A Simple Clinical Test of Flexor Pollicis Longus Rupture

Melton, J. T. K.; Murray, James R. D.; Lowdon, I.M.R.

doi:10.1016/j.jhsb.2005.06.005

Cited by 10 publications

(4 citation statements)

References 13 publications

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“…Electrodiagnostic testing [11], MRI scanning [8], and sonography [15] have all been used to differentiate between these conditions. Less costly are the simple reproducible clinical tests described by Melton [23] and Mody [24] to assess the continuity of the FPL tendon. Both tests utilize the tenodesis effect to confirm the presence or absence of an FPL tendon rupture.…”

Section: Discussionmentioning

confidence: 99%

Idiopathic Avulsion of the Flexor Pollicis Longus: Case Report and Review of the Literature

Behr

2013

Hand (New York, N,Y.)

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Section: Discussionmentioning

confidence: 99%

Idiopathic Avulsion of the Flexor Pollicis Longus: Case Report and Review of the Literature

Behr

2013

Hand (New York, N,Y.)

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“…The patient usually hears a snap or feels pain as the tendon yields[7]. Several clinical tests have been described to distinguish between palsy of FPL and rupture of this tendon[8–10]. …”

Section: Discussionmentioning

confidence: 99%

Anterior interosseous nerve palsy following the use of elbow crutches

Ismaeel

Siddiqi

2011

North Am J Med Sci

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Context:Lesions of the anterior interosseous nerve are rare and comprise less than 1% of all upper extremity nerve palsies. Traumatic causes include blunt trauma, forearm fractures, penetrating injury and local pressure from a plaster cast, but has never before been described in association with crutch use. This is the first reported case of the use of elbow crutches causing symptomatic anterior interosseous nerve compression.Case Report:This case describes a 30-year-old male who developed an inability to pinch with his left hand following the use of elbow crutches for a foot injury. On examination he was unable to flex the interphalangeal joint of his left thumb. A diagnosis of anterior interosseous palsy was made and the patient was treated conservatively and crutch use was ceased. At six weeks follow-up the patient made a complete recovery with full function of his left hand.Conclusion:This report highlights the importance of adequate education in the safe use of elbow crutches for all patients. The side effects of inappropriate use should be carefully examined for during follow-up care.

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“…Our patients all had isolated paralysis of the flexor pollicis longus; the flexor digitorum profundus was completely unaffected. The differential diagnosis includes tendon rupture, 19 which can easily be excluded with the test described by Melton et al 20 Other differential diagnoses include rheumatoid arthritis, rupture caused by exostosis with pseudoarthritis of the scaphoid bone, necrosis of the lunate bone, stenosing tendovaginitis or trigger finger, and tenodesis sequelae. 5 Many authors see an electrophysiologic measurement (electromyography/neural conductivity) as obligatory 21 to determine the degree of nerve damage.…”

Section: Discussionmentioning

confidence: 99%