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.

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


 
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


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. https://handmicrosurgeryjournal.com/?mno=193633 [Access: September 27, 2022]. 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 September 27, 2022]; 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
  • 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 & References » 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 & References » 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 & References » 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 & References » 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 & References » doi: 10.5455/handmicrosurg.172436

  • Most Downloaded
  • 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

  • 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

  • Hand grip strength: Age and gender stratified normative data in Anatolian population
    Melih Unal, Ozkan Kose, Hasan Onur Arik, Ferhat Guler, Baver Acar, Halil Yalcin Yuksel
    Hand Microsurg. 2018; 7(1): 16-23
    » Abstract » doi: 10.5455/handmicrosurg.257058

  • 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

  • Most Cited Articles
  • The rise of wide awake hand surgery - Contribution from Turkey
    Egemen Ayhan, Emre Ozdemir, Ender Gumusoglu, Kadir Cevik, Metin M Eskandari
    Hand Microsurg. 2018; 7(3): 125-134
    » Abstract » doi: 10.5455/handmicrosurg.299709
    Cited : 6 times [Click to see citing articles]

  • Giant lipomas of the hand
    Gokce Yildiran, Osman Akdag, Mehtap Karamese, Muhammed Nebil Selimoglu, Zekeriya Tosun
    Hand Microsurg. 2015; 4(1): 8-11
    » Abstract & References » doi: 10.5455/handmicrosurg.175443
    Cited : 3 times [Click to see citing articles]

  • Upper extremity tumors
    Levent Eralp , Halil Buldu
    Hand Microsurg. 2013; 2(3): 105-114
    » Abstract & References » doi: 10.5455/handmicrosurg.164446
    Cited : 3 times [Click to see citing articles]

  • Flexor pollicis longus repair in a patient with Linburg-Comstock anomaly: A case report
    Mehmet Unal, Eren Cansu, Hakan Cift
    Hand Microsurg. 2016; 5(2): 88-91
    » Abstract » doi: 10.5455/handmicrosurg.193633
    Cited : 3 times [Click to see citing articles]

  • Hirudo medicinalis - historical and biological background and their role in microsurgery: Review article
    Abdul Kerim Yapici, Muzaffer Durmus, Mehmet Tanyuksel, Selim Turkkan, Harun Yasin Tuzun, Arsen Arsenishvili
    Hand Microsurg. 2017; 6(1): 34-38
    » Abstract » doi: 10.5455/handmicrosurg.217838
    Cited : 3 times [Click to see citing articles]