Flexor Pollicis Longus Tendon Rupture in the Rheumatoid Patient (Mannerfelt Syndrome): Evaluation and Surgical Management
This video discusses management of FPL rupture in the rheumatoid patient. The author's preferred technique is FDS to FPL tendon transfer combined with open carpal tunnel release and flexor tenosynovectomy.
Orthopaedic surgeon, fellowship trained in hand, wrist, shoulder and elbow surgery, treating upper extremity injuries for patients of all ages. Accepting New Patients: (617) 965-HAND (4263).
Clinical faculty member at Tufts University School of Medicine, Department of Orthopaedic Surgery. Board Certified by the American Board of Orthopaedic Surgery.
Hand Fellows from Philadelphia Hand Center, University of Colorado, Mayo Clinic, and Hospital for Special Surgery debate methods for SL reconstruction. 3 Ligament tenodesis, Reduction and Association of SL, Scapholunate internal brace 360, Swivelock SL IL Reconstruction and ANAFAB are also discussed and compared with pearls for each procedure
Thumb carpal metacarpal joint (CMCJ) arthritis is common. Surgical
denervation is an option for symptomatic CMCJ arthritis. Articular branches of
denervation can be performed using a single volar incision. Synovectomy at the CMCJ
can also be performed at the same time. Short recovery period is noted.
Drs Buterbaugh, Putnam, Fitzpartick, and Stepan debate the merits of LRTI, Suture button suspension arthroplasty, Suture suspension arthroplasty with or without an implant, and arthrodesis for management of thumb CMC arthritis
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