scholarly journals Two-Stage Flexor Pollicis Longus Tendon Reconstruction Using Pedicled Palmaris Longus Tendon Graft

2021 ◽  
Vol 11 (04) ◽  
pp. 749
Author(s):  
O.F. Kümbüloğlu ◽  
F. Canşah Barışhan ◽  
H. Mustafa Özdemir
Keyword(s):  
Tendon Graft ◽  
Flexor Pollicis Longus ◽  
Two Stage ◽  
Longus Tendon ◽  
Tendon Reconstruction ◽  
Palmaris Longus ◽  
Palmaris Longus Tendon ◽  
Flexor Pollicis Longus Tendon

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.

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

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

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.

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

Anatomical Acromioclavicular Ligament Reconstruction

2005 ◽  
Vol 33 (11) ◽  
pp. 1723-1728 ◽  
Author(s):  
Paul W. Grutter ◽  
Steve A. Petersen
Keyword(s):  
Ligament Reconstruction ◽  
Acromioclavicular Joint ◽  
Tendon Graft ◽  
Longus Tendon ◽  
Flexor Carpi Radialis ◽  
Palmaris Longus ◽  
Fresh Frozen ◽  
Palmaris Longus Tendon ◽  
Mechanism Of Failure ◽  
Surgical Treatments

Background Current surgical treatments for acromioclavicular separations do not re-create the anatomy of the acromioclavicular joint. Hypothesis Anatomical acromioclavicular reconstruction re-creates the strength of the native acromioclavicular joint and is stronger than a modified Weaver-Dunn repair. Study Design Controlled laboratory study. Methods The native acromioclavicular joint in 6 fresh-frozen cadaveric upper extremities was stressed to failure under uniaxial tension in the coronal plane. A modified Weaver-Dunn procedure, anatomical acromioclavicular reconstruction using a palmaris longus graft, and anatomical acromioclavicular reconstruction using a flexor carpi radialis graft were then performed sequentially. Each repair was stressed to failure. Load-displacement curves and mechanism of failure were recorded for each. Results Loads at failure for the native acromioclavicular joint complex, modified Weaver-Dunn procedure, anatomical acromioclavicular reconstruction using a palmaris longus tendon graft, and anatomical acromioclavicular reconstruction using a flexor carpi radialis tendon graft were 815 N, 483 N, 326 N, and 774 N, respectively. The strength of the native acromioclavicular joint complex was significantly different from the modified Weaver-Dunn repair (P <. 001) and the anatomical acromioclavicular reconstruction using a palmaris longus tendon graft (P <. 001) but not from the anatomical acromioclavicular reconstruction using a flexor carpi radialis tendon graft (P =. 607). Conclusion The strength of the described anatomical acromioclavicular reconstruction is limited by the tendon graft used. Anatomical acromioclavicular reconstruction with a flexor carpi radialis tendon graft re-creates the tensile strength of the native acromioclavicular joint complex and is superior to a modified Weaver-Dunn repair.

Rupture of Flexor Pollicis Longus as a Complication of Colles’ Fracture: A Case Report

1990 ◽  
Vol 15 (3) ◽  
pp. 370-372
Author(s):  
J. O. ROBERTS ◽  
P. J. REGAN ◽  
A. H. N. ROBERTS
Keyword(s):  
Case Report ◽  
Tendon Rupture ◽  
Functional Result ◽  
Tendon Repair ◽  
Tendon Graft ◽  
Flexor Pollicis Longus ◽  
Good Functional Result ◽  
Longus Tendon ◽  
Colles Fracture ◽  
Flexor Pollicis Longus Tendon

A case of flexor pollicis longus tendon rupture as a complication of a Colles’ fracture in a 17-year-old male is described. Tendon repair by means of a one-stage tendon graft produced a good functional result.

Early Active Mobilization after Second Stage Flexor Tendon Grafts

1997 ◽  
Vol 22 (3) ◽  
pp. 372-374 ◽  
Author(s):  
K. KHAN ◽  
M. RIAZ ◽  
M. S. C. MURISON ◽  
M. D. BRENNEN
Keyword(s):  
Flexor Tendon ◽  
Tendon Graft ◽  
Grading System ◽  
Two Stage ◽  
Longus Tendon ◽  
Second Stage ◽  
Graft Rupture ◽  
Active Mobilization ◽  
Palmaris Longus Tendon ◽  
Tendon Grafts

We assessed the results of nine two-stage tendon reconstructions. The tendon graft was the ipsilateral palmaris longus tendon inserted into a tunnel which had been previously created by a silicone spacer. Early active mobilization was commenced 48 hours after surgery according to a previously described protocol ( Small et al, 1989 ). Using the grading system of Kleinert and Verdan (1983) the results were: one excellent, two good, five fair and one poor. Using the Buck-Gramcko et al (1976) grading system there were three excellent, two good, two satisfactory and two poor results. There were no cases of tendon graft rupture or dehiscence of the junction between tendon and graft.

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