scholarly journals Endoscopic-Assisted Tendon Transfer for Extensor Pollicis Longus Rupture

2021 ◽  
pp. 1159-1164
Author(s):  
Paul Max Jarrett
Keyword(s):  
Tendon Transfer ◽  
Extensor Pollicis Longus

Rerouting Extensor Pollicis Longus Tendon Transfer

2015 ◽  
Vol 40 (4) ◽  
pp. 822-825 ◽  
Author(s):  
Julie Colantoni Woodside ◽  
Randip R. Bindra
Keyword(s):  
Tendon Transfer ◽  
Extensor Pollicis Longus ◽  
Longus Tendon ◽  
Extensor Pollicis Longus Tendon

scholarly journals Surgical restoration of drop-hand syndrome with tendon transfer in patients injured in the Syrian civil war

2019 ◽  
Vol 6 (1) ◽  
Author(s):  
Murat Ucak
Keyword(s):  
Civil War ◽  
Radial Nerve ◽  
Tendon Transfer ◽  
Cutting Tool ◽  
Gunshot Wounds ◽  
Wrist Flexion ◽  
Wrist Extension ◽  
Extensor Pollicis Longus ◽  
Finger Extension ◽  
Syrian Civil War

Abstract Background The radial nerve is one of the most common war-related injury sites due to penetrating cutting tool injuries or gunshot wounds, resulting in drop-hand syndrome. The aim of this study was to evaluate the outcomes of tendon transfer in patients with drop-hand syndrome who had been injured in the Syrian Civil War. Methods This level-II, prospective, comparative study included 13 civilians injured in the Syrian Civil War 2015 and 2017. The palmaris longus tendon was used for transfer to the extensor pollicis longus for thumb extension. The pronator teres was transferred to the extensor carpi radialis brevis for wrist extension. The flexor carpi radialis was transferred to the extensor digiti communis for 2nd, 3rd, 4th, and 5th finger extension. All outcomes of thumb abduction and extension, wrist extension, wrist flexion, and finger extension were assessed. Results There was a high level of radial nerve injury in all patients included in the study. The time from injury to treatment ranged from 1.5 months to 9 months. The mechanism of injury most commonly observed was a gunshot wound, which was observed in 8 patients (61.5%), followed by a penetrating cutting tool injury (n = 3; 23.1%) and humerus fracture (n = 2; 15.4%). Conclusions In radial nerve injuries, successful results can be achieved with tendon transfer. All patients regained thumb abduction of up to approximately 60°. All the patients were able to bend the wrist, grip, and extend the fingers while in wrist flexion, neutral wrist and wrist extension positions. Although the reason for the radial injury varied, the postoperative outcomes were good for all patients, and the rehabilitation period progressed successfully in patients who underwent tendon transfer repair within 90 days of injury.

scholarly journals Bridge Plate Failure with Extensor Tendon Injury: A Case Report and Literature Review

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Rachel Lefebvre ◽  
Jessica Intravia ◽  
Lisa Cao ◽  
Alidad Ghiassi ◽  
Milan Stevanovic
Keyword(s):  
Case Report ◽  
Tendon Transfer ◽  
Plate Fixation ◽  
Extensor Tendon ◽  
Tendon Injury ◽  
Extensor Pollicis Longus ◽  
Bridge Plate ◽  
Important Relationship ◽  
Extensor Carpi Radialis ◽  
Plate Failure

Background. Dorsal spanning plate fixation is an increasingly popular method of fixation for certain distal radius fractures. Published outcomes are encouraging, but complications are still reported. Methods. We present a case report of a 26-year-old woman with spanning plate breakage and extensor pollicis longus (EPL) metallosis, fraying, and near-complete rupture. The patient’s unsuccessful follow-up led to this complication. Metallosis and damage to the extensor indices (EI) and distal extensor carpi radialis longus (ECRL) were intraoperative obstacles for tendon transfer to restore EPL function. Results. Tendon transfer in the setting of bridge plate failure has not yet been described in the literature. There are reports of spanning plate failure indicating that breakage often happens through the plate’s holes and after fracture healing. Conclusions. The compounded complication of plate failure with extensor tendon injury emphasizes the important relationship between the local anatomy, barriers to patient care, and potential problems after spanning plate fixation.

Tendon Transfer to Restore Extension of the Thumb Using Abductor Pollicis Longus

1993 ◽  
Vol 18 (2) ◽  
pp. 234-238 ◽  
Author(s):  
S. L. CHITNIS ◽  
D. M. EVANS
Keyword(s):  
Tendon Transfer ◽  
Extensor Pollicis Longus ◽  
Abductor Pollicis Longus

20 patients with rupture or division of extensor pollicis longus (EPL) underwent tendon transfer using abductor pollicis longus (APL). All patients except one were reviewed and examined between 6 and 80 months after surgery. The subjective and objective results were satisfactory and are presented with details of the technique and its advantages and limitations.

scholarly journals Evaluation of Extensor Pollicis Brevis as a Recipient of Tendon Transfer for Thumb Extension

2019 ◽  
Vol 52 (02) ◽  
pp. 171-177 ◽  
Author(s):  
Praveen Bhardwaj ◽  
Poonacha Puchimada Muddappa ◽  
Dadi Bindesh ◽  
Shanmuganathan Raja Sabapathy
Keyword(s):  
Tendon Transfer ◽  
Anatomical Variation ◽  
Excellent Result ◽  
Extensor Tendon ◽  
Interphalangeal Joint ◽  
Radial Nerve Palsy ◽  
Brachial Plexus Palsy ◽  
Extensor Pollicis Longus ◽  
Extensor Pollicis Brevis ◽  
Flexor Carpi Ulnaris

Abstract Introduction Rerouting of the extensor pollicis longus (EPL) is the standard part of tendon transfer surgery for thumb extension. It is done to overcome the ulnar vector of the EPL action. Extensor pollicis brevis (EPB), however, produces better thumb abduction and extension by virtue of its radial vector. The described anatomical variation of EPB extending the thumb interphalangeal joint (IPJ), therefore, gives the “best combination” of movements by a single-thumb extensor tendon. Materials and Methods We performed this transfer in six patients in whom the EPB was found to be extending the IPJ while checked intraoperatively. Three of these six patients were cases of radial nerve palsy and the other three presented with brachial plexus palsy. The outcome was assessed by measuring palmar and radial abduction of the thumb, Kapandji’s score, and Bincaz’s scale. Results We found satisfactory results in all the six patients. In our series, patients had an average radial extension of the thumb of 29.2 degrees and an average palmar abduction of the thumb of 65.7 degrees. On evaluation with the Bincaz score; one patient had excellent result, three patients had good results, and two patients had fair results. Conclusion In situations where EPL rerouting is not possible (as in cases where the donor tendon needs to reach the thumb from the ulnar side, for example, flexor carpi ulnaris), transfer to the EPB, provided it is extending the thumb IPJ, would produce better extension and abduction of the thumb than the transfer to the EPL.

scholarly journals A Simple and Quick Tendon Transfer Technique to Restore Thumb Extension.

2020 ◽  
pp. 1-3
Keyword(s):  
Local Anaesthesia ◽  
Regional Anaesthesia ◽  
Tendon Transfer ◽  
Extensor Tendon ◽  
Extensor Pollicis Longus ◽  
Tendon Reconstruction ◽  
Good Outcome ◽  
Extensor Indicis Proprius ◽  
Direct Repair ◽  
Closed Rupture

Abstract Extensor pollicis longus (EPL), the long extensor tendon for the thumb, is one of the commonest tendon to rupture and require treatment. In case of closed rupture of EPL, direct repair is usually not possible, requiring tendon reconstruction to restore function. Traditionally, extensor indicis proprius (EIP) tendon is transferred under general or regional anaesthesia through two (or more) incisions. The author proposes and demonstrates that it is possible to carry out this transfer through one short incision under local anaesthesia with good outcome and minimal complications.

Sign in / Sign up

Export Citation Format

Share Document