Reconstruction of a congenitally absent flexor pollicis longus in an adult.

Tendon Transfer in Congenital Deficiency of Flexor Pollicis Longus

Use of intrinsic thumb muscles may help to improve lateral pinch function restored by tendon transfer.

BACKGROUND For surgical reconstruction of lateral pinch following tetraplegia, the function of the paralyzed flexor pollicis longus is commonly restored. The purpose of this study was to investigate if one of the intrinsic muscles could generate a more suitably directed thumb-tip force during lateral pinch than that of flexor pollicis longus. METHODS Endpoint force resulting from 10 N applied...

Ultrasonographic Assessment of the Flexor Pollicis Longus Tendon After Plate Fixation.

Rupture of the flexor pollicis longus tendon is a major complication after volar locking plate fixation of distal radius fracture. This study used ultrasonography to assess the flexor pollicis longus tendon and intermediate tissue. The study assessed 27 patients (28 wrists) who underwent removal of the volar locking plate. Before plate removal, radiography and ultrasonography were performed to ...

Reconstruction of the flexor pollicis longus tendon ruptured, but untreated, during infancy.

We treated 3 patients who had ruptured the flexor pollicis longus (FPL) tendon during infancy and which had not been repaired. A two-stage surgical procedure, using a silicone rod, was performed to reconstruct the tendon, and favorable thumb flexion was obtained. A favorable outcome was obtained, even if the gliding of the silicone rod had been poor after the first stage procedure. When the sca...

Variations of Plantaris, Palmaris Longus, and Fifth Superficial Flexor Tendons: a Cadaver Study

Background & Aims: The Plantaris muscle is located in the superficial posterior compartment of the leg and is absent in some individuals. The present study was undertaken to evaluate the absence variation of Plantaris muscle and its possible relation with Palmaris longus and fifth superficial flexor digitorum of the hand. Methods: 83 fresh cadavers, referred to legal medicine center, Kerman, Ir...