1/43. Irreducible palmar metacarpophalangeal joint dislocation due to junctura tendinum interposition: a case report and review of the literature.Three different anatomic structures have been reported to prevent reduction of a palmar dislocation of metacarpophalangeal joint: dorsal capsule, palmar plate, and a ruptured collateral ligament. In our case, extensor digitorum communis of the fifth finger and extensor digiti minimi subluxated on the ulnar side of the fifth metacarpal neck. Extensor digitorum communis of the fourth finger remained in its anatomic location. The junctura tendinum connecting the fourth and fifth extensor digitorum communis tendons slipped distal and then palmar to the metacarpal head, where it was trapped between the metacarpal neck and the base of the proximal phalanx. It was easily pulled out and the joint promptly reduced. Residual subluxation persisted due to rupture of the radial collateral ligament and the dorsal capsule. Repair restored joint reduction and stability. (J hand Surg 2000; 25A:166-172.- - - - - - - - - - ranking = 1keywords = palm (Clic here for more details about this article) |
2/43. The role of magnetic resonance imaging in late presentation of isolated injuries of the flexor digitorum profundus tendon in the finger.Four patients had magnetic resonance imaging (MRI) after a clinical diagnosis of a flexor digitorum profundus tendon rupture of the hand. The delay before presentation ranged from 1 to 5 weeks. Three patients had closed ruptures and one had a minor laceration which had healed. MRI showed proximal retraction of the profundus tendon to the palm in two patients and limited retraction in the other two. MRI provides important preoperative information for surgical decision-making and planning in patients who present late with closed flexor tendon injuries of the hand.- - - - - - - - - - ranking = 0.14285714285714keywords = palm (Clic here for more details about this article) |
3/43. Limitation of flexor tendon excursion by heterotopic ossification after isolated flexor tendon laceration.A patient, one year after flexor digitorum superficialis/profundus repair in the left index finger, was diagnosed with heterotopic ossification involving the palmar surface of the proximal phalanx creating a secondary proximal interphalangeal joint contracture. A Compass PIP Hinge facilitated the treatment. Flexor tendon excursion improved, and active range of motion increased from 60 to 90 degrees before surgery to 30 to 105 degrees 20 months after surgery. Ectopic bone involvement of the hand is rare. This article reports a successful treatment for a unique complication of flexor injury and repair.- - - - - - - - - - ranking = 0.14285714285714keywords = palm (Clic here for more details about this article) |
4/43. rupture of flexor tendons after arthrodesis of the basal joint of the thumb.We report a case of rupture of the flexor tendons to the index finger after arthrodesis of the basal joint of the thumb. The tendons ruptured as a result of the Kirschner wires having penetrated in the carpal tunnel. This unusual complication was treated by tendon graft of the palmaris longus tendon.- - - - - - - - - - ranking = 0.14285714285714keywords = palm (Clic here for more details about this article) |
5/43. Spontaneous flexor tendon rupture in the palm: the role of a variation of tendon anatomy.Spontaneous flexor tendon rupture is rare. We report 2 cases that occurred in association with a common flexor digitorum profundus (FDP) tendon to the ring and small fingers. The tendon bifurcated at the midpalmar level and ruptured at the point of bifurcation. To our knowledge this tendon variation has not been reported previously and has not been associated with spontaneous tendon rupture. Both ruptures occurred in the dominant small finger of elderly men in the absence of trauma. We believe that this unusual tendon arrangement represents a potential weak point in the musculotendinous unit. We discuss the role of this anatomic variant in the pathomechanics of tendon rupture.- - - - - - - - - - ranking = 0.71428571428571keywords = palm (Clic here for more details about this article) |
6/43. Postfracture extensor pollicis longus tenosynovitis and tendon rupture: a scientific study and personal series.rupture of the extensor pollicis longus (EPL) tendon after a distal radius fracture is an uncommon event; the incidence is 3%,according to a review of treatment of 200 consecutive patients with Colles fractures. diagnosis is based on persistent dorsal wrist pain and a positive retroflexion sign. Recommended treatments in the prerupture setting include a third dorsal compartment release with or without an extensor retinacular patch graft. Also recommended are a palmaris longus graft in the acute rupture setting and a transfer from the extensor indicis proprius to the EPL tendon in the subacute or chronic setting. Results of all treatments seem to be clinically satisfactory.- - - - - - - - - - ranking = 0.14285714285714keywords = palm (Clic here for more details about this article) |
7/43. A case of rupture of the deep tendon of the third palmar interosseous muscle.The authors present a case of traumatic subcutaneous rupture of the deep tendon of the third palmar interosseous muscle. This injury is characterized primarily by the abduction of the little finger. Surgical fixation of the proximal loose end of the tendon to the base of the proximal phalanx yields excellent clinical and functional results.- - - - - - - - - - ranking = 0.71428571428571keywords = palm (Clic here for more details about this article) |
8/43. Misleading fractures after profundus tendon avulsions: a report of six cases.From 1986 to 1990, twelve patients were treated for avulsions of the flexor digitorum profundus in either the ring or the long finger. Six patients had misleading x-ray films because the tendon had retracted farther than the fracture pattern had suggested. All of these patients had avulsion fractures from the palmar aspect of the distal phalanx. Although the classification of Leddy and Packer is very helpful in determining the prognosis for these injuries, the fracture patterns are not reliable in predicting the location of the retracted tendon end preoperatively. Therefore all flexor digitorum profundus tendon avulsions should be surgically repaired as soon as possible.- - - - - - - - - - ranking = 0.14285714285714keywords = palm (Clic here for more details about this article) |
9/43. Irreducible dislocation of the interphalangeal joint of the thumb: a case report.A case of open irreducible dislocation of the interphalangeal joint of the thumb with interposed flexor pollicis longus tendon and palmar plate with sesamoid bone is described.- - - - - - - - - - ranking = 0.14285714285714keywords = palm (Clic here for more details about this article) |
10/43. Irreducible volar subluxation of the metacarpophalangeal joint of the thumb.An unusual case of irreducible volar metacarpophalangeal (MCP) joint subluxation of the thumb is described. The tendon of the extensor pollicis longus (EPL) was trapped palmar to the metacarpal head and open reduction was necessary.- - - - - - - - - - ranking = 0.14285714285714keywords = palm (Clic here for more details about this article) |
| | Next -> |