Evidence map›Paper›PMID 40854034›Full record

ArticleJBJS case connector2025

An Extensor Indicis Proprius Transfer for Chronic Extensor Pollicis Longus Injury After Nearly 2 Decades: A Case Report.

Amir Ratna Shakya, Prakrit Chhetri, Nirab Kayastha, Sushil Shrestha, Binod Gaire

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in JBJS case connector, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Amir Ratna ShakyaDepartment of Orthopedics, SBH, Kathmandu, Nepal.ORCID 0000-0002-7371-6179
Prakrit ChhetriDepartment of Orthopedics, SBH, Kathmandu, Nepal.ORCID 0000-0003-2010-319
Nirab KayasthaDepartment of Orthopedics, SBH, Kathmandu, Nepal.ORCID 0000-0001-9527-3404
Sushil ShresthaDepartment of Orthopedics, SBH, Kathmandu, Nepal.
Binod GaireDepartment of Orthopedics, NAIHS, Kathmandu, Nepal.ORCID 0009-0002-2003-9829

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

caseA 36-year-old soldier presented for foreign training fitness with a history of a fall 18 years previously, that injured his nondominant left wrist. Initially, the injury was managed conservatively with a below elbow cast. Since then, he had been unable to extend the thumb at the interphalangeal joint but adapted well to daily activities. Surgical reconstruction using an extensor indicis proprius (EIP) to extensor pollicis longus (EPL) tendon transfer yielded favorable recovery.

conclusionThis case highlights neglected EPL injury over 18 years and confirms that EIP transfer, when precisely performed, can restore thumb function such as pinch and grip even in very delayed cases.

Indexed as

Tendon InjuriesTendon TransferThumbAdultHumansMalechronic EPL injuryEIP to EPL transferPulvertaft weave technique

Identifiers

PMID40854034
PMCPMC12369508

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.