Magnetic resonance imaging in linburg-comstock anomaly

Karalezli, Nazım; Haykir, Rahime; Karaköse, Serdar; Yıldırım, Serkan

doi:10.1080/02841850600557141

Cited by 18 publications

(9 citation statements)

References 8 publications

(17 reference statements)

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“…A similar variation was noticed in 13% of musicians studied by Karalezli et al . The same authors demonstrated that the utility of magnetic resonance imaging in localizing the anomalous tendinous connection in all of their patients (nine) with a clinical diagnosis of the condition, which they advocate, is useful in reduction in surgical time and the degree of scarring, due to the limited incision possible . The usefulness of surgical exploration and release in symptomatic patients of this condition has been well demonstrated …”

supporting

confidence: 63%

Linburg–Comstock anomaly of the flexor tendons of hand

Kalappa

Shankar

Kadadi

et al. 2014

ANZ Journal of Surgery

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supporting

confidence: 63%

Linburg–Comstock anomaly of the flexor tendons of hand

Kalappa

Shankar

Kadadi

et al. 2014

ANZ Journal of Surgery

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“…2 As well as clinical diagnosis, MRI can help confirm and localise the anomalous connection. 11 In our series, whereas some patients had MR scans to exclude other causes of pain, they were not used to determine the location of the anomalous connection.…”

Section: Discussionmentioning

confidence: 97%

Operative treatment of Linburg-Comstock syndrome

Badhe

Lynch

Thorpe

et al. 2010

The Journal of Bone and Joint Surgery. British volume

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Linburg-Comstock syndrome is characterised by an anomalous tendon slip from the flexor pollicis longus to the flexor digitorum profundus, usually of the index finger. An incidence as high as 60% to 70% has been reported. Post-traumatic inflammation of inter-tendinous connections between the flexor pollicis longus and flexor digitorum profundus, usually of the index finger, may cause unexplained chronic pain in the distal forearm. A total of 11 patients (eight females, three males), mean age 29.1 years (14 to 47) with a clinical diagnosis of Linburg-Comstock syndrome underwent surgical release of the inter-tendinous connection. The mean follow-up was for 27 months (2 to 48). Ten patients reported excellent relief of pain in the forearm, with independent flexion of flexor pollicis longus and flexor digitorum profundus to the index finger. Surgical release was an effective treatment for the Linburg-Comstock syndrome in this series.

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“…5,8,9 Steroid treatment does not seem to have longterm benefits, 5,9 and the surgical treatment, although rarely necessary, has shown efficacy. 5,6,8,13 Thus, individuals with intermittent pain may be directed to surgery aimed at reducing the symptomatology and improving the quality of life.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 High resolution ultrasound examinations and magnetic resonance imaging may help in the confirmation and location of the anomalous interconnection. 13 In symptomatic cases, non-operative management with a splint, oral anti-inflammatory medicines and stretching exercises were not successful regarding long-term clinical improvement. Thus, surgical treatment seems to be the therapy of choice.…”

Section: Introductionmentioning

confidence: 99%

Prevalência da anomalia de Linburg-Comstock em uma amostra populacional brasileira

Barreto

Fernandes

Nakachima

et al. 2020

Rev Bras Ortop (Sao Paulo)

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Palavras-chave► deformidades congênitas da mão ► anormalidades nas articulações dos dedos ► tendões ► prevalência ► anatomia ResumoObjetivo Determinar a prevalência da anomalia de Linburg-Comstock em uma amostra populacional brasileira. Métodos Estudo observacional transversal realizado no período de outubro de 2017 a abril de 2018. Foram incluídos voluntários dos gêneros feminino e masculino, com idade igual ou superior a 18 anos. A presença da anomalia de Linburg-Comstock foi determinada pela realização dos testes clínicos descritos por Linburg e Comstock. Os dados foram analisados por meio do software GraphPad Prism, sendo consideradas diferenças com valores de p < 0,05.Resultados O estudo analisou 1.008 voluntários (2.016 mãos) com idade média de 38,3 anos, dos quais 531 (52,67%) eram do gênero masculino, e 477 (47,33%) eram do gênero feminino. A anomalia de Linburg-Comstock foi diagnosticada em 564 voluntários (55,95%) da população estudada, sendo bilateral em 300 (53,2%), direita em 162 (28,72%), e esquerda em 102 (18,08%). Não foram encontradas diferenças significativas quando se comparou a prevalência entre os gêneros. Porém, foi encontrada uma maior prevalência da anomalia direita na população masculina (n ¼ 99; 70,21%) do que na feminina (n ¼ 63; 51,21%), com p ¼ 0,0016. Além disso, a presença da dor pela manobra descrita por Linburg e Comstock foi mais prevalente nas mulheres (n ¼ 150; 54,94%) do que nos homens (n ¼ 105; 36,08%), com p ¼ 0,0001. Estes resultados mostram a importância dos estudos epidemiológicos sobre a anomalia de Linburg-Comstock, principalmente com o intuito de investigar a presença de afecções associadas. Conclusão A prevalência da anomalia de Linburg-Comstock na população estudada foi de 55,95%, sendo bilateral em 53,2% dos voluntários. A presença da conexão foi observada com maior frequência do lado direito em homens, mas o sintoma dor foi mais frequente nas mulheres.

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Magnetic resonance imaging in linburg-comstock anomaly

Abstract: MRI can show localization of the connection in this anomaly and helps the surgeon perform the operation with a limited incision. The operation time is therefore shorter and wound scarring less prominent.

Cited by 18 publications

References 8 publications

Linburg–Comstock anomaly of the flexor tendons of hand

Linburg–Comstock anomaly of the flexor tendons of hand

Operative treatment of Linburg-Comstock syndrome

Prevalência da anomalia de Linburg-Comstock em uma amostra populacional brasileira

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