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Flexor pollicis longus repair

Flexor Pollicis Longus Tendon Repair !erapy Instructions Laith Al-Shihabi, MD 3-5 days!erapy is started to focus on recovery of motion. In addition, a removable dorsal blocking splint is fashioned. Splint: -Fashion a short-arm dorsal blocking splint with the wrist in 20 degrees of exion, th Thumb Flexor Pollicis Longus Tendon Repair Guide . What does the Flexor Pollicis Longus (FPL) Tendon do? The FPL tendon bends the tip of the thumb. It also works together with another tendon to bend the thumb over the base of the little finger. Your FPL starts in the tip of your thumb, travels through the wrist and attaches to a muscle in your. A series of changes of primary treatment of divisions of the flexor pollicis longus tendon were carried out in the St. Andrew's unit in a total of 216 thumbs over 18 years in an attempt to reduce the rupture rate from the initial high level of 17%. It was possible, eventually, by strengthening the sutures and including the fingers in the. Flexor Pollicis Longus Repair [continued] The patient removes the splint to begin unrestricted AROM exercises to the thumb and wrist. 5 ½ Weeks Postop The dorsal blocking splint is continued in the position of full active extension for sleep, activity and travel Flexor Pollicus Longus (FPL) Repair 1160 Kepler Drive 1 | Page Green Bay, WI 54311 920‐288‐5555 A deep cut on the palm side of the hand, wrist, or forearm can damage the tendons that bend the thumb. Repair of the damaged tendons is necessary to restore normal movement in the thumb and hand

Flexor Pollicus Longus Repair Rehabilitation Protocol Kelly Holtkamp, M.D. Please fax initial evaluation and progress notes to 815‐381‐7498. 1‐3 Days Postoperative Do not remove surgical bandage. Restrictions: No heavy lifting greater than 0 lbs. 3 Days Postoperativ Suggested reading regarding FPL glide: Brown & McGrouther: The excursion of the tendon of the flexor pollicis longus and its relation to dynamic splintage (J HAND SURG 9A:787-91, 1984). CAUTION: There are circumstances where early active motion of a tendon repair is not appropriate and as a trained therapist you must decide when early motion is.

Guideline for Therapy Intervention Post Repair Flexor Pollicis Longus WAHT-OCT-008 Page 4 of 9 Version 3.1 oedema. Week 3 Introduce protected ROM wrist. Refer to regime flexor tendon repair. Review every two weeks. 6- 12 weeks Remove the splint 6 weeks post surgery and continue previous exercise regime. Introduce active wrist and thumb extension flexor pollicis longus (FPL) located within the carpal tunnel as the most radial structure. innervated by the AIN of the median nerve. flexor carpi radialis (FCR) Regarding wide-awake zone 1 and 2 flexor tendon repair under local anesthesia, all of the following are true EXCEPT This is a retrospective study of primary repairs of flexor pollicis longus in 16 children under 15 years of age. Patients with injuries to the median or ulnar nerve at the wrist, crush injuries, skin loss or fracture were excluded. Repairs were carried out within 24 hours using a modified Kessler te

Primary Repair of the Flexor Pollicis Longus Tendon

  1. A Recorded Demonstrative Surgery for the education and reference for students and surgeons. comments can be sent my mail=drkiranindia@gmail.com please if u..
  2. Background: The aim of flexor pollicis longus (FPL) repair is to create a construct that is strong enough to withstand forces encountered during rehabilitation and to achieve an optimal active range of motion. The aim of this study was to: (1) assess factors influencing active thumb interphalangeal (IP) joint flexion; and (2) assess the factors associated with reoperation
  3. Primary Repair of Flexor Pollicis Longus by Preference. Recent practice (see Chapter 16) has established that primary repair of the FPL tendon is desirable where possible and 70% to 80% of the results will be within the excellent or good range, although it should be noted that excellent in our current classifications does not imply return to normal function
  4. Repair - Hand Flexor Tendon CPT Codes. Excision of tendon, finger, flexor separate procedure (26180) Flexor tendon repair or advancement, single, not in no mans land; primary or secondary without free graft, each tendon (26350) Flexor tendon repair or advancement, single, not in no mans land; secondary with free graft (includes obtaining graft.
  5. Initial function after removal of casting, three weeks post o

3.) repair of the left thumb oblique pulley structure Operative findings: Complete laceration of the left thumb flexor pollicis longus tendon with retraction of the proximal end of the tendon deep into the palm, complete laceration of the A1 pulley, and partial significant laceration of the oblique thumb pulley per the left hand This study reports our treatment of divided flexor pollicis longus tendons by primary repair from January 2004 to September 2007. Fifty flexor pollicis longus repairs carried out using the Tang technique of three Tsuge sutures are reported in this study. A circumferential suture was not used routinely

Flap Surgery: Autologous Tissue, Wounds, Microvascular

The Stubborn Flexor Pollicis Longus HandLab Resource

  1. Laceration of the flexor pollicis longus tendon: delayed repair by advancement, free graft or direct suture. A clinical and experimental study. J Bone Joint Surg Am. 1973 Sep; 55 (6):1123-1148. [Google Scholar] Nunley JA, Levin LS, Devito D, Goldner RD, Urbaniak JR. Direct end-to-end repair of flexor pollicis longus tendon lacerations
  2. The flexor tendons are the flexor digitorum superficialis (FDS), the flexor digitorum profundus (FDP), and the flexor pollicis longus (FPL). The FDS and FDP are surrounded by an annular pulley system. There are 5 annular pulleys and 3 cruciate pulleys. The annular pulleys are thicker and stiffer, functioning to keep the tendons close to the bone
  3. Flexor pollicis longus muscle (Musculus flexor pollicis longus) Flexor pollicis longus, as its name suggests, is a long muscle of the forearm.It belongs to the deep flexors of the forearm, along with flexor digitorum profundus and pronator quadratus.Since it lies in the forearm but inserts in the hand, flexor pollicis longus is also classified as an extrinsic muscle of the hand
  4. Flexor tendon injuries are some of the more common injuries, but yet complex injuries managed by hand surgeons. The flexor tendon mechanism plays a key role in the functionality of the hand. Physiotherapists and occupational therapists are often involved and play a key role in the post-surgical rehabilitation of flexor tendon repairs. A good understanding of the treatment procedures, healing.

Guideline for Therapy Intervention Post Repair Flexor

Flexor Tendon Injuries - Hand - Orthobullet

  1. Pollicis Longus Abductor Pollicis Longus Thumb Right S56.321 - S66.221 - Left S56.322 - S66.222 - Extensor Pollicis Brevis, Flexor Pollicis Brevis, Abductor Pollicis Brevis, Opponens Pollicis, Adductor Pollicis Thumb Intrinsics Right NA S66.421 - Left NA S66.422 - F lexor Digiti Minimi, O pponens Digiti Minimi,.
  2. Ansari A, Ramsey KW, Floyd DC. (2006). Rupture of a flexor pollicis longus repair in a body builder through the use of an electronic muscle stimulator. Br J Sports Med. 40(12). Flexor pollicis longus exercises. To strengthen and hone the function of flexor pollicis longus, sit in a comfortable chair with your hand and palm facing you
  3. Flexor Pollicis Longus Rupture: (Mannerfelt Lesion) Laceration of the Flexor Pollicis Longus Tendon: Delayed Repair by Advancement, Free Graft or Direct Suture. A clincial and experimental study. Flexor superficialis tendon transfers to the thumb: An alternative to the free tendon graft for treatment of chronic injuries within the digital sheath
  4. Bridge flexor tendon grafts. Flexor pollicis longus tenodesis in tetraplegia at the sixth cervical level. A prospective evaluation of functional gain. Congenital anomaly of the thumb: absent intrinsics and flexor pollicis longus. Direct end-to-end repair of flexor pollicis longus tendon lacerations. The vascularity of the flexor pollicis longus.
  5. The thumb has one long flexor muscle, the flexor pollicis longus (FPL). The tendon is repaired with fine stitches that can be pulled apart if not protected appropriately post repair. Rupture. Rupturing of the repaired tendon can occur from using the hand before the repair is strong enough, over or under exercising and from scar adhesions
  6. The Flexor Pollicis Longus muscles moves through the hand as a tendon. It travels through the carpal tunnel which is the point connecting the palm and forearm, and goes into the thumb. This muscle is located between the two muscles which facilitate flexion of the thumb, namely the Flexor Pollicis Brevis and the Abductor Pollicis

Repair of the flexor pollicis longus tendon in childre

  1. VIII. Guidelines for Treatment of the Extensor Pollicis Longus A. Zones TI and TII: treat as zones I and II in the digit. Injuries in T-I and T-II are treated similarly to injuries of zones I and II of the finger. Reports in the literature on the mallet thumb indicate that the injury is rare and that opinions differ concernin
  2. Strong Digital Flexor Tendon Repair, Extension-Flexion Test, and Early Active Flexion: Experience in 300 Tendons (FDP) tendon or flexor pollicis longus (FPL) tendon is repaired with an M-Tang repair (6-strand) (Fig. 1) as the core suture using 4-0 looped sutures (Holycon, Nantong, Jiangsu, China).1,5 In some cases, at the surgeon's discre
  3. FPL: flexor pollicis longus A 40-year-old mechanic presented with a 5-week-old rupture of the flexor pollicis longus (FPL) at the interphalangeal joint (IPJ) of the left thumb. A plan for a two-stage reconstruction of the tendon was discussed with him and was scheduled for a silicone rod insertion

Flexor Pollicis Longus Repair by Dr Kiran Kumar Nandivada

Traumatic musculotendinous junction avulsions are rare injuries except in avulsion amputations. They pose a significant challenge to the treating surgeon. We present a 24-year-old male who sustained an open musculotendinous avulsion of the flexor pollicis longus tendon. He was treated with primary tendon transfer using the flexor digitorum superficialis of ring finger, in flexor zone 3 Status of flexor pollicis longus tendon was analyzed by ultrasonography in patients who underwent volar locked compression plating with pronator quadratus repair at a minimum of one year follow up. Soong's criteria was used to assess the plate position and then correlated the ultrasonography findings of flexor pollicis longus. Result

Rupture after tendon repair is not uncommon. 1- 4 Although there are many causes of rupture, the most common is removal of the splint to undertake activities that should be avoided. We report an unusual case in which a body builder underwent primary repair of a flexor pollicis longus tendon laceration Flexor pollicis longus repair in a patient with Linburg-Comstock anomaly: A case report Mehmet Unal, Eren Cansu, Flexor pollicis longus tendon lacerations are common in the clinical practice of hand surgeons. Making a separate proximal wrist incision is a very useful technique to reach a proximal tendon stump. Otherwise, aggressive. Schneider LH, Wiltshire D. Restoration of flexor pollicis longus function by flexor digitorum superficialis transfer. J Hand Surg Am. 1983 Jan. 8 (1):98-101. . Stahl S, Stahl S, Calif E. Failure of flexor pollicis longus repair caused by anomalous flexor pollicis longus to index flexor digitorum profundus interconnections: a case report The flexor pollicis longus (FPL) is a long muscle located at the deep layer with flexor digitorum profundus and pronator quadratus in the anterior compartment of the forearm. Though it is situated at the forearm, it is classified as part of the extrinsic muscles of the hand as it's function is seen in thumb movement.. Origin [edit | edit source]. It originates from the mid half of the anterior. This study reports the treatment of divided flexor pollicis longus (FPL) tendons from 1989 to 1998. The first 30 patients, in whom the tendon was repaired with a Kessler suture and simple epitendinous suture and mobilized using early active motion with only the thumb splinted, achieved 70/73% (White/Buck-Gramcko assessments respectively), excellent or good results and a rupture rate of 17%

n the gliding resistance of the flexor pollicis longus tendon after repair in vitro. Methods: Gliding resistance of 10 human thumbs was measured directly with three different sequential conditions: intact flexor pollicis longus tendon with intact A1 and oblique pulleys (group A), intact pulleys after repair of the tendon (group B), and after repair and excision of the distal triangular part. Repair of the flexor pollicis longus. Journal Article (Journal Article) There are more repair techniques available for an injured flexor pollicis longus than for the other digital flexors. The procedure of choice is immediate primary or early delayed repair (less than three weeks after injury) by direct end-to-end suture.. Flexor pollicis longus zone 2 tendon repair under WALANT with ultrasound assistance. Please help EMBL-EBI keep the data flowing to the scientific community! Take part in our Impact Survey (15 minutes). Sign in or create an account. https://orcid.org. Europe PMC. Rupture after tendon repair is not uncommon.1-4 Although there are many causes of rupture, the most common is removal of the splint to undertake activities that should be avoided. We report an unusual case in which a body builder underwent primary repair of a flexor pollicis longus tendon laceration. Although the patient was compli The cause of failure was an anomalous tendinous band that connected the tendon of the flexor pollicis longus to the tendon of the flexor digitorum profundus of the index finger. Forceful flexion of the unrestricted index finger applied a tensile force that was transmitted through the anomalous band to the repaired site and resulted in repair.

palmaris longus tendon was harvested and used as a graft. Figure 2: Intra operative picture of Mrs. G.M. showing the uncovered distal end of the volar plate. Figure 3: Intra operative image of palmaris longus graft (white arrow) repair of flexor pollicis longus tendon Few studies have focused on the relevance of early motion exercise on repair of the flexor pollicis longus tendon. We evaluated 29 patients with flexor pollicis longus tendon lacerations treated by direct end-to-end suture, and statistically assessed the clinical factors that influenced the results by using a multivariate logistic regression model

Zone II Flexor Pollicis Longus Repair: Thumb Flexion and

Origin and insertion. The muscle's superficial head arises from the distal edge of the flexor retinaculum and the tubercle of the trapezium, the most lateral bone in the distal row of carpal bones. It passes along the radial side of the tendon of the flexor pollicis longus.. The deeper (and medial) head varies in size and may be absent To identify the difference of thumb mechanics while pipetting in various wrist positions, we focused on the gliding resistance of the main flexor of the thumb, the flexor pollicis longus (FPL) tendon, as pipetting requires repetitive forced flexion of the thumb with the wrist in various positions depending on the design of the specific pipette The extensor tendons on top of the hand are used to straighten the fingers. The flexor tendons on the palm side of the hand are used to bend the fingers. Description. A deep cut in the palm side of your hand, fingers, wrist or forearm is likely to damage or even sever the flexor tendons, which are quite close to the surface of the skin

Flexor pollicis longus. Thumb radial abduction. Abductor pollicis longus. Thumb palmar abduction. Abductor pollicis brevis. Thumb adduction. Adductor pollicis. Opposition thumb to 5th finger. Opponens pollicis Following the flexor tendon repair protocol, use a dorsal blocking orthosis The thumb only receives the flexor pollicis longus (fpl). While the fpl is not a separate muscle belly in extant great apes, a distinct tendon from the fdp belly might be present. Early active mobilization of primary repairs of the flexor pollicis longus tendon with two kessler two. The thumb only receives the flexor pollicis longus (fpl) Flexor Carpi Radialis (FCR) OVERVIEW. Key Points: • Flexes and abducts the wrist. • Tendon transfers - The flexor carpi radialis (FCR) is the better wrist flexor to use compared to the flexor carpi ulnaris (FCU) in radial nerve palsy patients. FCU is stronger wrist flexor than FCR and the power wrist flexor for manual labor Additionally, non-displaced distal radius fractures treated non-operatively can lead to attritional rupture of the extensor pollicis longus. Tendon transfers are used to address functional deficits created by these conditions. This activity describes the indications, contraindications, complications, and technique of hand tendon transfers

Secondary Reconstruction of the Flexor Pollicis Longus

Background: Repair of the flexor pollicis longus (FPL) tendon by tendon retriever can be challenging because of uncertainty of the optimal direction. This study aims to describe the FPL tendon path in the thenar eminence. Methods: In 18 hands of 9 cadavers, the angle of the FPL tendon was, after dissection, measured in relation to the axis formed between the metacarpophalangeal (MCP) joint of. METHODS: Gliding resistance of 10 human thumbs was measured directly with three different sequential conditions: intact flexor pollicis longus tendon with intact A1 and oblique pulleys (group A), intact pulleys after repair of the tendon (group B), and after repair and excision of the distal triangular part (squaring off) of the oblique pulley.

Extensor Pollicis Longus Rupture

Repair - Hand Flexor Tendon CPT Code

Flexor pollicis longus (FPL) muscle is one of the two muscles that make up the third layer of the anterior compartment of the forearm along with the flexor digitorum profundus muscle.It is a deep muscle under the abductor pollicis brevis muscle.It passes through the carpal tunnel.. It is one of the extrinsic muscles of the hand.. Summary. origin: mid-anterior surface of the radial shaft and. Guideline for Therapy Intervention Post Repair Flexor Pollicis Longus WAHT-OCT-008 Page 3 of 12 Version 4 GUIDELINE Time Intervention In theatre Following the repair, a dorsal based POP is applied to the forearm and covering the full extent of the thumb. Wrist : 0-20°extension Thumb CMC: flexed and abducted under second metacarpal

Flexor pollicis longus repair - YouTub

The flexor pollicis longus (FPL) has a unique anatomy. The muscle originates from the middle and proximal aspect of the distal radius and is innervated by the anterior interosseous nerve. The FPL tendon courses through the carpal tunnel in a dorsal and radial position Physical Therapy Zones 2-5 Flexor tendon repair Protocol TimelineSplint Therapeutic Exercise PrecautionsOther Week 3 May initiate serial static PIP extension splints at night if needed. Add place/hold if not yet done via EAM. 1. Place/hold for hook, full and straight fist with wrist extended. 2. Place hold for isolated FDS glide of involved digits Delayed repair of a ruptured flexor pollicis longus (FPL) tendon is often associated with tendon defect. Primary repair of the tendon is often not possible, particularly after debridement of the unhealthy segment of the tendon. As such, various surgical treatments have been described in the literature, including single-stage tendon grafting, 2.

26356? Medical Billing and Coding Forum - AAP

flexor tendons of fingers were involved in all cases with a total of 65 tendons injured. Flexor carpi ulnaris was involved in eight cases and Flexor pollicis longus was involved in four cases. Flexor carpi radialis was involved in nine cases while palmaris longus was involved in ten cases (Table 1). The surgeries wer Flexor Pollicis Longus Trigger Point. The flexor pollicis longus muscle has its origin in the middle 2/4 of the anterior surface of the radius and the adjacent interosseous membrane; the muscle's insertion is located in the base of the distal phalanx of the thumb Supplemental material, appendix1_and_2a_and_b for Zone II Flexor Pollicis Longus Repair: Thumb Flexion and Complications by Luca L. Bruin, Jonathan Lans, Kyle R. Eberlin and Neal C. Chen in HAN We report the case of a delayed flexor pollicis longus tendon rupture post distal radius fracture and its reconstruction using the demi-tendon technique. This technique has been well described in relation to delayed closed flexor digitorum profundus injuries as a method to facilitate primary repair. In this instance, it is a novel application of the technique which, to date, has not been.

Flexor pollicis longus primary repair: further experience

The flexor hallucis longus (FHL) tendon lives on the bottom of the big toe. I've highlighted the tendon in yellow in the picture to the right (click on the image to make it larger). The FHL flexes the toe and along with other tendons also helps to stabilize the ankle. It's pretty unique in that it has many functions Flexor pollicis longus (FPL) tendon. The FPL tendon bends the thumb. It is unique to humans. It starts as a muscle in the forearm and then travels as a tendon in the wrist through the carpal tunnel. It is then covered by a tunnel, or sheath, and inserts into the most distal (farthest from your body) bone in the thumb Rupture of the flexor pollicis longus tendon in a child treated by twostage tendon transfer Dear Sir, An 8-year-old, right-handed boy was referred to us from a local orthopaedic clinic with a diagnosis of trigger thumb. Two years previously, it had been noted that he had difficulty writing when he started elementary school, but his parents had.

Flexor pollicis longus tendon injuries in children

FLEXOR POLLICIS LONGUS TENOSYNOVITIS Have you ever wondered which mechanism is activated every time you flex the great toe? The answer lies in the flexus hallucis longus, the muscle which rises from the lower region of the posterior surface of the tibia and is inserted into the plantar surface of the great toe The word pollicis refers to the thumb and so the flexor pollicis longus is the long muscle which flexes the thumb! Origin - Middle anterior surface of the radius. Insertion - Base of the distal phalanx of the thumb. Actions - Flexion of the thumb. Flexion of the wrist. Innervation - Anterior interosseous nerve 2.3. Flexor pollicis longus. Flexor pollicis longus (FPL) is responsible for flexion of the interphalangeal (IP) joint of the thumb. It arises from volar aspect of the middle one third of the radial shaft and from the interosseous membrane

Postsurgical Rehabilitation of Flexor Tendon Injuries

Brand JC Jr, Smith RW. Rupture of the flexor hallucis longus after hallux valgus surgery: case report and comments on technique for adductor release. Foot Ankle 1991 11: 407-410. Coghlan BA, Clarke NM. Traumatic rupture of the flexor hallucis longus tendon in a marathon runner. Am J Sports Med 1993 21: 617-618 The flexor tendons allow you to bend your fingers. Tendons are tissues that connect muscles to bone. When muscles contract, tendons pull on bones. This causes parts of the body (such as a finger) to move. The muscles that move the fingers and thumb are located in the forearm. Long tendons extend from these muscles through the wrist and attach. Traumatic rupture of the flexor tendons at the musculotendinous junction is rare. A case of flexor pollicis longus tendon rupture at the musculotendinous junction is described. The mechanism of the tendon injury appears to be longitudinal traction on the contracted muscle during delivery of a bowling ball While there are differences in the vascularity of the flexor pollicis longus tendon and the other digital flexor tendons, the intrinsic vascularization is similar. Differences in vascularity alone would not account for good recovery of function following repair of flexor pollicis longus

The Elbow | Musculoskeletal Key

Flexor pollicis longus: Anatomy, innervation, function

The flexor pollicis longus muscle is located in the lower half of the arm, from the elbow down.It is an anatomical part that is unique to humans. The muscle extends into the hand and aids with. The flexor pollicis longus (FPL, Latin flexor, bender; pollicis, of the thumb; longus, long) ( / ˈflɛksər ˈpɒlᵻsᵻs ˈlɒŋɡəs / )) is a muscle in the forearm and hand that flexes the thumb. It lies in the same plane as the flexor digitorum profundus. This muscle is unique to humans, being either rudimentary or absent in other primates of the flexor pollicis longus (FPL) tendon 40 months after volar plating with a 3.5-mm T-locking compression plate (T-LCP, Synthes, Paoli, PA, USA). Although extensor tendon rupture often occurs after volar plating for a distal radius fracture, a flexor tendon rupture is extremely rare The abductor pollicis longus (APL) muscle has its tendon insertion at the dorsal base of the thumb metacarpal Flexor Pollicis Longus Tendon Repair !erapy Instructions Laith Al-Shihabi, MD 3-5 days!erapy is started to focus on recovery of motion. In addition, a removable dorsal blocking splint is fashioned.. The flexor pollicis brevis attaches to the proximal phalanx of the thumb and the intervening first MCP radial sesamoid bone, serving to flex the thumb at the level of the first MCP joint. The flexor pollicis brevis has a short but well-formed distal tendon, with the myotendinous junction just proximal to the first MCP joint

Retinaculum extensorum – Wikipedia

Flexor Tendon Injuries - Physiopedi

exor pollicis longus is a unipennate muscle might not respond well to proximal repair. e exor digitorum superc ialis of ring n ger (FDS-R) was chosen as the donor. Supraclavicular brachial block was given and tourniquet was in ated a er administration of intravenous antibiotics. orough wound debridement and copious irrigation were done We report a case of delayed rupture of the flexor pollicis longus tendon 40 months after volar plating with a 3.5-mm T-locking compression plate for which the distal edge was located at the transverse ridge level of the distal radius. If symptoms such as tendon irritation occur in this situation, surgeons should consider removing the plate as. This is a report of an accessory head of flexor pollicis longus (FPL, a variant of Gantzer{\textquoteright}s muscle) and a review of the variations of all muscles of the forearm. Materials and Methods: An accessory head of FPL was discovered in both the right and left antebrachial regions during a cadaver dissection

Assessment [edit | edit source]. OK sign: Injury to the Anterior interosseous nerve- makes a person difficult to make OK as it needs flexion of index finger DIP joint ( flexor digitorum profundus) and flexion of interphalangeal joint of Thumb ( flexor pollicis longus). Sign of Benediction is the inability of 4th and 3rd finger to flex at ( MCP and IP joints) due to the involvement of AIN ICD-10-PCS Root Operation Q Medical and Surgical, Muscles, Repair. The Repair root operation is identified by the character code Q in the 3 rd position of the procedure code. It is defined as Restoring, to the extent possible, a body part to its normal anatomic structure and function Tendon Repair Information for patients. page 2 Introduction You have had surgery to repair one or more of the tendons which straighten your thumb. This booklet is designed to help you understand your ongoing care and treatment. Following the procedure your forearm and thumb will be in Ultrasonographic evaluation of the distance between the flexor pollicis longus tendon and volar prominence of the plate as a function of volar plate positioning and pronator quadratus repair - A cadaver study: étude cadavérique concernant le positionnement des plaques palmaires et la réparation du pronator quadratu