POST-TRAUMATIC COMBINED FLEXION OF THE THUMB, INDEX AND MIDDLE FINGER AFTER INTRINSIC MUSCLES RECONSTRUCTION OF THE HAND: A CASE REPORT

Hand Surgery ◽  
2011 ◽  
Vol 16 (02) ◽  
pp. 189-191 ◽  
Author(s):  
Stefano Lucchina ◽  
Alexandru Nistor ◽  
Cesare Fusetti
Keyword(s):  
Middle Finger ◽  
Surgical Reconstruction ◽  
Flexor Digitorum Profundus ◽  
Resonance Imaging ◽  
Flexor Pollicis Longus ◽  
Post Traumatic ◽  
Magnetic Resonance Imaging Mri ◽  
Flexor Digitorum ◽  
Intrinsic Muscles ◽  
Early Functional Recovery

We report a case in which simultaneous flexion of the thumb, index and middle finger occurred 6 months after the surgical reconstruction of the adductor (AM) and first dorsal interosseous (IO) muscles. An anomalous connection in the form of tendon slip associated to fibrous adhesions between the flexor pollicis longus (FPL) tendon, flexor digitorum profundus indicis (FDPI) and middle finger (FDPM) tendons were found. Either ultrasound (US) examination or magnetic resonance imaging (MRI) were unable to detect the site of adhesion. Excision of the slip and radical tenosynoviectomy led to early functional recovery.

Magnetic resonance imaging in linburg-comstock anomaly

2006 ◽  
Vol 47 (4) ◽  
pp. 366-368 ◽  
Author(s):  
N. Karalezli ◽  
R. Haykir ◽  
S. Karakose ◽  
S. Yildirim
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Operation Time ◽  
Distal Forearm ◽  
Resonance Imaging ◽  
Flexor Pollicis Longus ◽  
Flexor Digitorum Longus ◽  
Radiocarpal Joint ◽  
Magnetic Resonance Imaging Mri ◽  
Flexor Digitorum

Purpose: To determine the usefulness of magnetic resonance imaging (MRI) in detecting the tendinous connection in Linburg-Comstock anomaly. Material and Methods: The study comprised 52 patients attending the orthopedic clinic for different hand problems. They were also examined for the presence of Linburg-Comstock anomaly, which was present in nine, and these patients were examined by MRI. Results: The tendinous connection between flexor pollicis longus and flexor digitorum longus in all patients was shown by MRI. The connections were in the wrist, just proximal to the radiocarpal joint or distal forearm. Conclusion: MRI can show localization of the connection in this anomaly and helps the surgeon perform the operation with a limited incision. The operation time is therefore shorter and wound scarring less prominent.

The Role of Magnetic Resonance Imaging in Late Presentation of Isolated Injuries of the Flexor Digitorum Profundus Tendon in the Finger

2000 ◽  
Vol 25 (1) ◽  
pp. 95-97 ◽  
Author(s):  
B. A. KUMAR ◽  
A. R. TOLAT ◽  
G. THREEPURANENI ◽  
B. JONES
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Late Presentation ◽  
Flexor Digitorum Profundus ◽  
Resonance Imaging ◽  
Flexor Tendon Injuries ◽  
Magnetic Resonance Imaging Mri ◽  
A Minor ◽  
Flexor Digitorum ◽  
Flexor Digitorum Profundus Tendon

Four patients had magnetic resonance imaging (MRI) after a clinical diagnosis of a flexor digitorum profundus tendon rupture of the hand. The delay before presentation ranged from 1 to 5 weeks. Three patients had closed ruptures and one had a minor laceration which had healed. MRI showed proximal retraction of the profundus tendon to the palm in two patients and limited retraction in the other two. MRI provides important preoperative information for surgical decision-making and planning in patients who present late with closed flexor tendon injuries of the hand.

Flexor Digitorum Profundus Common to Thumb and Index Finger, Associated with a Post-Traumatic Distal Adherence of Both Tendons

1988 ◽  
Vol 13 (1) ◽  
pp. 72-74
Author(s):  
A. RICO AGUADO ◽  
V. del PINO PAREDES
Keyword(s):  
Index Finger ◽  
Flexor Digitorum Profundus ◽  
Complete Fusion ◽  
Flexor Pollicis Longus ◽  
Rare Anomaly ◽  
Right Hand ◽  
Bilateral Case ◽  
Post Traumatic ◽  
The Right ◽  
Flexor Digitorum

The existence of connections, in the form of tendon slips, between the tendons of the flexor pollicis longus and the flexor digitorum profundus indicis has been described by different authors as being a relatively frequent anomaly. Complete fusion between the two muscles, however, must be considered a very rare anomaly. A bilateral case is described, in which the right hand also had post-traumatic adhesions between the two tendons.

Brachioradialis Transfer for Digital Palsy

1990 ◽  
Vol 15 (3) ◽  
pp. 312-316
Author(s):  
J. M. FAILLA ◽  
C. A. PEIMER ◽  
F. S. SHERWIN
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Tendon Transfer ◽  
Flexor Digitorum Profundus ◽  
Flexor Pollicis Longus ◽  
Pinch Grip ◽  
The Common ◽  
Finger Motion ◽  
Flexor Digitorum ◽  
Tendon Excursion

Although brachioradialis tendon transfer is thought to offer limited tendon excursion and finger motion, we have used it to restore active thumb and digital function in eight patients. Three had Volkmann’s contracture, one avulsion of forearm muscles and four had tetraplegia resulting in inability to perform activities of daily living and loss of pinch or grasp and extrinsic extension. The brachioradialis was transferred to the flexor pollicis longus, to the flexor digitorum profundus or to the common digital extensors. Except for one patient who had unremitting pain, all were pleased with their improved motion, pinch, grip, and independence. Function, however, remained abnormal in all but one.

LINBURG-COMSTOCK PHENOMENON FOLLOWING FOREARM LACERATION

Hand Surgery ◽  
2012 ◽  
Vol 17 (02) ◽  
pp. 221-224 ◽  
Author(s):  
B. Lin ◽  
S. Sreedharan ◽  
Andrew Y. H. Chin
Keyword(s):  
Index Finger ◽  
Interphalangeal Joint ◽  
Penetrating Injury ◽  
Flexor Digitorum Profundus ◽  
Flexor Pollicis Longus ◽  
Distal Interphalangeal Joint ◽  
Distal Interphalangeal ◽  
The Right ◽  
Flexor Digitorum ◽  
Wide Awake

A 20-year-old man presented with an inability to flex the interphalangeal joint of the right thumb without simultaneous flexion of the distal interphalangeal joint of the index finger following a penetrating injury to the right forearm. With a clinical suspicion of intertendinous adhesions between the flexor pollicis longus and the flexor digitorum profundus to the index finger, surgical exploration under wide-awake anesthesia was performed. Intraoperatively, the intertendinous adhesions were identified and divided completely. Postoperatively, the patient achieved good, independent flexion of the interphalangeal joint of the thumb. This case demonstrates a clinical picture similar to that of Linburg-Comstock syndrome, which occurred following a forearm penetrating injury. We call this the Linburg-Comstock (LC) phenomenon.

scholarly journals Bilateral Variation of Forearm Flexor Muscles - A Case Report and Clinical Significance

2012 ◽  
Vol 01 (01) ◽  
pp. 040-043
Author(s):  
D. Malar ◽  
Keyword(s):  
Middle Finger ◽  
Flexor Digitorum Profundus ◽  
Flexor Digitorum Superficialis ◽  
Flexor Carpi Ulnaris ◽  
Close Proximity ◽  
Flexor Muscles ◽  
Male Cadaver ◽  
Forearm Flexor Muscles ◽  
Flexor Digitorum ◽  
Forearm Flexor

AbstractDuring routine dissection, bilateral multiple variations of forearm flexor muscles were observed in a male cadaver. The variations were a) an additional belly arising from the coronoid process of ulna, distal to the origin of ulnar head of flexor digitorum superficialis, passing deep to flexor digitorum superficialis and joining the tendon of flexor digitorum profundus to the middle finger; b) an additional belly arising from the distal part of flexor carpi ulnaris and passing superficial to ulnar nerve and ulnar vessels in the Guyon's canal and c) the origin of second lumbricals from the profundus tendon in the carpal tunnel. An aberrant muscle may stimulate a ganglion or a soft tissue tumor or if in close proximity to a nerve, it may cause pressure neuritis. Identification of these variations is important in defining the anatomical features for clinical diagnosis and surgical procedures.

scholarly journals A rare case of post traumatic isolated bilateral abducens nerve palsy

2014 ◽  
Vol 21 (4) ◽  
pp. 497-499
Author(s):  
Manish Jaiswal ◽  
Saurabh Jain ◽  
Ashok Gandhi ◽  
Achal Sharma ◽  
R.S. Mittal
Keyword(s):  
Rare Case ◽  
Nerve Palsy ◽  
Abducens Nerve ◽  
Abducens Nerve Palsy ◽  
Resonance Imaging ◽  
Intracranial Lesion ◽  
Mri Brain ◽  
Post Traumatic ◽  
Magnetic Resonance Imaging Mri ◽  
Bilateral Abducens

Abstract Although unilateral abducens nerve palsy has been reported to be as high as 1% to 2.7% of traumatic brain injury, bilateral abducens nerve palsy following injury is extremely rare. In this report, we present the case of a patient who developed isolated bilateral abducens nerve palsy following minor head injury. He had a Glasgow Coma Score (GCS) of 15 points. Computed tomography (CT) images & Magnetic Resonance Imaging (MRI) brain demonstrated no intracranial lesion. Herein, we discuss the possible mechanisms of bilateral abducens nerve palsy and its management.

Avulsion Of The Ring Finger Flexor Digitorum Profundus Tendon: An Experimental Study

HAND ◽  
1978 ◽  
Vol os-10 (1) ◽  
pp. 52-55 ◽  
Author(s):  
Paul R. Manske ◽  
Peggy A. Lesker
Keyword(s):  
Experimental Study ◽  
Breaking Strength ◽  
Ring Finger ◽  
Middle Finger ◽  
Frequent Occurrence ◽  
Flexor Digitorum Profundus ◽  
Flexor Digitorum ◽  
Flexor Digitorum Profundus Tendon

Summary The results of an experimental study of the breaking strength of the tendon-bone junction of the flexor digitorum profundus tendon in cadaver specimens indicates a significantly weaker insertion of the ring finger compared to the middle finger. This explains in part the more frequent occurrence of avulsion of the ring finger profundus tendon as observed clinically.

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