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Juncturae Tendinum Transfer for Extensor Tendon Reconstruction: A Case Report
Anil Dhal1, Saket Prakash, Pulkit Kalra
1Department of Orthopaedics, Maulana Azad Medical College & Lok Nayak Hospital, New Delhi, India.
Case:
A 9-year-old girl, with a history of crush injury to her right hand 2 years ago, presented with inability to extend her index finger. Exploration revealed segmental loss of extensor tendons to the index finger with a pre-existing scar in the route of tendon transfer. The juncturae tendinum (JT) between extensor digitorum communis of the middle and ring fingers (Von Schroeder -3y) was transferred to reconstruct the extensor tendon. At 1-year follow-up, finger extension was restored, with improved grasp and release.
Conclusion:
JT transfer could prove useful in reconstructing zone II extensor tendon injuries with scarring and fibrosis in the route of conventional tendon transfer/graft.
