A new technique in surgical treatment of congenital and spontaneous extensor tendon snapping: Dorsalization-ulnarization of the metacarpal head

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dc.authorid0000-0003-3416-5666
dc.authorscopusid15052599600
dc.authorscopusid57196712908
dc.authorwosidsari, abdulkadir/ABH-3293-2021
dc.authorwosidOZCELIK, ISMAIL BULENT/AAC-1183-2022
dc.authorwosidsari, abdulkadir/AAF-3143-2021
dc.contributor.authorÖzçelik, İsmail Bülent
dc.contributor.authorSarı, Abdulkadir
dc.date.accessioned2022-05-11T14:36:15Z
dc.date.available2022-05-11T14:36:15Z
dc.date.issued2021
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.description.abstractThe present study reports results of a metacarpal transposition technique we have developed for congenital and spontaneous extensor tendon snapping. Six patients with a mean age of 14 years (range: 12-19 years) were included and evaluated retrospectively. They had Rayan-Murray type-3 atraumatic chronic extensor tendon instability: 2 on the middle finger, 3 on the ring finger, and 1 on the index and middle fingers. In selecting the cases, preoperative examination included elevation of the metacarpals to check whether this decreased the tendon snapping, and patients in whom no snapping persisted were scheduled for surgery. Pre- and post-operative pain at rest and in activity was assessed on visual analog scale (VAS), and the QuickDASH test was administered. Pre- and post-operative active and passive ranges of metacarpophalangeal motion were measured, as was grip strength on a Jamar dynamometer. Mean follow-up was 38 months (range: 26-42 months). Postoperatively, pain during activity and QuickDASH score showed significant improvement. No wound problems or recurrence were encountered. There were no significant postoperative changes in active and passive joint range of motion. At follow-up examination, no physical therapy needed to be prescribed and no limitation of motion was observed. For tendon snapping, in which treatment is technically difficult and may lead to problems, we believe that our easily applicable minimally traumatizing technique does not restrict joint motion and is an appropriate solution for patients with positive elevation test. (C) 2021 SFCM. Published by Elsevier Masson SAS. All rights reserved.
dc.identifier.doi10.1016/j.hansur.2021.07.008
dc.identifier.endpage786
dc.identifier.issn2468-1229
dc.identifier.issn2468-1210
dc.identifier.issue6en_US
dc.identifier.pmid34363989
dc.identifier.scopus2-s2.0-85113328860
dc.identifier.scopusqualityQ2
dc.identifier.startpage782
dc.identifier.urihttps://doi.org/10.1016/j.hansur.2021.07.008
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8423
dc.identifier.volume40
dc.identifier.wosWOS:000721141200013
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorSarı, Abdulkadir
dc.language.isoen
dc.publisherElsevier
dc.relation.ispartofHand Surgery & Rehabilitation
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectExtensor tendon dislocation
dc.subjectMetacarpal transposition
dc.subjectPseudo-triggering
dc.subjectSagittal band injury
dc.subjectWide-awake anesthesia
dc.subjectMetacarpophalangeal Joint
dc.subjectSagittal Band
dc.subjectJuncturae-Tendinum
dc.subjectDislocation
dc.titleA new technique in surgical treatment of congenital and spontaneous extensor tendon snapping: Dorsalization-ulnarization of the metacarpal head
dc.title.alternativeUne nouvelle technique dans le traitement chirurgical du ressaut congénital et spontané des tendons extenseurs: Dorsalisation-ulnarisation de la tête métacarpienne]
dc.typeArticle

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