scholarly journals Ligament Reconstruction by Extensor Carpi Radialis Longus Tendon for Instability of Thumb CM Joint

2006 ◽  
Vol 55 (3) ◽  
pp. 358-362
Author(s):  
Yasunori Tome ◽  
Hikaru Tashima ◽  
Yo Mintaku
Keyword(s):  
Ligament Reconstruction ◽  
Longus Tendon ◽  
Extensor Carpi Radialis

scholarly journals Tendon Interposition and Ligament Reconstruction with ECRL Tendon in the Late Stages of Kienböck’s Disease: A Cadaver Study

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Nazım Karalezli ◽  
Aysun Uz ◽  
Ali Fırat Esmer ◽  
Mehmet Demirtaş ◽  
Arzu Gül Taşcı ◽  
...  
Keyword(s):  
Ligament Reconstruction ◽  
Cadaver Study ◽  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
Longus Tendon ◽  
Ligamentous Reconstruction ◽  
Tendon Interposition ◽  
Extensor Carpi Radialis ◽  
Late Stages ◽  
Kienbock’S Disease

Background. The optimal surgical treatment for Kienböck’s disease with stages IIIB and IV remains controversial. A cadaver study was carried out to evaluate the use of coiled extensor carpi radialis longus tendon for tendon interposition and a strip obtained from the same tendon for ligament reconstruction in the late stages of Kienböck’s disease.Methods.Coiled extensor carpi radialis longus tendon was used to fill the cavity of the excised lunate, and a strip obtained from this tendon was sutured onto itself after passing through the scaphoid and the triquetrum acting as a ligament to preserve proximal row integrity. Biomechanical tests were carried out in order to evaluate this new ligamentous reconstruction.Results. It was biomechanically confirmed that the procedure was effective against axial compression and distributed the upcoming mechanical stress to the distal row.Conclusion. Extensor carpi radialis longus tendon has not been used for tendon interposition and ligament reconstruction in the treatment of this disease before. In view of the biomechanical data, the procedure seems to be effective for the stabilization of scaphoid and carpal bones.

scholarly journals A novel technique of annular ligament reconstruction using extensor carpi radialis longus tendon fascia: a report of 3 cases

2021 ◽  
Vol 7 (3) ◽  
pp. 679
Author(s):  
Adit Maniar ◽  
Sagar Kakatkar
Keyword(s):  
Radial Head ◽  
Functional Outcomes ◽  
Ligament Reconstruction ◽  
Cost Effective ◽  
Annular Ligament ◽  
Longus Tendon ◽  
Novel Technique ◽  
Elbow Function ◽  
Annular Ligament Reconstruction ◽  
Extensor Carpi Radialis

<p class="abstract">Annular ligament is an important stabiliser of radial head. In cases of chronic radial head dislocation, annular ligament reconstruction is warranted to maintain radial head reduction to improve elbow function. We have reported here a novel technique using the fascia overlying extensor carpi radialis longus tendon for annular ligament reconstruction. We reported an average flexion of 130º and full supination in all 3 cases. 2 patients achieved mid pronation and 1 achieved full pronation; comparable with other described techniques. Our novel technique through a single incision has excellent functional outcomes. Additionally, it is simple, cost effective, requires no hardware.</p>

scholarly journals Small flake, big problem: an unreported cause of extensor pollicis longus tendon rupture

2010 ◽  
Vol 92 (1) ◽  
pp. e24-e26 ◽  
Author(s):  
CAT Durrant ◽  
G Bantick
Keyword(s):  
Open Reduction ◽  
Tendon Rupture ◽  
Careful Monitoring ◽  
Rare Injury ◽  
Extensor Pollicis Longus ◽  
Longus Tendon ◽  
The Third ◽  
Bony Fragment ◽  
Extensor Carpi Radialis ◽  
Extensor Pollicis Longus Tendon

Fracture of the base of the third metacarpal with associated avulsion of the extensor carpi radialis brevis tendon is a rare injury. We report such a fracture and the unusual resulting complication of division of the extensor pollicis longus tendon by the avulsed bony fragment. Careful monitoring using lateral radiographs is needed to make the diagnosis and displacement of the avulsed fragment warrants open reduction and internal fixation.

An Unreported Cause of Rupture of the Extensor Pollicis Longus Tendon

1996 ◽  
Vol 21 (5) ◽  
pp. 640-641 ◽  
Author(s):  
O. C. S. CASSELL ◽  
P. VIDAL
Keyword(s):  
Internal Fixation ◽  
Clinical Assessment ◽  
Radiological Examination ◽  
Avulsion Fractures ◽  
Extensor Pollicis Longus ◽  
Longus Tendon ◽  
Bony Fragment ◽  
Extensor Carpi Radialis ◽  
Extensor Pollicis Longus Tendon

Avulsion fractures of the index metacarpal at the insertion of extensor carpi radialis longus are rare. We report such a fracture and the resulting complication of division of the extensor pollicus longus tendon, by the avulsed bony fragment. Careful clinical assessment and appropriate radiological examination is needed to diagnose this rare fracture and internal fixation is recommended.

Anatomical Acromioclavicular Ligament Reconstruction

2005 ◽  
Vol 33 (11) ◽  
pp. 1723-1728 ◽  
Author(s):  
Paul W. Grutter ◽  
Steve A. Petersen
Keyword(s):  
Ligament Reconstruction ◽  
Acromioclavicular Joint ◽  
Tendon Graft ◽  
Longus Tendon ◽  
Flexor Carpi Radialis ◽  
Palmaris Longus ◽  
Fresh Frozen ◽  
Palmaris Longus Tendon ◽  
Mechanism Of Failure ◽  
Surgical Treatments

Background Current surgical treatments for acromioclavicular separations do not re-create the anatomy of the acromioclavicular joint. Hypothesis Anatomical acromioclavicular reconstruction re-creates the strength of the native acromioclavicular joint and is stronger than a modified Weaver-Dunn repair. Study Design Controlled laboratory study. Methods The native acromioclavicular joint in 6 fresh-frozen cadaveric upper extremities was stressed to failure under uniaxial tension in the coronal plane. A modified Weaver-Dunn procedure, anatomical acromioclavicular reconstruction using a palmaris longus graft, and anatomical acromioclavicular reconstruction using a flexor carpi radialis graft were then performed sequentially. Each repair was stressed to failure. Load-displacement curves and mechanism of failure were recorded for each. Results Loads at failure for the native acromioclavicular joint complex, modified Weaver-Dunn procedure, anatomical acromioclavicular reconstruction using a palmaris longus tendon graft, and anatomical acromioclavicular reconstruction using a flexor carpi radialis tendon graft were 815 N, 483 N, 326 N, and 774 N, respectively. The strength of the native acromioclavicular joint complex was significantly different from the modified Weaver-Dunn repair (P <. 001) and the anatomical acromioclavicular reconstruction using a palmaris longus tendon graft (P <. 001) but not from the anatomical acromioclavicular reconstruction using a flexor carpi radialis tendon graft (P =. 607). Conclusion The strength of the described anatomical acromioclavicular reconstruction is limited by the tendon graft used. Anatomical acromioclavicular reconstruction with a flexor carpi radialis tendon graft re-creates the tensile strength of the native acromioclavicular joint complex and is superior to a modified Weaver-Dunn repair.

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