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Case Report 


Flexor pollicis longus repair in a patient with Linburg-Comstock anomaly: A case report

Mehmet Unal, Eren Cansu, Hakan Cift.

Cited by (3)

Abstract
Background: We present a patient with this anomaly who sustained a saw cut injury to his hand resulting in severance of the FPL and bilateral digital nerves of the thumb.
Methods: A 36-year old male laborer who sustained a saw cut injury to his dominant right hand presented to the emergency department. The wound extended from the skin edge of the first web to the base of first metacarpal in the palm at Urbaniak zone 3. The FPL tendon and both digital nerves were cut. In the operating room, the wound was enlarged with Z incisions and a dissection deep into the wound was conducted. The cut end of the FPL tendon was found and secured using a different technique. Bilateral digital nerve repair was performed with interpositional grafting of the lateral antecubital cutaneous nerve bundles.
Results: At the end of the rehabilitation program, the thumb recovered full range of motion, and physical examination revealed synchronous flexion movement (synkinesis) of the thumb and index finger.
Conclusion: 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 maneuvers may cause additional damage to the tendons involved and result in unpredicted outcomes. The attempts to retrieve the tendon at the injury site resulted in failure and gave a tethering sensation to the surgeon who recalled the Linburg-Comstock anomaly.

Key words: Flexor pollicis longus laceration, Linburg-Comstock anomaly


 
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This Article Cited By the following articles

Prevalence of the Linburg–Comstock variation through clinical evaluation
Surg Radiol Anat 2019; (): .

1
 
Linburg–Comstock variation and syndrome. A meta-analysis
Surg Radiol Anat 2018; 40(3): 289.

2
 
Linburg–Comstock variation and syndrome. A meta-analysis
Surg Radiol Anat 2017; (): .

3
 
How to Cite this Article
Pubmed Style

Mehmet Unal, Eren Cansu, Hakan Cift. Flexor pollicis longus repair in a patient with Linburg-Comstock anomaly: A case report. Hand Microsurg. 2016; 5(2): 88-91. doi:10.5455/handmicrosurg.193633


Web Style

Mehmet Unal, Eren Cansu, Hakan Cift. Flexor pollicis longus repair in a patient with Linburg-Comstock anomaly: A case report. http://handmicrosurgeryjournal.com/?mno=193633 [Access: April 13, 2020]. doi:10.5455/handmicrosurg.193633


AMA (American Medical Association) Style

Mehmet Unal, Eren Cansu, Hakan Cift. Flexor pollicis longus repair in a patient with Linburg-Comstock anomaly: A case report. Hand Microsurg. 2016; 5(2): 88-91. doi:10.5455/handmicrosurg.193633



Vancouver/ICMJE Style

Mehmet Unal, Eren Cansu, Hakan Cift. Flexor pollicis longus repair in a patient with Linburg-Comstock anomaly: A case report. Hand Microsurg. (2016), [cited April 13, 2020]; 5(2): 88-91. doi:10.5455/handmicrosurg.193633



Harvard Style

Mehmet Unal, Eren Cansu, Hakan Cift (2016) Flexor pollicis longus repair in a patient with Linburg-Comstock anomaly: A case report. Hand Microsurg, 5 (2), 88-91. doi:10.5455/handmicrosurg.193633



Turabian Style

Mehmet Unal, Eren Cansu, Hakan Cift. 2016. Flexor pollicis longus repair in a patient with Linburg-Comstock anomaly: A case report. Hand and Microsurgery, 5 (2), 88-91. doi:10.5455/handmicrosurg.193633



Chicago Style

Mehmet Unal, Eren Cansu, Hakan Cift. "Flexor pollicis longus repair in a patient with Linburg-Comstock anomaly: A case report." Hand and Microsurgery 5 (2016), 88-91. doi:10.5455/handmicrosurg.193633



MLA (The Modern Language Association) Style

Mehmet Unal, Eren Cansu, Hakan Cift. "Flexor pollicis longus repair in a patient with Linburg-Comstock anomaly: A case report." Hand and Microsurgery 5.2 (2016), 88-91. Print. doi:10.5455/handmicrosurg.193633



APA (American Psychological Association) Style

Mehmet Unal, Eren Cansu, Hakan Cift (2016) Flexor pollicis longus repair in a patient with Linburg-Comstock anomaly: A case report. Hand and Microsurgery, 5 (2), 88-91. doi:10.5455/handmicrosurg.193633








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