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VOLUME 7 , ISSUE 2 ( August, 2012 ) > List of Articles

CASE REPORT

Abductor pollicis longus tendon division with swan neck thumb deformity

Balaji Zacharia, Kishore Puthezhath

Keywords : Isolated division, Abductor pollicis longus tendon, Swan neck thumb deformity

Citation Information : Zacharia B, Puthezhath K. Abductor pollicis longus tendon division with swan neck thumb deformity. 2012; 7 (2):109-112.

DOI: 10.1007/s11751-012-0141-8

License: CC BY-NC-SA 4.0

Published Online: 31-08-2012

Copyright Statement:  Copyright © 2012; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Swan neck thumb deformity can be caused by osteoarthritis, rheumatoid arthritis, systemic lupus erythematosus, tendon transfers and paralytic diseases. Abductor pollicis longus is one of the major stabilizing tendon of the carpometacarpal joint of thumb. To the best of our knowledge, swan neck thumb deformity owing to division of abductor pollicis longus tendon is rare. In this article, we describe a case of isolated division of abductor pollicis longus tendon presenting with swan-neck deformity of thumb and discuss the mechanism, management and outcome. The patient was treated by repair of the divided tendon using palmaris longus tendon graft. At approximately 107 weeks following treatment, the patient was having full range of thumb movement and the deformity completely disappeared. We also describe the unusual mechanism whereby an isolated division of abductor pollicis longus tendon results in swan neck thumb deformity. Level of clinical evidence IV.


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