• Hand Surg · Jan 2015

    Case Reports

    Closed traumatic rupture of the flexor pollicis longus tendon in zone T I: a case report.

    • Kazuaki Uekubo, Soichiro Itoh, and Taro Yoshioka.
    • Department of Orthopaedic Surgery, Kawakita General Hospital, 1-7-3 Asagaya-kita, Suginami-ku, Tokyo 166-8588, Japan.
    • Hand Surg. 2015 Jan 1;20(1):145-7.

    AbstractA healthy 41-year-old male suffered a direct blow on the palmar side of his right thumb when folding a table, which slipped along his thumb until it was stopped at the inter-phalangeal (IP) joint, resulting in a complete rupture of the flexor pollicis longus (FPL) tendon in zone T I. The proximal tendon stump was passed through the oblique pulley, fixed to the base of the distal phalanx with a pull-out wire technique and augmented on it using a part of the distal tendon remnant. After removal of the cast and the pull-out wire three weeks postoperatively, range of motion exercise was initiated and good functional recovery was obtained.

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