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Extensor tendon centralization at the metacarpophalangeal joint: surgical technique
Lana Kang1, Michelle G Carlson
1Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA. tomsweets@gmail.com
The Journal of Hand Surgery
|July 9, 2010
Summary
Surgical repair for extensor tendon subluxation involves a novel bone tunnel technique. This method uses a graft sutured to itself, creating a new pulley for improved extensor hood stability.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Musculoskeletal Research
Background:
- Chronic extensor tendon subluxation at the metacarpophalangeal joint can result from extensor hood injuries.
- Failure of conservative management often necessitates surgical intervention for these injuries.
Purpose of the Study:
- To present a novel surgical technique for treating chronic extensor tendon subluxation.
- To describe a method utilizing a bone tunnel and graft for extensor tendon realignment and pulley reconstruction.
Main Methods:
- A surgical technique is described involving the creation of a bone tunnel at the dorsal metacarpophalangeal joint.
- A graft, sutured upon itself, is passed through the bone tunnel to reconstruct the extensor pulley system.
Main Results:
- The described technique effectively creates a new pulley system for the extensor tendon.
- This method aims to restore stability and prevent subluxation of the extensor tendon.
Conclusions:
- The presented bone tunnel graft technique offers a viable surgical option for chronic extensor tendon subluxation.
- This approach may provide improved stability and functional outcomes for patients with extensor hood injuries.
