Subscribe to RSS
DOI: 10.1055/s-0042-1754329
Reconstruction of Chronic Injury to the Extensor Apparatus of the Finger with Palmaris Longus Autograft: Case Report
Article in several languages: español | English
Abstract
Chronic injuries of the extensor apparatus of the fingers are the product of an initial injury that was not treated or was treated inadequately. These injuries require adequate and thorough management to achieve a good functional result. We present the case of a 26-year-old patient with a traumatic injury to the extensor apparatus of the third finger due to a traffic accident that occurred 8 months before. It required an intraoperative approach from Verdan zones I to V, and reconstruction with a palmaris longus (PL) autograft. The patient obtained an excellent functional result at 12 weeks, which persisted up to 9 months of follow-up.
Publication History
Received: 10 February 2020
Accepted: 10 June 2022
Article published online:
16 December 2022
© 2022. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
-
Referencias
- 1 Griffin M, Hindocha S, Jordan D, Saleh M, Khan W. Management of extensor tendon injuries. Open Orthop J 2012; 6: 36-42 DOI: 10.2174/1874325001206010036.
- 2 Kapandji AI. Capítulo 5: La mano. En: Fisiología articular: esquemas comentados de mecánica humana. España: Médica Panamericana; 2006: 234-249
- 3 Bellemère P. Treatment of chronic extensor tendons lesions of the fingers. Chir Main 2015; 34 (04) 155-181 DOI: 10.1016/j.main.2015.05.0.
- 4 Kochevar A, Rayan G, Angel M. Extensor tendon reconstruction for zones II and IV using local tendon flap: a cadaver study. J Hand Surg Am 2009; 34 (07) 1269-1275 DOI: 10.1016/j.jhsa.2009.04.009.
- 5 Kleinert HE, Verdan C. Report of the Committee on Tendon Injuries (International Federation of Societies for Surgery of the Hand). J Hand Surg Am 1983; 8 (5 Pt 2): 794-798
- 6 Türker T, Hassan K, Capdarest-Arest N. Extensor tendon gap reconstruction: a review. J Plast Surg Hand Surg 2016; 50 (01) 1-6 DOI: 10.3109/2000656X.2015.1086363.
- 7 Lebailly F, Chantelot C. Appareil extenseur: plaie récente avec perte de substance tendineuse. En La traumatologie des parties molles de la main. Francia: Springer; 11-20 DOI: 10.1007/978-2-287-99068-7_2
- 8 Adams BD. Staged extensor tendon reconstruction in the finger. J Hand Surg Am 1997; 22 (05) 833-837
- 9 Soltani AM, Peric M, Francis CS. et al. The variation in the absence of the palmaris longus in a multiethnic population of the United States: an epidemiological study. Plast Surg Int 2012; 2012: 282959 DOI: 10.1155/2012/282959.
- 10 Marshall TG, Sivakumar B, Smith BJ, Hile MS. Mechanics of Metacarpophalangeal Joint Extension. J Hand Surg Am 2018; 43 (07) 681.e1-681.e5