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Ikumi A, Ichimura H, Asanuma S, Nagashima K, Takeuchi Y, Tatsumura M, Mammoto T, Ogawa T, Yoshii Y, Hirano A, Yamazaki M. Flexor Pollicis Longus Tendon Rupture and Carpal Tunnel Syndrome due to Scaphoid Nonunion Advanced Collapse: A Case Report. JBJS Case Connect 2022; 12:01709767-202209000-00050. [PMID: 36137070 DOI: 10.2106/jbjs.cc.22.00380] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2022] [Accepted: 07/27/2022] [Indexed: 06/16/2023]
Abstract
CASE We report a case of flexor pollicis longus (FPL) tendon rupture and carpal tunnel syndrome due to scaphoid nonunion advanced collapse deformity. Intraoperative findings showed disruption of the palmar joint capsule and a sharp proximal bone fragment protruding into the carpal tunnel. Removal of this proximal fragment and tendon grafting were performed. At the postoperative 2-year follow-up, the patient had no wrist pain, finger numbness, or restriction of thumb motion. CONCLUSION Our results suggest that minimally invasive surgical procedures, such as proximal pole or osteophyte resection, might be optimal choices for early rehabilitation after tendon repair in cases of FPL tendon rupture due to asymptomatic scaphoid nonunion.
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Affiliation(s)
- Akira Ikumi
- Department of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba City, Ibaraki, Japan
- Department of Orthopedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito City, Ibaraki, Japan
| | - Harumitsu Ichimura
- Department of Orthopedic Surgery, Ibaraki Seinan Medical Center Hospital, Sashimagun Sakaimachi, Ibaraki, Japan
| | - Sho Asanuma
- Department of Orthopedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito City, Ibaraki, Japan
| | - Katsuya Nagashima
- Department of Orthopedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito City, Ibaraki, Japan
| | - Yousuke Takeuchi
- Department of Orthopedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito City, Ibaraki, Japan
| | - Masaki Tatsumura
- Department of Orthopedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito City, Ibaraki, Japan
| | - Takeo Mammoto
- Department of Orthopedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito City, Ibaraki, Japan
| | - Takeshi Ogawa
- Department of Orthopedic Surgery, National Hospital Organization, Mito Medical Center, Higashiibarakigun Ibarakimachi, Ibaraki, Japan
| | - Yuichi Yoshii
- Department of Orthopedic Surgery, Tokyo Medical University Ibaraki Medical Center, Inashikigun Amimachi, Ibaraki, Japan
| | - Atsushi Hirano
- Department of Orthopedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito City, Ibaraki, Japan
| | - Masashi Yamazaki
- Department of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba City, Ibaraki, Japan
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Zukawa M, Osada R, Hirokawa T, Suzuki K, Makino H, Kawaguchi Y. Usefulness of Wide-Awake Local Anesthesia No Tourniquet Surgery to Decide on Tendon Transfer Versus Grafting in Chronic Flexor Tendon Rupture. JOURNAL OF HAND SURGERY GLOBAL ONLINE 2022; 4:408-413. [DOI: 10.1016/j.jhsg.2022.04.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2021] [Accepted: 04/04/2022] [Indexed: 10/18/2022] Open
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Yang SS, McCormack RR, Weiland AJ. Closed rupture of the flexor digitorum profundus tendon in the palm of a non-rheumatoid patient. Orthopedics 1998; 21:205-8. [PMID: 9507273 DOI: 10.3928/0147-7447-19980201-18] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Affiliation(s)
- S S Yang
- Department of Orthopedic Surgery, Lenox Hill Hospital, New York, NY 10021, USA
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