Opponensplasty with Flexor Digitorum Superficialis of Ring Finger

2013 ◽  
pp. 178-178
Author(s):  
G Karthikeyan
Keyword(s):  
Ring Finger ◽  
Flexor Digitorum Superficialis ◽  
Flexor Digitorum

Bilateral Opponens Replacement in Post Polio Thenar Paralysis, Using Different Techniques. A Case Report.

HAND ◽  
1983 ◽  
Vol os-15 (2) ◽  
pp. 221-222 ◽  
Author(s):  
J. G. Andersen ◽  
J. W. Brandsma
Keyword(s):  
Case Report ◽  
Ring Finger ◽  
Flexor Digitorum Superficialis ◽  
Left Hand ◽  
Right Hand ◽  
Abductor Digiti Minimi ◽  
The Right ◽  
Flexor Digitorum

A patient is presented with bilateral thenar paralysis, due to poliomyelitis. On the right hand a successful abductor digiti minimi transfer was performed. On the left hand weakness of the hypothenar muscles prevented a good result. Subsequently an opponens replacement, using flexor digitorum superficialis from the ring finger, yielded a good result.

Influence of the flexor digitorum superficialis tendon transfer on grip strength

2021 ◽  
pp. 175319342110612
Author(s):  
Angelina Garkisch ◽  
Stefanie Schmitt ◽  
Nicole Kim ◽  
Dagmar-C. Fischer ◽  
Karl-Josef Prommersberger ◽  
...  
Keyword(s):  
Grip Strength ◽  
Tendon Transfer ◽  
Ring Finger ◽  
Flexor Digitorum Superficialis ◽  
Force Transmission ◽  
Finger Forces ◽  
Middle Ring ◽  
Flexor Digitorum

The flexor digitorum superficialis tendon of the ring finger can be transferred to the thumb flexor. We followed ten patients after such a transfer for 5–128 months and measured grip strength and force transmission of the fingers and individual phalanges while the patients gripped 10-cm or 20-cm diameter cylinders. The grip strength of the middle, ring and little fingers was reduced when gripping the 10-cm cylinder, with a significantly larger decrease in the ring finger. With the 20-cm cylinder, grip forces of all fingers were almost identical, with slightly lower force of the ring finger and slightly higher forces in the index and small fingers. We conclude that after transfer of flexor digitorum superficialis tendon from a ring finger, grip strength of the ring finger is reduced. Finger forces are more hampered while gripping objects with smaller circumferences than large ones.

A Troublesome Flexor Tendon Anomaly

HAND ◽  
1982 ◽  
Vol os-14 (1) ◽  
pp. 51-52 ◽  
Author(s):  
D. M. Evans
Keyword(s):  
Flexor Tendon ◽  
Anatomical Variation ◽  
Ring Finger ◽  
Flexor Digitorum Superficialis ◽  
Flexor Digitorum

An anatomical variation is described in which a connection between flexor digitorum superficialis and profundus of the ring finger led to difficulty in withdrawing the superficial tendon for transfer.

Closed Rupture of Flexor Pollicis Longus Tendon Associated with Treatment of Bennett’s Fracture

1984 ◽  
Vol 9 (2) ◽  
pp. 129-130 ◽  
Author(s):  
P. S. RAE ◽  
D. FINLAYSON
Keyword(s):  
Ring Finger ◽  
Unusual Complication ◽  
Flexor Digitorum Superficialis ◽  
Flexor Pollicis Longus ◽  
Longus Tendon ◽  
Bennett’S Fracture ◽  
Closed Rupture ◽  
Flexor Pollicis Longus Tendon ◽  
Flexor Digitorum

A case of closed rupture of the tendon of flexor pollicis longus following treatment of a Bennett’s fracture is described. This unusual complication was treated by transfer of the tendon of flexor digitorum superficialis of the ring finger.

Assessment of the presence of independent flexor digitorum superficialis function in the small fingers of professional string players: Is this an example of natural selection?

2013 ◽  
Vol 39 (1) ◽  
pp. 93-100 ◽  
Author(s):  
Y. Godwin ◽  
G. A. C. Wheble ◽  
C. Feig
Keyword(s):  
Natural Selection ◽  
Meta Analysis ◽  
Ring Finger ◽  
Control Group ◽  
Finger Movement ◽  
Flexor Digitorum Superficialis ◽  
Professional Musicians ◽  
Elite Level ◽  
Physical Tests ◽  
Flexor Digitorum

This study estimated the prevalence of independent flexor digitorum superficialis function in the small fingers of 90 violin and viola players. The hypothesis tested was that the independent digital movements required in this population would select out those with absent flexor digitorum superficialis function. Professional string players were tested clinically, using standard and modified tests, for flexor digitorum superficialis function. Two additional physical tests were applied: the gap and stretch tests. These tests assess ring finger movement once the small finger is placed and the instrument is held in the chin-hold position. A statistically significant reduction in the prevalence of absent flexor digitorum superficialis function was confirmed in the musicians compared with a control group and published meta-analysis. This suggests that independent flexor digitorum superficialis function is important for professional musicians playing at an elite level.

scholarly journals Acute Traumatic Musculotendinous Avulsion of the Flexor Pollicis Longus Tendon Treated with Primary Flexor Digitorum Superficialis Transfer: A Novel Technique of Management

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
P. Kiran Sasi ◽  
Swagath Mahapatra ◽  
Samuel C. Raj Pallapati ◽  
Binu P. Thomas
Keyword(s):  
Functional Result ◽  
Ring Finger ◽  
Flexor Digitorum Superficialis ◽  
Flexor Pollicis Longus ◽  
Musculotendinous Junction ◽  
Longus Tendon ◽  
Significant Challenge ◽  
Novel Technique ◽  
Flexor Pollicis Longus Tendon ◽  
Flexor Digitorum

Traumatic musculotendinous junction avulsions are rare injuries except in avulsion amputations. They pose a significant challenge to the treating surgeon. We present a 24-year-old male who sustained an open musculotendinous avulsion of the flexor pollicis longus tendon. He was treated with primary tendon transfer using the flexor digitorum superficialis of ring finger, in flexor zone 3. The functional result at 10 months following surgery was excellent.

Opponensplasty by Extensor Indicis and Flexor Digitorum Superficialis Tendon Transfer

1992 ◽  
Vol 17 (6) ◽  
pp. 611-614 ◽  
Author(s):  
G. A. ANDERSON ◽  
V. LEE ◽  
G. D. SUNDARARAJ
Keyword(s):  
Median Nerve ◽  
Tendon Transfer ◽  
Ring Finger ◽  
Flexor Digitorum Superficialis ◽  
Nerve Paralysis ◽  
Lateral Incision ◽  
Oblique Incision ◽  
Flexor Digitorum

From 1977 to 1988, 166 patients with median nerve paralysis of varied aetiology underwent opponensplasty. In 50 of these the extensor indicis was used, and in 116 the flexor digitorum superficialis of the ring finger. An analysis of these hands showed that the EI opponensplasty was best in supple hands and FDS opponensplasty was more suitable for less pliable hands. There were fewer complications seen after FDS opponensplasty if the detachment of the donor tendon was done through a volar oblique incision rather than the conventional lateral incision.

Outcome of flexor digitorum superficialis opponensplasty for Type II and IIIA thumb hypoplasia

2015 ◽  
Vol 41 (3) ◽  
pp. 258-264 ◽  
Author(s):  
M. de Kraker ◽  
R. W. Selles ◽  
J. M. Zuidam ◽  
H. M. Molenaar ◽  
H. J. Stam ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Tendon Transfer ◽  
Ring Finger ◽  
Metacarpophalangeal Joint ◽  
Pinch Strength ◽  
Type Ii ◽  
Flexor Digitorum Superficialis ◽  
Joint Stability ◽  
Type Iiia ◽  
Flexor Digitorum

This study reports on outcomes of the flexor digitorum superficialis tendon transfer from the ring finger in Type II and IIIA hypoplastic thumbs. We included 22 patients with 27 involved hands: 16 Type II thumbs and five Type IIIA treated by transfer and six non-operated Type II thumbs. The outcomes were assessed by range of motion, strength, sensibility, joint stability and patient/parent satisfaction. Compared with normative data, the range of motion was diminished in all patient groups. Opposition strength in operated Type II thumbs was significantly better than in non-operated thumbs. Grip strength, pinch strength, tripod strength and key pinch strength were approximately 50% of normal in Type II thumbs and 35% in Type IIIA thumbs. Metacarpophalangeal joint stability was restored in all operated Type II thumbs and in 40% of Type IIIA thumbs. We conclude that the flexor digitorum superficialis tendon transfer of the ring finger is a good functioning opponensplasty in both Type II and IIIA thumbs. The transfer provides excellent stability of the metacarpophalangeal joint in Type II thumbs. Level of Evidence: Level IV

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