Pathologic Rupture of Flexor Pollicis Longus Tendon Secondaryto Kienbock's Disease: A Case Report.
10.4055/jkoa.2006.41.3.578
- Author:
Sang Jin CHEON
1
;
Kyo Min SON
;
Hui Taek KIM
;
Jeung Tak SUH
;
Chong Il YOO
Author Information
1. Department of Orthopaedic Surgery, Pusan National University College of Medicine, Busan, Korea. scheon@pusan.ac.kr
- Publication Type:Case Report
- Keywords:
Kienbock disease;
Flexor pollicis longus;
Pathologic rupture
- MeSH:
Follow-Up Studies;
Joints;
Osteonecrosis;
Range of Motion, Articular;
Rupture*;
Tendons*;
Thumb;
Wrist
- From:The Journal of the Korean Orthopaedic Association
2006;41(3):578-581
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A pathologic rupture of the flexor pollicis longus tendon secondary to Kienbock disease is extremely rare with only three cases being reported in the literature. We encountered a case of a pathological rupture of the flexor pollicis longus tendon secondary to longstanding Kienbock disease. The treatment included tendon ball insertion after excising the collapsed lunate and a flexor pollicis longus tendon reconstruction with autogenous palmaris longus tendons. Satisfactory results with a restoration of the active motion of the interphalangeal joint of the thumb, maintenance of the preoperative active range of motion of the wrist and markedly reduced pain was achieved after a one year follow up. We describe this case with a review of the relevant literature.
