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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.
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Date
28/11/2023
Jurisdiction
USA
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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. Hess, Wilton, and Maslow discuss treatment options for metacarpal fractures, including ORIF with plates, K wires, and intramedullary screws.
This video is of a lecture on zone I-V flexor tendon repairs, WALANT, complications, and tendon reconstruction.
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