J Korean Orthop Assoc.  2006 Jun;41(3):578-581.

Pathologic Rupture of Flexor Pollicis Longus Tendon Secondaryto Kienbock's Disease: A Case Report

Affiliations
  • 1Department of Orthopaedic Surgery, Pusan National University College of Medicine, Busan, Korea. scheon@pusan.ac.kr

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.

Keyword

Kienbock disease; Flexor pollicis longus; Pathologic rupture

MeSH Terms

Follow-Up Studies
Joints
Osteonecrosis
Range of Motion, Articular
Rupture*
Tendons*
Thumb
Wrist
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