Long-Term Functional Evaluation on Tendon Transfer to Restore Extension of the Thumb using Extensor Carpi Radialis Brevis

Yü, Wei

doi:10.23937/2378-3397/1410021

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…In this case, the Geldmacher parameters are significantly similar. Moreover, when compared with the results of Bullon et al 21 (Supplemental Table 2) and Yu W et al 22 (Supplemental Table 3), our technique showed that the results of this technique may be overlapping with those of other alternative techniques. Moreover, in respect of extension and flexion deficit of the thumb and extension/flexion in the nonoper-ated case and operated IP, the difference is not significant, except for MP value where the difference is significant (Supplemental Tables 4 and 5).…”

Section: Clinical Studysupporting

confidence: 56%

Brachioradialis Muscle Tendon Transposition in Extensor Pollicis Longus Reconstruction: Anatomical Study and a New Surgical Approach

Francesco

Pugliese

Francesco

et al. 2020

Hand (New York, N,Y.)

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Background Complete extension of the thumb and activation of the extensor pollicis longus (EPL) tendon are fundamental to ensure maximum function. Many EPL repair techniques are described in the literature. Methods The authors present an alternative technique using the brachioradialis (BR) tendon. Thirty patients with injuries of the EPL tendon in zone 8 were studied. In all cases, neither direct suture repair nor traditional tendon transfer was possible. Results Thumb extension was restored in all patients with satisfactory extension recovery. All patients achieved excellent extension; good functional results were observed in 2 cases, and in 1 case satisfactory results were achieved using the Geldmacher assessment and the Kapandji assessment. The overall results were rated as excellent, good, fair, or poor according to the Quick Disabilities of the Arm, Shoulder, and Hand Scale. Discussion The BR tendon was suitable to treat all cases, in particular injuries occurring near Lister’s tubercle, due to its appropriate length for tenorrhaphy albeit with a short distal head.

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Section: Clinical Studysupporting

confidence: 56%

Brachioradialis Muscle Tendon Transposition in Extensor Pollicis Longus Reconstruction: Anatomical Study and a New Surgical Approach

Francesco

Pugliese

Francesco

et al. 2020

Hand (New York, N,Y.)

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“…Cauldwell reported the prevalence of EIP tendon variations as much as 16.8%. 11,12 There are several factors affecting the functional outcomes of EIP tendon transfers, the most important being appropriate tension setting. The standard tensioning position in EIP to EPL transfers is full flexion of thumb when wrist in extension and opposition of the thumb was possible while in full extension when the wrist was in flexion ECRL and ECRB are the other options for tendon transfer but there is certain loss on radial side in wrist extension as ECRL and ECRB is an important extensor.…”

Section: Discussionmentioning

confidence: 99%

Delayed presentation of extensor pollicis longus tendon injury treated using extensor indicis proprius tendon transfer

et al. 2019

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Spontaneous closed rupture of EPL tendon are frequently associated with rheumatoid arthritis, Colles fracture, sports related injury. In cases of delayed presentation direct tendon repair is not feasible and a tendon transfer is usually recommended. In this study we evaluated the results of extensor indicis proprius (EIP) to extensor pollicis longus (EPL) transfers for EPL ruptures. Four patients, (two male and two females); mean age 32 years (range 20 to 45 years) with EPL tendon rupture underwent EIP to EPL tendon transfer. The mean duration from rupture to surgery was 4.5 weeks (range 4 to 6 weeks). Range of motion of the metacarpophalangeal (MCP), interphalangeal joints (IP) of the thumb and index finger of the operated side was compared with the normal side. The results were scored using geldmacher scheme, for the thumb four functions were scored, the radial abduction angle, the elevation deficit, the opposition distance and flexion extension deficit of MP and IP joints. The mean follow-up period was 5 months. All the four patients were able extend the thumb at MCP joint and oppose the thumb to the MCP of little finger after mean follow up of 5 months. Based on the questionnaire, the results of tendon transfer scored by three (75%) patients was excellent and by one (25%) patient was good. Independent extension of the index finger of operated hand was possible in all 4 patients. The procedure of EIP to EPL tendon transfer provides excellent result for extension of thumb. It is a safe procedure.

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Long-Term Functional Evaluation on Tendon Transfer to Restore Extension of the Thumb using Extensor Carpi Radialis Brevis

Cited by 2 publications

References 9 publications

Brachioradialis Muscle Tendon Transposition in Extensor Pollicis Longus Reconstruction: Anatomical Study and a New Surgical Approach

Brachioradialis Muscle Tendon Transposition in Extensor Pollicis Longus Reconstruction: Anatomical Study and a New Surgical Approach

Delayed presentation of extensor pollicis longus tendon injury treated using extensor indicis proprius tendon transfer

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