Abstract
Abstract Extensor pollicis longus (EPL), the long extensor tendon for the thumb, is one of the commonest tendon to rupture and require treatment. In case of closed rupture of EPL, direct repair is usually not possible, requiring tendon reconstruction to restore function. Traditionally, extensor indicis proprius (EIP) tendon is transferred under general or regional anaesthesia through two (or more) incisions. The author proposes and demonstrates that it is possible to carry out this transfer through one short incision under local anaesthesia with good outcome and minimal complications.
Highlights
2. Keywords: Tendon transfer; Local anaesthesia; Extensor pollicis longus; Extensor indicis proprius; Operative technique 3
Extensor pollicis longus (EPL), the long extensor tendon for the thumb, is one of the commonest tendon to rupture and require treatment
extensor indicis proprius (EIP) can be harvested with minimal morbidity as index finger can function with just extensor digitorum communis (EDC)
Summary
2. Keywords: Tendon transfer; Local anaesthesia; Extensor pollicis longus; Extensor indicis proprius; Operative technique 3. Introduction Extensor pollicis longus (EPL), the long extensor tendon for the thumb, is one of the commonest tendon to rupture and require treatment. If it is an acute traumatic rupture or sharp division, the tendon should be repaired using techniques similar to other divided tendons.
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