Direct end-to-end repair of flexor pollicis longus tendon lacerations.

Journal Article (Journal Article)

Between 1976 and 1986, 38 consecutive acute isolated flexor pollicis longus lacerations were repaired. This study excluded all replanted or mutilated digits and all lacerations with associated fracture. Average follow-up was 26 months. Tendon rehabilitation was standardized. Range of motion and pinch strength were measured postoperatively. Seventy-four percent (28/38) of the flexor pollicis longus injuries occurred in zone II. Neurovascular injury occurred in 82% of the lacerations, and this correlated with the zone of tendon injury. In 21% of the patients (8/38) both digital nerves and arteries were transected. Postoperative thumb interphalangeal motion averaged 35 degrees and key pinch strength was 81% that of the uninjured thumb. One rupture occurred in a child. Laceration of the flexor pollicis longus is likely to involve damage to neurovascular structures, and repair may be necessary. Direct end-to-end repairs within the pulley system do at least as well as delayed tendon reconstruction and do not require additional procedures.

Full Text

Duke Authors

Cited Authors

  • Nunley, JA; Levin, LS; Devito, D; Goldner, RD; Urbaniak, JR

Published Date

  • January 1, 1992

Published In

Volume / Issue

  • 17 / 1

Start / End Page

  • 118 - 121

PubMed ID

  • 1538092

International Standard Serial Number (ISSN)

  • 0363-5023

Digital Object Identifier (DOI)

  • 10.1016/0363-5023(92)90126-a


  • eng

Conference Location

  • United States