Neglected Zone VII Extensor Tendons Reconstruction with a Palmaris Longus Tendon Autograft
<i>Background:</i> This study reported a case of zone VII multiple neglected extensor tendons reconstruction with a palmaris longus tendon autograft in a 15-year-old boy 3 months after the initial trauma. <i>Case presentations:</i> Preoperative examinations revealed complete...
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MDPI AG
2025-02-01
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| author | Łukasz Wiktor Ryszard Tomaszewski |
| author_facet | Łukasz Wiktor Ryszard Tomaszewski |
| author_sort | Łukasz Wiktor |
| collection | DOAJ |
| description | <i>Background:</i> This study reported a case of zone VII multiple neglected extensor tendons reconstruction with a palmaris longus tendon autograft in a 15-year-old boy 3 months after the initial trauma. <i>Case presentations:</i> Preoperative examinations revealed complete damage of the extensor carpi radialis longus (ECRL), extensor carpi radialis brevis (ECRB), abductor pollicis longus (APL), and partial injury of the extensor pollicis brevis (EPB). The extensor tendons were reconstructed with a palmaris longus tendon autograft combined with graft tunnel reconstruction within the scar at the level of the damaged retinaculum. After the surgical treatment, short immobilization and early rehabilitation were applied, providing passive sliding of the reconstructed tendon supplemented with actively mediated extension. <i>Results:</i> Despite the neglectful nature of the injury, surgical treatment and early postoperative rehabilitation resulted in an excellent functional outcome. At the follow-up visit, 6 months postoperative, the patient presented a full range of motion of the radiocarpal joint and thumb without any limitations on hand function. <i>Conclusions:</i> (1) Palmaris longus tendon autograft is a viable option for the treatment of multiple zone VII extensor tendon damage. (2) The combination of early passive motion and actively mediated extension provides tendon gliding and results in good functional outcomes for a hand with zone VII extensor tendon injury. (3) Ultrasound examination can evaluate early results and detect complications, mainly tendon/graft adhesions, after extensor tendon reconstruction surgery. |
| format | Article |
| id | doaj-art-702b4c46be214328bf1d53e337b76dae |
| institution | DOAJ |
| issn | 1010-660X 1648-9144 |
| language | English |
| publishDate | 2025-02-01 |
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| spelling | doaj-art-702b4c46be214328bf1d53e337b76dae2025-08-20T03:12:22ZengMDPI AGMedicina1010-660X1648-91442025-02-0161224910.3390/medicina61020249Neglected Zone VII Extensor Tendons Reconstruction with a Palmaris Longus Tendon AutograftŁukasz Wiktor0Ryszard Tomaszewski1Department of Trauma and Orthopaedic Surgery, Upper Silesian Children’s Health Centre, Medical University of Silesia, 40-752 Katowice, PolandDepartment of Trauma and Orthopaedic Surgery, Upper Silesian Children’s Health Centre, Medical University of Silesia, 40-752 Katowice, Poland<i>Background:</i> This study reported a case of zone VII multiple neglected extensor tendons reconstruction with a palmaris longus tendon autograft in a 15-year-old boy 3 months after the initial trauma. <i>Case presentations:</i> Preoperative examinations revealed complete damage of the extensor carpi radialis longus (ECRL), extensor carpi radialis brevis (ECRB), abductor pollicis longus (APL), and partial injury of the extensor pollicis brevis (EPB). The extensor tendons were reconstructed with a palmaris longus tendon autograft combined with graft tunnel reconstruction within the scar at the level of the damaged retinaculum. After the surgical treatment, short immobilization and early rehabilitation were applied, providing passive sliding of the reconstructed tendon supplemented with actively mediated extension. <i>Results:</i> Despite the neglectful nature of the injury, surgical treatment and early postoperative rehabilitation resulted in an excellent functional outcome. At the follow-up visit, 6 months postoperative, the patient presented a full range of motion of the radiocarpal joint and thumb without any limitations on hand function. <i>Conclusions:</i> (1) Palmaris longus tendon autograft is a viable option for the treatment of multiple zone VII extensor tendon damage. (2) The combination of early passive motion and actively mediated extension provides tendon gliding and results in good functional outcomes for a hand with zone VII extensor tendon injury. (3) Ultrasound examination can evaluate early results and detect complications, mainly tendon/graft adhesions, after extensor tendon reconstruction surgery.https://www.mdpi.com/1648-9144/61/2/249childrenextensor tendontendon repairpalmaris longus |
| spellingShingle | Łukasz Wiktor Ryszard Tomaszewski Neglected Zone VII Extensor Tendons Reconstruction with a Palmaris Longus Tendon Autograft Medicina children extensor tendon tendon repair palmaris longus |
| title | Neglected Zone VII Extensor Tendons Reconstruction with a Palmaris Longus Tendon Autograft |
| title_full | Neglected Zone VII Extensor Tendons Reconstruction with a Palmaris Longus Tendon Autograft |
| title_fullStr | Neglected Zone VII Extensor Tendons Reconstruction with a Palmaris Longus Tendon Autograft |
| title_full_unstemmed | Neglected Zone VII Extensor Tendons Reconstruction with a Palmaris Longus Tendon Autograft |
| title_short | Neglected Zone VII Extensor Tendons Reconstruction with a Palmaris Longus Tendon Autograft |
| title_sort | neglected zone vii extensor tendons reconstruction with a palmaris longus tendon autograft |
| topic | children extensor tendon tendon repair palmaris longus |
| url | https://www.mdpi.com/1648-9144/61/2/249 |
| work_keys_str_mv | AT łukaszwiktor neglectedzoneviiextensortendonsreconstructionwithapalmarislongustendonautograft AT ryszardtomaszewski neglectedzoneviiextensortendonsreconstructionwithapalmarislongustendonautograft |