The Challenges in restoration of extensor tendons function at the hand: Report of two cases

The Challenges in restoration of extensor tendons function at the hand

Report of two cases

Authors

  • Andrea Leti Acciaro Division of Hand Surgery and Microsurgery – Modena University Hospital
  • Giulia Colzani Division of Hand Surgery and Microsurgery – Modena University Hospital
  • Marta Starnoni Division of Plastic Surgery, Modena University Hospital
  • Roberto Adani Division of Hand Surgery and Microsurgery – Modena University Hospital

Keywords:

hand tendon defect, extensor tendons, tendon transfer, tendon graft, radial nerve lesion

Abstract

Introduction: The authors discuss challenges in extensor function restoration at the finger level following distal posterior interosseous or tendon complex injuries, according to the typologies of lesions or the specific patient requirements. Materials: The authors report on two cases describing challenging resolutions. One patient with EDC lag from zone 6B to 8 requiring FCU prolonged with cadaveric grafts.  One young patient with distal posterior interosseous lesion requiring selective tendon transfers to EPL and EIP to restore selective and autonomous index extension. Results: In both cases the main goals were obtained, achieving high index of patient satisfaction and excellent outcomes with the restoration of the extension of the fingers.  Conclusions: In distal posterior interosseous nerve lesion, high demanding patients may require selective function to restore fine motor skills, such as autonomous index extension. In extensor tendons loss of substance from zone 6 to 8, involving musculotendinous junction proximally and short remnants distally, by-pass tendon transfer prolonged with cadaveric grafts is required. The authors highlight the techniques available as escape plan according to the necessary solutions.

 

 

Author Biographies

Andrea Leti Acciaro, Division of Hand Surgery and Microsurgery – Modena University Hospital

MD

Giulia Colzani, Division of Hand Surgery and Microsurgery – Modena University Hospital

MD

Roberto Adani, Division of Hand Surgery and Microsurgery – Modena University Hospital

MD

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Published

30-04-2021

How to Cite

1.
Leti Acciaro A, Colzani G, Starnoni M, Adani R. The Challenges in restoration of extensor tendons function at the hand: Report of two cases. Acta Biomed [Internet]. 2021 Apr. 30 [cited 2024 Jul. 24];92(S1):e2021151. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/9756