Abstract:
:Complications following extensor indicis proprius (EIP) tendon transfer are loss of strength, independence and mobility in the index finger in extension. The main goal of this study was to measure the index finger's independent and dependent extension strength after a tendon transfer. Secondary goals were to determine if the index finger retained the ability to extend independently after the transfer and to evaluate second metacarpophalangeal (MCP) joint mobility. Our study consisted of 19 patients in whom the EIP tendon had been divided proximally to the extensor hood. The EIP tendon was retrieved through a proximal approach at the distal radius level and rerouted towards a recipient tendon. At an average follow-up of 41 months, the average independent extension strength was 5.6N versus 11N on the contralateral side and the dependent strength was 10.9N versus 20N. No patient complained of a loss of extension strength and all had retained independent active extension on the operated index finger. The second MCP joint on the operated side had an independent extension lag of 15.3° compared to the contralateral healthy side and a dependent extension lag of 0.2°. Two patients were impaired in their daily activities when moving the operated index finger. Our results show that EIP harvesting for tendon transfer leads to decreased independent and dependent strength as well as decreased active extension of the second MCP joint. However, the functional impact was negligible and should not compromise the use of the EIP as a tendon transfer. LEVEL OF EVIDENCE:III.
journal_name
Hand Surg Rehabiljournal_title
Hand surgery & rehabilitationauthors
Matter-Parrat V,Prunières G,Collon S,Facca S,Liverneaux P,Hidalgo Diaz JJdoi
10.1016/j.hansur.2016.09.013subject
Has Abstractpub_date
2017-02-01 00:00:00pages
36-40issue
1eissn
2468-1229issn
2468-1210pii
S2468-1229(16)30160-8journal_volume
36pub_type
杂志文章abstract::About 10 years after volar locking plates were introduced to treat acute distal radius fractures, several papers have reported short-term complications. The aim of this paper was to report our complication rate over a 2-year period and to compare it to the literature. We found similar complication rates despite differ...
journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章,评审
doi:10.1016/j.hansur.2016.03.003
更新日期:2016-12-01 00:00:00
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journal_title:Hand surgery & rehabilitation
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journal_title:Hand surgery & rehabilitation
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journal_title:Hand surgery & rehabilitation
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journal_title:Hand surgery & rehabilitation
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2017.06.008
更新日期:2017-10-01 00:00:00
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2018.12.003
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2017.03.001
更新日期:2017-06-01 00:00:00
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2016.06.001
更新日期:2016-09-01 00:00:00
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2020.08.002
更新日期:2020-12-01 00:00:00
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2017.12.004
更新日期:2018-04-01 00:00:00
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
doi:10.1016/j.hansur.2016.01.002
更新日期:2016-04-01 00:00:00
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章
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journal_title:Hand surgery & rehabilitation
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doi:10.1016/j.hansur.2017.04.003
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journal_title:Hand surgery & rehabilitation
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journal_title:Hand surgery & rehabilitation
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章,评审
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journal_title:Hand surgery & rehabilitation
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journal_title:Hand surgery & rehabilitation
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journal_title:Hand surgery & rehabilitation
pub_type: 杂志文章,评审
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abstract::Osteoarthritis of the first carpometacarpal joint (CMCJ1) is a common, painful condition with positive radiological findings in up to 32% of people over 50 years of age and up to 91% of people over 80 years of age. Currently, there is insufficient evidence to recommend one surgical treatment option over the others. We...
journal_title:Hand surgery & rehabilitation
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journal_title:Hand surgery & rehabilitation
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journal_title:Hand surgery & rehabilitation
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