis
Pronunciation: ten-ALL-ih-sis
Surgical procedure to free adhesions around tendons to restore normal gliding function.
Full Definition
Tenolysis is a surgical technique used to release adhesions and scar tissue that restrict tendon movement, particularly following trauma, infection, or previous surgery. The procedure involves careful dissection to separate the tendon from surrounding scar tissue while preserving the tendon's blood supply and mechanical integrity. In hand surgery, tenolysis is commonly performed for flexor and extensor tendons when conservative management fails to restore adequate range of motion. The timing of tenolysis is critical, typically performed 3-6 months after initial injury or surgery when scar tissue has matured but before permanent joint contractures develop.
Usage
Usage note: Distinguish from tenotomy (tendon cutting) and tenodesis (tendon fixation).
In Context
- "Flexor tenolysis was performed to address severe adhesions limiting finger flexion." — Operative report
- "The patient required tenolysis six months after the initial tendon repair." — Follow-up note