Keywords
extensor indicis proprius
spontaneous rupture
tendinous transfer
case report
Categories
How to Cite
Abstract
The extensor pollicis longus, constitutes the most important muscle for the extension of the interphalangeal and metacarpophalangeal joints of the thumb. The result of tendinous rupture of the extensor pollicis longus consists of the impossibility of actively extending the interphalangeal joint. Despite the causes described in the literature, the reports of spontaneous ruptures associated with working occupational activity in young patients without predisposing factors, are infrequent. Direct reparation is often difficult due to tendinous ends being unsuitable for a primary tendinous suture. In this case, secondary procedures of tendinous reconstruction through a transfer are indicated.
Case Report: Male patient, 39 years old, manual worker, without pathologic records. Diagnosed with acute spontaneous rupture of the extensor pollicis longus of the first finger and its resolution through a transfer of the extensor indicis proprius to the extensor pollicis longus.
Conclusion: The tendinous transfer of the extensor indicis proprius to restore the extension function of the first finger, due to the rupture of the extensor pollicis longus, shows to be a valid and reproducible therapeutic alternative with good functional outcomes. This allows the reincorporation of habitual working tasks in a short time with a low complication rate.
References
A. Meiwandi, S. Kaptanis, M. Papadakis, Extensor indicis transfer versus palmaris longus transplantation in reconstruction of extensor pollicis longus tendon: A protocol for a systematic review, Syst. Rev. 9 (2020) 1–5. https://doi.org/10.1186/s13643 -020-01409-3.
C.H. Kim, Spontaneous rupture of the extensor pollicis longus tendon, Arch. Plast. Surg. 39 (2012) 680–682. https://doi.org/10.5999/aps.2012.39.6.680.
M.S. Faúndez, C.A. Sanhueza, G.C. Penna, Rotura espontánea del tendón extensor largo del pulgar – transferencia tendínea con técnica anestésica WALANT Spontaneous Rupture of Thumb Extensor Pollicis Longus – Tendon Transfer under the WALANT Anesthetics Technique, (2017) 71–75.
A. Björkman, P. Jörgsholm, Rupture of the extensor pollicis longus tendon: A study of aetiological factors, Scand. J. Plast. Reconstr. Surg. Hand Surg. 38 (2004) 32–35. https://doi.org/10.1080/02844310310013046.
P.H.C. Stirling, N. Ng, A.D. Duckworth, J.E. McEachan, Extensor indicis transfer improves function in patients after rupture of the extensor pollicis longus tendon, Hand Surg. Rehabil. 40
(2021) 343–346. https://doi.org/10.1016/j.hansur.2020.12.005.
P.C. Boucke, T. Cordier, M. Häfeli, S. Schibli, Simplified active motion protocol following Extensor indicis to Extensor pollicis longus tendon transfer using a side-to-side suture,
Handchirurgie Mikrochirurgie Plast. Chir. 53 (2021) 67–71. https://doi.org/10.1055/a-1326-195 0.
K. Ditsios, C. Pavlopoulos, P. Konstantinou, A. Serlis, T. Katsimentzas, I. Pinto, L. Kostretzis, Extensor indicis proprius transfer for the extensor pollicis longus tendon rupture with a two-incision technique, J. Plast. Reconstr. Aesthetic Surg. 75 (2022) 2001–2018. https://doi.org/10.1016/j.bjps.2022.02.047.
J. Abad Morenilla, Á. Sutil Blanco, D. Varillas Delgado, F. García de Lucas, Reparación del tendón extensor pollicis longus, mediante la técnica del lazo con el extensor pollicis brevis, Rev. Iberoam. Cirugía La Mano. 46 (2018) 012–019. https://doi.o rg/10.1055/s-0038-1639512.
T. Pillukat, K.J. Prommersberger, J. Van Schoonhoven, Vergleich der ergebnisse nach rekonstruktion der sehne des musculus extensor pollicis longus durch freies sehneninterponat gegenüber dem motorischen ersatz durch eine extensor indicis-transposition, Handchirurgie Mikrochirurgie Plast. Chir. 40 (2008) 160–164. https://doi.org/10.1055/s-2007-9 65479.
H. Saremi, A. Karbalaeikhani, Emergent tendon transfer in hand trauma: A case report, Trauma Mon. 17 (2012) 401–403. https://doi.org/10.5812/traumamo n.757
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