RESUMEN
A variety of surgical treatment methods for an avulsion of the flexor digitorum profundus (FDP) from its insertion and simultaneous fracture of the volar base of the distal phalanx, the so-called type IV FDP avulsion had been reported. The need to simultaneously reattach the FDP tendon and fixate the avulsed bony fragment makes the treatment of this injury challenging. The authors described a surgical technique of repair using a pullout suture tied over an external dorsal button without the need for retained hardware.
Asunto(s)
Traumatismos de los Dedos/cirugía , Fijadores Internos , Técnicas de Sutura , Traumatismos de los Tendones/cirugía , Traumatismos de los Dedos/diagnóstico por imagen , Humanos , Masculino , Persona de Mediana Edad , Radiografía , Traumatismos de los Tendones/diagnóstico por imagenRESUMEN
Flexor tendon injury is a potential complication after volar plating of distal radius fracture. This article reports a case of flexor pollicis longus tendon rupture after corrective osteotomy of a distal radius malunion with volar fixed-angle plating. Thirty-three cases of flexor tendon injuries after fixed-angle volar plating and eleven cases of flexor tendon injuries after non-fixed-angle volar plating were also reviewed. The clinical presentation, injured tendons, type of the plate, causes of the injuries and preventions of this complication were discussed.
Asunto(s)
Fracturas Mal Unidas/cirugía , Osteotomía , Fracturas del Radio/cirugía , Traumatismos de los Tendones/etiología , Placas Óseas , Femenino , Fracturas Mal Unidas/diagnóstico por imagen , Humanos , Persona de Mediana Edad , Radiografía , Fracturas del Radio/diagnóstico por imagen , Rotura , Traumatismos de los Tendones/cirugía , Articulación de la Muñeca/diagnóstico por imagenRESUMEN
Triggering of extensor pollicis longus (EPL) tendon is an uncommon phenomenon with a few reports in the previous literature. Because of its rarity, the recommendations for management are sparse. We report a case of triggering EPL tendon secondary to the tendon nodule in a 42-year-old woman treated with the surgical decompression. The intraoperative findings, surgical technique and outcome of this case are described.
Asunto(s)
Tendones/fisiopatología , Trastorno del Dedo en Gatillo/cirugía , Adulto , Femenino , Humanos , Tendones/patología , Trastorno del Dedo en Gatillo/etiología , Trastorno del Dedo en Gatillo/fisiopatologíaRESUMEN
The location of lateral femoral cutaneous nerve (LFCN) in relation to the anterior superior iliac spine (ASIS) and the iliac crest was investigated in 96 embalmed cadaveric specimens. Fifty-six nerves (58.3%) passed medial to the ASIS. Twenty-two nerves (22.9%) passed at the ASIS. Eighteen nerves (18.8%) passed lateral to the ASIS. The LFCN is usually located at 2.1 +/- 0.8 to 3.9 +/- 1.0 cm below the crest in the range of 2-5 cm lateral to the ASIS, respectively. When the anterior iliac crest bone graft harvesting is planned, the anatomical variation in this area should be concerned to reduce the risk of LFCN injury.
Asunto(s)
Nervio Femoral/anatomía & histología , Cadáver , Femenino , Humanos , Ilion , Masculino , Columna VertebralRESUMEN
A patient with a flexor carpi radialis brevis (FCRB) is reported. In contrast to all but one previous case, the anomalous FCRB was painful. The FCRB tendon was located in a separate compartment; the tenosynovitis in that compartment was the likely cause of pain. Release of the compartment relieved the symptoms.