Evidence map›Paper›PMID 39917571›Full record

ArticleWorld journal of clinical cases2025

Brachioradialis tendon transfer and palmaris longus tendon graft for thumb avulsion: A case report and review of literature.

Pierre Curings, Sonia Ramos-Pascual, Kinga Michalewska, Nicolas Gibert, Lionel Erhard, Mo Saffarini, Alexis Nogier

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In one paragraph

Article in World journal of clinical cases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Pierre CuringsDepartment of Hand Surgery, Clinique Trenel, Sainte-Colombe 69560, France.
Sonia Ramos-PascualMedical Research, ReSurg SA, Nyon 1260, Vaud, Switzerland.
Kinga MichalewskaMedical Research, ReSurg SA, Nyon 1260, Vaud, Switzerland. journals@resurg.com.
Nicolas GibertDepartment of Hand Surgery, Hand and Upper Limb Surgical Institute, Villeurbanne 69100, France.
Lionel ErhardDepartment of Hand Surgery, Hand and Upper Limb Surgical Institute, Villeurbanne 69100, France.
Mo SaffariniMedical Research, ReSurg SA, Nyon 1260, Vaud, Switzerland.
Alexis NogierDepartment of Orthopaedics, Clinique Trenel, Sainte-Colombe 69560, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThumb replantation following complete traumatic avulsion requires complex techniques to restore function, especially in cases of avulsion at the level of the metacarpophalangeal joint (MCP I) and avulsion of the flexor pollicis longus (FPL) at the musculotendinous junction. Possible treatments include direct tendon suture or tendon transfer, most commonly from the ring finger. To optimize function and avoid donor finger complications, we performed thumb replantation with flexion restoration using brachioradialis (BR) tendon transfer with palmaris longus (PL) tendon graft. CASE SUMMARY: A 20-year-old left-handed male was admitted for a complete traumatic left thumb amputation following an accident while sliding from the top of a handrail. The patient presented with skin and bone avulsion at the MCP I, avulsion of the FPL tendon at the musculotendinous junction (zone 5), avulsion of the extensor pollicis longus tendon (zone T3), and avulsion of the thumb's collateral arteries and nerves. The patient was treated with two stage thumb repair. The first intervention consisted of thumb replantation with MCP I arthrodesis, resection of avulsed FPL tendon and implantation of a silicone tendon prosthesis. The second intervention consisted of PL tendon graft and BR tendon transfer. Follow-up at 10 months showed good outcomes with active interphalangeal flexion of 70°, grip strength of 45 kg, key pinch strength of 15 kg and two-point discrimination threshold of 4 mm.

conclusionFlexion restoration after complete thumb amputation with FPL avulsion at the musculotendinous junction can be achieved using BR tendon transfer with PL tendon graft.

Indexed as

Brachioradialis tendon transferCase reportFlexor pollicis longusPalmaris longus tendon graftReplantationThumb amputationThumb avulsion

Identifiers

PMID39917571
PMCPMC11586796

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