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