Median Nerve as Free Tendon Graft

1987 ◽  
Vol 12 (2) ◽  
pp. 187-188
Author(s):  
M. VASTAMÄKI
Keyword(s):  
Median Nerve ◽  
Flexor Tendon ◽  
Extensor Tendon ◽  
Tendon Graft ◽  
Tendon Injury ◽  
Longus Tendon ◽  
Flexor Tendon Injury ◽  
Palmaris Longus ◽  
Palmaris Longus Tendon ◽  
Sural Nerve Graft

Four patients are described, all of whom bad tendon injuries in which the median nerve was used as a free tendon graft. Three cases involved the repair of a flexor tendon injury, and one the repair of an extensor tendon. In all cases, reconstruction of the median nerve was performed with a free sural nerve graft. The difficulty was that the palmaris longus tendon was missing in all cases. The importance of preoperative clinical testing for the presence of the palmaris longus tendon is emphasized.

scholarly journals Iatrogenic Injury to the Median Nerve During Palmaris Longus Harvest

Hand ◽  
2016 ◽  
Vol 12 (1) ◽  
pp. NP6-NP9 ◽  
Author(s):  
Joshua Choo ◽  
Bradon J. Wilhelmi ◽  
Morton L. Kasdan
Keyword(s):  
Median Nerve ◽  
Tendon Graft ◽  
Iatrogenic Injury ◽  
True Incidence ◽  
Longus Tendon ◽  
Palmaris Longus ◽  
Palmaris Longus Tendon

Background: A rare and disastrous complication of harvesting a tendon graft is the misidentification of the median nerve for the palmaris longus. Methods: The authors report a referred case in which the median nerve was harvested as a free tendon graft. Results: Few reports of this complication are found in the literature despite the frequency of palmaris longus tendon grafting and the proximity of the palmaris tendon to the median nerve. Given the obvious medicolegal implications, the true incidence of this complication is difficult to assess. Discussion: Safe harvesting of the palmaris longus mandates a thorough understanding of the relevant anatomy, in particular the proper differentiation between nerve and tendon and recognition of when the palmaris longus tendon is absent. Techniques to facilitate proper identification of the palmaris longus are outlined.

The Extended Palmaris Longus Tendon Graft

1993 ◽  
Vol 18 (2) ◽  
pp. 239-240 ◽  
Author(s):  
A. R. TOLAT ◽  
J. K. STANLEY
Keyword(s):  
Flexor Tendon ◽  
Tendon Graft ◽  
Longus Tendon ◽  
Palmaris Longus ◽  
Tendon Ruptures ◽  
Palmar Aponeurosis ◽  
Palmaris Longus Tendon

A technique is described of increasing the length of a palmaris longus tendon graft by including palmar aponeurosis. The additional 5 cm is often useful in treating high flexor tendon ruptures, especially at the wrist level, without the need for an additional incision.

scholarly journals Clinical Results of Autogenous Palmaris Longus Tendon Graft for Ruptures of Multiple Extensors in Rheumatoid Hands

2018 ◽  
Vol 43 (10) ◽  
pp. 947.e1-947.e9 ◽  
Author(s):  
Kwang-Hyun Lee ◽  
Young-Hoon Jo ◽  
Sung-Jae Kim ◽  
Wan-Sun Choi ◽  
Chang-Hun Lee ◽  
...  
Keyword(s):  
Clinical Results ◽  
Tendon Graft ◽  
Longus Tendon ◽  
Palmaris Longus ◽  
Palmaris Longus Tendon

scholarly journals Does the presence of the palmaris longus tendon influence median nerve function?

2012 ◽  
Vol 45 (6) ◽  
pp. 895-896 ◽  
Author(s):  
Robert A. Werner ◽  
Teresa Spiegelberg
Keyword(s):  
Median Nerve ◽  
Nerve Function ◽  
Longus Tendon ◽  
Palmaris Longus ◽  
Palmaris Longus Tendon

Modified Tendon Stripper for Obtaining Palmaris Longus Tendon Graft

1999 ◽  
Vol 103 (4) ◽  
pp. 1258-1259 ◽  
Author(s):  
Tayfun Aköz ◽  
Hilal Altntaş ◽  
Birol Civelek
Keyword(s):  
Tendon Graft ◽  
Longus Tendon ◽  
Palmaris Longus ◽  
Palmaris Longus Tendon

Interpositional Arthroplasty With Palmaris Longus Tendon Graft for Osteonecrosis of the Second Metatarsal Head: A Case Report

2015 ◽  
Vol 54 (2) ◽  
pp. 237-241 ◽  
Author(s):  
Chi-Yang Liao ◽  
Aaron Chih-Chang Lin ◽  
Chih-Ying Lin ◽  
Tai-Kuang Chao ◽  
Tzu-Chuan Lu ◽  
...  
Keyword(s):  
Case Report ◽  
Metatarsal Head ◽  
Tendon Graft ◽  
Longus Tendon ◽  
Palmaris Longus ◽  
Interpositional Arthroplasty ◽  
Second Metatarsal ◽  
Palmaris Longus Tendon
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