Left thumb tendon transfer

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If any of the tendons in your hand are damaged, surgery may be needed to repair them and help restore movement in the affected fingers or thumb. Tendons are tough cords of tissue that connect muscles to bones. When a group of muscles contract tightenthe attached tendons will pull on certain bones, allowing you to make a wide range of movements.

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Tendon repair of the hand is surgery to repair damaged or divided tendons. Most tendon damage is caused by cuts to the hands from glass or knives. Tendons are tough cords of tissue that connect muscles to bones.

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Tendon lengthening and transfer are usually indicated for certain neuromuscular disorders, peripheral or central nerve injury, congenital disorder or direct traumatic or degenerative musculotendinous lesion. In musculotendinous lengthening, technique depends on muscle anatomy, degree of correction required, and the need to avoid excessive loss of force. Lengthening within the muscle or aponeurosis is stable. In the tendon, however, it may provide greater gain but is not stable and requires postoperative immobilization to avoid excessive lengthening.

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This tendon straightens the end joint of the thumb and also helps pull the thumb in towards the index finger. In this area it is confined to a tight tunnel. See diagram.

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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. Unfortunately, this arrangement makes the tendon prone to damage, from various causes, and then it can rupture. This is not generally very painful, but the thumb is then unable to extend actively.

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Back to Hand tendon repair. Tendon repair isn't usually regarded as emergency surgery, but is generally carried out as quickly as possible after the injury — usually within a few days. This is because the longer the tendons remain ruptured, the more scarring will develop on the end of the tendons.

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Phone: Fax: Used with permission from the American Society for Surgery of the Hand. Tendon transfer surgery is a type of hand surgery that is performed in order to improve lost hand function.

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Rupture of the extensor pollicis longus EPL tendon has been reported in the setting of distal radius fracture, chronic inflammatory arthritis, following steroid injection, and with excessive or repetitive activities. Truly, spontaneous EPL rupture, without an identifiable predisposing factor, has rarely been reported. We present a retrospective case series of eight patients with spontaneous EPL rupture who were treated in our institution. No identifiable predisposing factor could be identified in four patients.


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