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Brachioradialis tendon transfer and palmaris longus tendon graft for thumb avulsion:A case report and review of literature
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作者 Pierre Curings Sonia Ramos-Pascual +4 位作者 Kinga Michalewska Nicolas Gibert Lionel Erhard Mo Saffarini AlexisNogier 《World Journal of Clinical Cases》 SCIE 2025年第4期48-55,共8页
BACKGROUND Thumb replantation following complete traumatic avulsion requires complex techniques to restore function,especially in cases of avulsion at the level of the metacarpophalangeal joint(MCP I)and avulsion of t... BACKGROUND Thumb replantation following complete traumatic avulsion requires complex techniques to restore function,especially in cases of avulsion at the level of the metacarpophalangeal joint(MCP I)and avulsion of the flexor pollicis longus(FPL)at the musculotendinous junction.Possible treatments include direct tendon suture or tendon transfer,most commonly from the ring finger.To optimize function and avoid donor finger complications,we performed thumb replantation with flexion restoration using brachioradialis(BR)tendon transfer with palmaris longus(PL)tendon graft.CASE SUMMARY A 20-year-old left-handed male was admitted for a complete traumatic left thumb amputation following an accident while sliding from the top of a handrail.The patient presented with skin and bone avulsion at the MCP I,avulsion of the FPL tendon at the musculotendinous junction(zone 5),avulsion of the extensor pollicis longus tendon(zone T3),and avulsion of the thumb’s collateral arteries and nerves.The patient was treated with two stage thumb repair.The first intervention consisted of thumb replantation with MCP I arthrodesis,resection of avulsed FPL tendon and implantation of a silicone tendon prosthesis.The second intervention consisted of PL tendon graft and BR tendon transfer.Follow-up at 10 months showed good outcomes with active interphalangeal flexion of 70°,grip strength of 45 kg,key pinch strength of 15 kg and two-point discrimination threshold of 4 mm.CONCLUSION Flexion restoration after complete thumb amputation with FPL avulsion at the musculotendinous junction can be achieved using BR tendon transfer with PL tendon graft. 展开更多
关键词 brachioradialis tendon transfer Flexor pollicis longus Palmaris longus tendon graft REPLANTATION Thumb amputation Thumb avulsion Case report
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Supernumerary brachioradialis-Anatomical variation with magnetic resonance imaging findings:A case report
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作者 Milan Kravarski Gerhard W Goerres +1 位作者 Alexander Antoniadis Sebastian Guenkel 《World Journal of Orthopedics》 2020年第9期411-417,共7页
BACKGROUND In this single case report study,we describe an anatomical variance of a brachioradialis muscle with two muscle bellies and two tendons with their common insertion on the suprastyloid crest of a distal radi... BACKGROUND In this single case report study,we describe an anatomical variance of a brachioradialis muscle with two muscle bellies and two tendons with their common insertion on the suprastyloid crest of a distal radius.CASE SUMMARY After a self-mutilating forearm injury of a borderline personality patient,we observed the anatomical variation of brachioradialis tendon.After tendon repair and aftercare the muscle function recovered completely.Five months after surgery the forearm magnetic resonance imaging was done revealing a supernumerary brachioradialis muscle.CONCLUSION Anatomical variations of forearm muscles and tendons are not rare.The treating surgeons should be aware of their existence and anatomical relationships. 展开更多
关键词 Supernumerary brachioradialis muscle Anatomical variation of forearm Single case report study
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