Repair of extensor pollicis longus using extensor pollicis brevis in rheumatoid arthritis.

Harrison, Stewart H.; Swannell, A J; Ansell, Barbara M.

doi:10.1136/ard.31.6.490

Cited by 24 publications

(11 citation statements)

References 8 publications

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“…The disadvantages of tendon transfer surgery include donor site morbidity, a decrease in function, and the need to include the patient in reeducation programs to gain proper function of the hand. Various tendon transfers have been reported, including extensor pollicis brevis, 9,17 abductor pollicis longus (APL), 9 and extensor carpi radialis longus, 2,9,11,29,35 but the extensor indicis proprius (EIP) has been considered the gold standard technique for late repair of EPL ruptures. 14 The accessory abductor pollicis longus (AAPL) tendon is present in 85% to 95% of the general population 10,39 and could be used to avoid potential complications of other tendon transfers.…”

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confidence: 99%

Reconstruction after Chronic Extensor Pollicis Longus Ruptures

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Zarbahsh

et al. 2007

Clinical Orthopaedics &Amp; Related Research

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Different types of secondary reconstruction of extensor pollicis longus tendon injuries have been reported, with repair using the extensor indicis proprius being the gold standard. This technique, however, may decrease extension strength and independent extension of the index finger. We presumed repair with the accessory abductor pollicis longus would achieve functional motion of the thumb and avoid donor site morbidity. We retrospectively report the results for 11 consecutive patients who had repair with the accessory abductor pollicis longus and were followed prospectively for a minimum of 2 years. Study-specific outcome measures were used to assess function in activities of daily living, pain, and patient satisfaction. According to the score described by Geld-macher et al, good or excellent results were achieved in all cases. Mean abduction deficit of the thumb was 10 degrees compared with the uninjured side. Using a 0- to 10-point visual analog scale self-reporting questionnaire, patients obtained mean results of 7.9 points for pain, 7.5 points for activities of daily living, and 7.6 points for patient satisfaction. We recommend the accessory abductor pollicis longus as an alternative for extensor pollicis longus tendon repair.

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confidence: 99%

Reconstruction after Chronic Extensor Pollicis Longus Ruptures

Bravo

Zarbahsh

et al. 2007

Clinical Orthopaedics &Amp; Related Research

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“…Despite the reduced tendon excursion of the ECRL compared with the EPL (3.7 cm vs 5.8 cm), Chetta and colleagues 16 showed that treatment of an EPL rupture with a partial turndown transfer of the ECRL in a case study resulted in identical grip strength and slightly reduced pinch strength compared with the contralateral extremity. In addition, Harrison and colleagues 23 advocated an EPB-to-EPL transfer to preserve abduction of the thumb during extension for pinch strength. The investigators stated that satisfactory results were obtained with this transfer.…”

Section: Extensor Tendon Ruptures Extensor Pollicis Longus Rupturesmentioning

confidence: 98%

Tendon Transfers in the Rheumatoid Hand for Reconstruction

2016

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“…If the rupture has existed for a longer period, transfer of EPL to the EPB will be appropriate [14]. In this procedure, the distal stump of the EPL is transferred end-to-side to the EPB over the first metacarpal (see Fig.…”

Section: Rupture Of Extensor Pollicis Longus (Epl)mentioning

confidence: 99%