Avulsión Traumática Abierta (inglés)

Panagiotis Givissis MD, PhD, , Dimitrios Karataglis MD, Anastasios Christodoulou MD, PhD, Ioannis Terzidis MD and John Pournaras MD, PhD

A’ Orthopaedic Department, Aristotelian University of Thessaloniki, “G. Papanikolaou” General Hospital, Exohi, 570 10, Thessaloniki, Greece.

A traumatic avulsion of the flexor tendon at the musculotendinous junction in nonamputated digits is a very rare injury. We present a 14-year-old girl who sustained a longitudinal, tensile, injurious force directly to the flexor pollicis longus tendon after an open thenar injury resulting in its avulsion at the musculotendinous junction. In an effort to minimize soft-tissue damage and preserve the transverse ligament of the carpus the tendon was retrieved through a separate forearm incision. Direct repair was made by encapsulation of the tendon into the muscle belly. The functional result 30 months after surgery was satisfactory.

Key words: Flexor pollicis longus; avulsion; musculotendinous area