Extensor pollicis longus tendon repair

What is an extensor tendon rupture? Is a quadricep tendon a flexor or extensor tendon? Extensor Pollicis Longus Tendon Repair ! Instructions Laith Al-Shihabi, MD 2-weeks Splint: -Fashion a removable short-arm thumb spica splint holding the wrist in degrees of extension, thumb CMC joint in full radial abduction and extension, MCP joint in neutral, and IP joint in neutral to slight hyperextension. Please DO NOT remove this.

Try to keep your bandage clean and dry.

To minimize swelling, you must keep your hand lifted up to your shoulder level. What and where is the EPL tendon ? The tendon of EPL is located over the back of the wrist, where it bends through a tunnel, adjacent to a slight prominence of bone. This oblique direction is so that it can pull the thumb up and back, as if trying to “hitchhike”.

Primary EHL repair was performed in of cases, with the remaining patients undergoing reconstruction with deep tendon transfer of the extensor digitorum longus tendon from the second toe. At final follow-up, of patients had active hallux dorsiflexion. This tendon helps to straighten the end joint of the thumb and is essential to maintain hand span and to position the thumb in relation to the other fingers. The primary goal of extensor tendon repair is to create a strong, stable repair that promotes intrinsic healing and allows the affected tendon to glide smoothly.

Tendon grafting can be performed with a palmaris longus or toe extensor.

This study presents the of patients treated with a tendon transfer for rupture of the extensor pollicis longus (EPL). The EPL is a tendon that extends (straightens) the thumb. The rupture was caused by a wrist fracture. The standard operation for this injury is to use the extensor indicis proprius (EIP) tendon. The tendon most commonly ruptures near Lister’s tubercle in association with distal radial fractures, but can also rupture spontaneously.

Of significance, the sixth compartment contains the extensor carpi ulnaris (ECU), which serves as a major stabilizer for the distal radioulnar joint (DRUJ) as well as extends the wrist. Located on the dorsal side of the forearm, the extensor pollicis longus muscle inserts into the base of. When the extensor indicis is added to these muscles, then they form a group of muscles called the deep extensors.

The extensor indicis proprius tendon (black arrowhead) was harvested. Thumb Flexor Pollicis Longus Tendon Repair Guide. What does the Flexor Pollicis Longus (FPL) Tendon do? The FPL tendon bends the tip of the thumb. It also works together with another tendon to bend the thumb over the base of the little finger.

Your FPL starts in the tip of your thumb, travels through the wrist and attaches to a muscle in your. FHL) tendon , affect-ing hallux plantar flexion strength and motion, occur frequently in dancers. We found no reports of injury to the hallux extensors in this population.

There isn’t an additional code for the repair of the MCP joint because it can only be lacerated if the extensor tendon is lacerate too, and the repair of the extensor tendon is inclusive of. This tendon straightens the end joint of the thumb and also helps pull the thumb in towards the index finger.

The tendon runs around a bony prominence on the back of the wrist called Lister’s tubercle. Following repair of this tendon , whilst early active motion within a volar orthosis is simple and inexpensive, it is not known whether it is more effective at regaining thumb motion than immobilisation. Thumb EXTENSOR Tendons Rehab Programme You will be guided through each stage by your physiotherapist. Do not move onto the next stage without instruction to do so.

Stage (3-days post -op) Early active movement exercises: Perform repetitions of the following exercises every hours: 1. Derek Moore Topic. The provider is repairing peroneus longus and peroneus brevis. Both these muscles act as plantar flexors.

You can report one unit for each flexor tendon repaired.