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[Spontaneous rupture of the extensor pollicis longus]
Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|July 1, 1989
Summary
Extensor indicis transposition surgery for index finger extension yielded predominantly excellent or good outcomes in most patients. However, a deficit in isolated index finger extension may necessitate alternative procedures for specific professions.
Area of Science:
- Orthopedic surgery
- Hand surgery
- Reconstructive surgery
Context:
- Extensor indicis transposition is a surgical technique used to restore index finger extension.
- Evaluating the efficacy of extensor indicis transposition is crucial for patient outcomes.
- This study focuses on non-rheumatoid arthritis patients undergoing the procedure.
Purpose:
- To evaluate the clinical outcomes of extensor indicis transposition.
- To assess patient satisfaction and functional recovery after the procedure.
- To identify limitations and suggest improvements in outcome evaluation.
Summary:
- Forty-four patients underwent extensor indicis transposition, with 34 available for follow-up (25 clinical, 9 telephone).
- Objective results showed 14 excellent, 8 good, and 3 satisfactory outcomes.
- Subjective patient reports were more favorable, with 28 excellent and 4 good results.
Impact:
- The procedure generally preserves simultaneous finger extension but may show deficits in isolated index finger extension.
- Alternative methods may be preferable for individuals requiring paramount isolated index finger extension.
- Incorporating functional tests into evaluation could provide a more realistic assessment and explain subjective-objective discrepancies.