Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deutschen Plastischen Chirurgen
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Handchir Mikrochir Plast Chir · Dec 1984
Case Reports[Muscular rupture of the extensor pollicis longus].
Closed ruptures of the extensor pollicis longus tendon usually appear as a consequence of fractures of the wrist joint or the carpal bones or ensue from polyarthritic changes or result from a process of degeneration. Mechanical injury of the tendon is quite rare but can be observed after direct trauma or after operative treatment of a distal fracture of the radius. Closed traumatic ruptures of the extensor pollicis longus tendon in the absence of pathological changes are--in spite of the frequency of rotation injuries of the forearm--very rare. ⋯ Clinically distinct signs of a rupture of the extensor pollicis longus tendon could be seen. During operation a tear of the muscular portion of the long extensor tendon of the thumb was found. The function of extension was restored by transfer of the extensor indicis tendon.
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Handchir Mikrochir Plast Chir · Dec 1984
Case Reports[From the records of the forensic commission: was an injury of the deep flexor tendons overlooked?].
Following primary repair of both flexor tendons of the middle finger and suture of a wound of the index finger, the distal interphalangeal joints of the second, third and fourth finger could not be flexed actively. Therefore, tenodeses of the DIP-joints were done six months later. The possibility that an injury of the deep flexor tendon in three fingers had been overlooked is considered together with the alternative explanation that a quadriga syndrome had resulted from adhesions of the repaired profundus of the middle finger.