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KMID : 0361620060410030578
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Journal of the Korean Orthopaedic Association
2006 Volume.41 No. 3 p.578 ~ p.581
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Pathologic Rupture of Flexor Pollicis Longus Tendon Secondary to Kienbock`s Disease -A Case Report-
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Cheon Sang-Jin
Son Hyo-Min
Kim Hui-Taek
Suh Jeung-Tak
Yoo Chong-Il
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Abstract
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A pathologic rupture of the flexor pollicis longus tendon secondary to Kienbock disease is extremely rare with only three cases being reported in the literature. We encountered a case of a pathological rupture of the flexor pollicis longus tendon secondary to longstanding Kienbock disease. The treatment included tendon ball insertion after excising the collapsed lunate and a flexor pollicis longus tendon reconstruction with autogenous palmaris longus tendons. Satisfactory results with a restoration of the active motion of the interphalangeal joint of the thumb, maintenance of the preoperative active range of motion of the wrist and markedly reduced pain was achieved after a one year follow up. We describe this case with a review of the relevant literature.
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KEYWORD
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Kienbock disease, Flexor pollicis Longus, Pathologic rupture
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