GRADUATED TENOTOMY Meaning and
Definition
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Graduated tenotomy, also known as stepwise tenotomy or multi-level tenotomy, is a surgical procedure commonly performed to treat certain medical conditions affecting tendons and soft tissues. It involves the controlled and sequential release of tension in the tendon through a series of partial tendon cuts.
The procedure begins with a small incision made over the affected tendon, followed by the careful division of the tendon fibers in a stepwise manner. Each cut is performed gradually, with the intention of progressively reducing the tension on the tendon while avoiding excessive release all at once. This step-by-step approach allows for a gradual adjustment of the tendon's length and tension, minimizing the risk of complications such as overstretching or rupturing the tendon.
Graduated tenotomy is frequently employed to manage conditions that cause contractures, where the tendon becomes excessively tight and limits joint mobility. It is often used to treat ailments such as tendonitis, tendinosis, or conditions associated with muscle spasticity, typically seen in conditions like cerebral palsy or stroke.
By carefully releasing the tension on the tendon in a controlled manner, graduated tenotomy aims to restore normal joint function and improve flexibility. Following the procedure, a rehabilitation program involving physical therapy is usually implemented to gradually regain strength and mobility in the affected area.
Overall, graduated tenotomy is a surgical technique that selectively cuts tendons in a stepwise manner, aiming to relieve tension and improve joint mobility in conditions associated with tight tendons or contractures.
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Partial division of the tendon of an eye-muscle for the relief of a slight degree of strabismus.
A practical medical dictionary. By Stedman, Thomas Lathrop. Published 1920.
Common Misspellings for GRADUATED TENOTOMY
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Etymology of GRADUATED TENOTOMY
The term "graduated tenotomy" can be understood by breaking it down into its individual components:
1. Graduated: This is derived from the Latin word "gradus", meaning "step" or "degree". In the context of medical procedures, "graduated" refers to a series of steps or degrees.
2. Tenotomy: This term is a combination of two Greek words - "tenon" (meaning "tendon") and "tomē" (meaning "cutting"). Therefore, "tenotomy" refers to the surgical procedure of cutting or dividing a tendon.
When combined, "graduated tenotomy" refers to a surgical technique in which a tendon is cut or divided sequentially, gradually increasing the degree of release. This approach allows for controlled correction of tendon contractures or tightness.
