SAFE APPROACH FOR FLEXOR DIGITORUM PROFUNDUS I AND II USING THE PALMARIS LONGUS TENDON

2021 ◽  
Author(s):  
Chae Hyeon Ryou ◽  
Se Young Shin ◽  
Nackhwan Kim ◽  
Ki Hoon Kim ◽  
Dong Hwee Kim ◽  
...  
Keyword(s):  
Flexor Digitorum Profundus ◽  
Longus Tendon ◽  
Palmaris Longus ◽  
Palmaris Longus Tendon ◽  
Flexor Digitorum ◽  
Safe Approach

Early Active Mobilization of Tendon Grafts Using Mesh Reinforced Suture Techniques

1995 ◽  
Vol 20 (3) ◽  
pp. 301-307 ◽  
Author(s):  
K. L. SILFVERSKIÖLD ◽  
E. J. MAY
Keyword(s):  
Alcohol Intoxication ◽  
Tendon Graft ◽  
Proximal Interphalangeal Joint ◽  
Flexor Digitorum Profundus ◽  
Longus Tendon ◽  
Palmaris Longus ◽  
Active Mobilization ◽  
Palmaris Longus Tendon ◽  
Tendon Grafts ◽  
Flexor Digitorum

The flexor digitorum profundus tendon in 11 digits with division of both flexor tendons in zone 2 was reconstructed with a palmaris longus tendon graft in a two-stage procedure. The distal and proximal fixation of the graft was reinforced with a polyester mesh sleeve placed around the ends of the graft during stage 1. All digits were mobilized with a combination of active extension and active and passive flexion within 3 days of the second stage. There were three ruptures, one due to faulty technique and two due to falls on outstretched hands during alcohol intoxication and football. Excluding the ruptures, the mean active composite distal and proximal interphalangeal joint range of motion 6 weeks and 6 months post-operatively was 141° and 136° respectively. The results indicate that palmaris longus tendon grafts can survive and heal during early active mobilization, with few or no adhesions of functional significance. The techniques described here represent one possible approach to the safe implementation of early active mobilization after tendon grafting procedures.

An assessment of the effects of variations in the Palmaris longus tendon and the fifth superficial flexor digitorum on pinch and grip strength

2020 ◽  
Vol 33 (5) ◽  
pp. 743-747
Author(s):  
A.R. Sadeghifar ◽  
A. Karbalaeikhani ◽  
A.R. Saied
Keyword(s):  
Grip Strength ◽  
Anatomical Variations ◽  
Cross Sectional Study ◽  
Statistical Testing ◽  
Pinch Strength ◽  
Cross Sectional ◽  
Longus Tendon ◽  
Palmaris Longus ◽  
Palmaris Longus Tendon ◽  
Flexor Digitorum

INTRODUCTION: The effect of the absence or presence of the Palmaris longus tendon on pinch and grip strength was investigated in this study. Similarly, the effect of the presence or absence of the fifth superficial flexor digitorum on grip strength in the hand was studied. The aim of the present study was to assess the combined effect of these anatomical variations on pinch and grip strength. MATERIALS AND METHODS: In this cross-sectional study, 523 volunteers and their 1046 hands were enrolled. Each hand was assessed for the presence or absence of the Palmaris longus tendon and for variations in the fifth superficial flexor digitorum function. Then the grip and pinch power of the hands were measured with the Jammar Dynamometer. RESULTS: The presence or absence of Palmaris longus had no effect on grip strength in the individuals studied. Likewise, variations in fifth superficial flexor digitorum function had no effect on grip and pinch strengths. But the results of statistical testing showed the effect of the presence of Palmaris longus on pinch strength (25.38 lbs in hands with Palmaris present vs 24.43 lbs in hands without Palmaris). Pinch and grip power was higher in men than in women and in the right hand than in the left. CONCLUSION: Based on the findings of the present study, it seems that absence of the Palmaris longus tendon is associated with a reduction in pinch strength but has no effect on grip strength, and the variations in the fifth superficial flexor digitorum (flexor digitorum superficialis, or FDS) have no effect on pinch and grip strengths.

Harvest of Palmaris Longus Tendon: Technique

1993 ◽  
Vol 18 (5) ◽  
pp. 583-584 ◽  
Author(s):  
W. R. SAEED ◽  
S. P. KAY
Keyword(s):  
Longus Tendon ◽  
Palmaris Longus ◽  
Minimal Scarring ◽  
Palmaris Longus Tendon ◽  
Stab Incision

We present a modification of Bunnell’s technique for harvest of the palmaris longus tendon. Using a 0.5 cm distal incision and a proximal stab incision the tendon is harvested with minimal scarring and, in our experience of over 30 cases, no morbidity.

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.

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