ISSN 2458-7834
 

Case Report 


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

Mehmet Unal, Eren Cansu, Hakan Cift.

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


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Mehmet Unal
Articles by Eren Cansu
Articles by Hakan Cift
on Google
on Google Scholar


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. https://handmicrosurgeryjournal.com/?mno=193633 [Access: December 05, 2023]. 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 December 05, 2023]; 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





Most Viewed Articles
Most Accessed Articles

  • Giant intramuscular lipoma of arm: A case report and review of the literature
    Muzaffer Durmus, Ahmet Demirhan Dal, Abdul Kerim Yapici, Sedat Avsar, Yalcin Bayram
    Hand Microsurg. 2014; 3(3): 87-90
    » Abstract » doi: 10.5455/handmicrosurg.173820

  • Cubital tunnel syndrome due to heterotrophic ossification caused by radial head fracture: A case report
    Seyitali Gumustas, Haci Bayram Tosun, Ismail Agir, Abuzer Uludag
    Hand Microsurg. 2014; 3(1): 24-28
    » Abstract » doi: 10.5455/handmicrosurg.1577

  • Munchausen’s syndrome or pure self-mutilation? A case of self-inflicted tendon injury
    Burak Kaya, Servet Elcin Alpat, Mehmet Sonmez, Cem Cerkez, Savas Serel
    Hand Microsurg. 2014; 3(3): 83-86
    » Abstract » doi: 10.5455/handmicrosurg.172607

  • Radial nerve grafting in high energy humeral fractures
    Yusuf Gürbüz, Tahir Sadık Sügün, Kemal Özaksar, Murat Kayalar, Tulgar Toros, İbrahim Kaplan
    Hand Microsurg. 2012; 1(2): 60-64
    » Abstract » doi: 10.2399/emd.12.58077

  • The utility of onion extract gel containing topical allantoin and heparin after surgical treatment of upper extremity burn scars
    Mehmet Ihsan Okur, Alpagan Mustafa Yildirim, Bilsev Ince
    Hand Microsurg. 2014; 3(3): 74-79
    » Abstract » doi: 10.5455/handmicrosurg.172436

  • Most Downloaded
    Top Downloaded Articles

  • Bone island and hand involvement – A short review
    Ganesh Singh Dharmshaktu, Binit Singh
    Hand Microsurg. 2018; 7(2): 93-97
    » Abstract » doi: 10.5455/handmicrosurg.258665

  • Lipofibromatous hamartoma of the digital nerve: A case report
    Emin Sir, Alper Aksoy
    Hand Microsurg. 2018; 7(1): 45-48
    » Abstract » doi: 10.5455/handmicrosurg.255406

  • Love sign’s love for glomus tumor
    Ankit Shukla, Varun Verma, Roshni Shukla, Rajesh Chaudhary, Saurab Sharma, Sajid Mohammad
    Hand Microsurg. 2018; 7(2): 105-108
    » Abstract » doi: 10.5455/handmicrosurg.279749

  • The three bony point relationship of the elbow-Why is there still a lack of consensus?
    Supreeth Nekkanti, Dama Kondaiah Naidu, Jasmine Sebastin, Kamal Prasad, Mohan Yeshwanth, Archana Meka
    Hand Microsurg. 2018; 7(2): 79-82
    » Abstract » doi: 10.5455/handmicrosurg.291476

  • Synovial chondromatosis of the wrist
    Murat Kayalar, Abuzer Uludag, Basak Doganavsargil Yakut, Ahmet Savran
    Hand Microsurg. 2018; 7(2): 109-111
    » Abstract » doi: 10.5455/handmicrosurg.269392

  • Most Cited Articles
    Most Cited Articles