Limits...
Tendon transfer in hand trauma: a case report.

Saremi H, Karbalaeikhani A - Trauma Mon (2013)

Bottom Line: In this report we describe our encounter of a case of hand trauma referred to our center presenting with incomplete left thumb amputation at metacarpal level with extensor pollicis longus (EPL) and flexor pollicis longus (FPL) tendon avulsion from the tenomuscular junction.After metacarpal bone fixation the ulnar digital artery was anastomosed and the digital nerves were coapted.Transfer of extensor indicis proprius (EIP) to EPL and side-to-side suturing of the FPL to the deep flexor tendon of the index finger were performed.

View Article: PubMed Central - PubMed

Affiliation: Orthopedics Department, Besat Hospital, Hamedan University of Medical Sciences, Hamedan, IR Iran.

ABSTRACT
In this report we describe our encounter of a case of hand trauma referred to our center presenting with incomplete left thumb amputation at metacarpal level with extensor pollicis longus (EPL) and flexor pollicis longus (FPL) tendon avulsion from the tenomuscular junction. After metacarpal bone fixation the ulnar digital artery was anastomosed and the digital nerves were coapted. Transfer of extensor indicis proprius (EIP) to EPL and side-to-side suturing of the FPL to the deep flexor tendon of the index finger were performed.

No MeSH data available.


Related in: MedlinePlus

Incision for FPL to FDP Transfer
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3860663&req=5

fig1774: Incision for FPL to FDP Transfer

Mentions: The avulsed FPL tendon was transferred to the anterior forearm under the transverse carpal ligament and was sutured side-to-side to the deep flexor tendon of the index finger (Figure 5). After the operation, necrosis of a small part of Thenar skin was noted, which later healed by secondary intention. At the short term follow-up, the patient was able to flex and extend the thumb and grasp, opposition and pinching were satisfactory (Figures 6 and 7). Tinel’s sign progression was detected in the digital nerve.


Tendon transfer in hand trauma: a case report.

Saremi H, Karbalaeikhani A - Trauma Mon (2013)

Incision for FPL to FDP Transfer
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3860663&req=5

fig1774: Incision for FPL to FDP Transfer
Mentions: The avulsed FPL tendon was transferred to the anterior forearm under the transverse carpal ligament and was sutured side-to-side to the deep flexor tendon of the index finger (Figure 5). After the operation, necrosis of a small part of Thenar skin was noted, which later healed by secondary intention. At the short term follow-up, the patient was able to flex and extend the thumb and grasp, opposition and pinching were satisfactory (Figures 6 and 7). Tinel’s sign progression was detected in the digital nerve.

Bottom Line: In this report we describe our encounter of a case of hand trauma referred to our center presenting with incomplete left thumb amputation at metacarpal level with extensor pollicis longus (EPL) and flexor pollicis longus (FPL) tendon avulsion from the tenomuscular junction.After metacarpal bone fixation the ulnar digital artery was anastomosed and the digital nerves were coapted.Transfer of extensor indicis proprius (EIP) to EPL and side-to-side suturing of the FPL to the deep flexor tendon of the index finger were performed.

View Article: PubMed Central - PubMed

Affiliation: Orthopedics Department, Besat Hospital, Hamedan University of Medical Sciences, Hamedan, IR Iran.

ABSTRACT
In this report we describe our encounter of a case of hand trauma referred to our center presenting with incomplete left thumb amputation at metacarpal level with extensor pollicis longus (EPL) and flexor pollicis longus (FPL) tendon avulsion from the tenomuscular junction. After metacarpal bone fixation the ulnar digital artery was anastomosed and the digital nerves were coapted. Transfer of extensor indicis proprius (EIP) to EPL and side-to-side suturing of the FPL to the deep flexor tendon of the index finger were performed.

No MeSH data available.


Related in: MedlinePlus