Comparison of Palmaris Longus Tendon Graft and Extensor Indicis Proprius Tendon Transfer for Reconstruction of the Extensor Pollicis Longus Tendon
نویسندگان
چکیده
منابع مشابه
Extensor indicis proprius tendon transfer for extensor pollicis longus rupture
The extensor pollicis longus (EPL) tendon is one of the most frequently ruptured tendons. The EPL is the primary extensor of the interphalangeal (IP) joint of the thumb and is also important in metacarpophalangeal (MCP) joint extension. The loss of this tendon leads to an inability to extend the thumb and raise it to the level of the palm, leaving the patient with a useless thumb (1). Clinicall...
متن کاملExtensor indicis proprius transfer for rupture of the extensor pollicis longus tendon.
We reviewed 21 patients with 22 ruptures of the extensor pollicis longus at a mean of 5.3 years after transfer of the extensor indicis proprius tendon. Of these, 19 with 21 transfers described the result as good, and two as fair. The mean deficit of extension between the operated and unoperated thumbs was 1.4 cm, and the mean flexion deficit 0.6 cm. Pressure gauge measurements showed that the s...
متن کاملWide-awake extensor indicis proprius to extensor pollicis longus tendon transfer.
This article provides video and narration to describe the technical details of how to inject local anesthesia and perform the extensor indicis proprius to extensor pollicis longus tendon transfer in patients with wide-awake local anesthesia and no tourniquet. Lidocaine for anesthesia and epinephrine for hemostasis are the only 2 medications given to the patient. Sedation and the tourniquet are ...
متن کاملPalmaris Longus Tendon Grafting for Extensor Pollicis Longus Tendon Rupture bScrew Tip after 20 years
INTRODUCTION Spontaneous ruptures of extension pollicis longus tendon predominantly occur after undisplaced or minimally displaced distal radial fracture near Lister tubercle. Systemic inflammatory diseases and systemic or local steroid, mechanical causes like bony ridges, presence of bone plate or external fixator pin may precipitate this. Repetitive uses in certain occupation like cooking, co...
متن کاملImmediate thumb extension following extensor indicis proprius-to-extensor pollicis longus tendon transfer using the wide-awake approach.
BACKGROUND The elective use of low-dose epinephrine in hand surgery has allowed for the performance of simple operative procedures with tourniquet-free pure local anesthesia (the wide-awake approach). The absence of general anesthesia or sedation has, in turn, allowed for the observation of how quickly the sensorimotor cortex adapts following procedures such as tendon transfer. METHODS Seven ...
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ژورنال
عنوان ژورنال: Archives of Hand and Microsurgery
سال: 2017
ISSN: 2586-3290,2586-3533
DOI: 10.12790/ahm.2017.22.4.224