Showing posts with label tendon. Show all posts
Showing posts with label tendon. Show all posts

Friday, April 17, 2009

Right thumb MCP joint UCL rupture, 2 months

Radiographic finding






Pre-OP physical examination



OP findings:
Stener lesion

Origin:

Insertion:

Tendon stripper: homemade

Work well.





We harvest 11 cm palmaris longus tendon!

2 4-0 prolene to tie together for 2 knots over insertion site


Finish


K-pin fixation for MCP joint

FDP IV-V tendon repair with palmaris longus tendon graft

44 y/o male butcher with right hand pain for 2 months
Ring finger and little finger DIP joint unable to flex

Tendon rupture was found due to abrasion injury by hamate osteophyte

Palmaris longus tendon transfer

Remove hamate osteophyet by burr

2 weeks later

VCR
6 weeks later