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The fpl tendon bends the thumb.
Epl tendon hand. After surgery your forearm and hand will be in a large bandage and plaster splint. The extrinsic extensor muscles of the hand are located in the back of the forearm and have long tendons connecting them to bones in the hand where they exert their action. This tendon straightens the end joint of the thumb and also helps pull the thumb in towards the index finger. Flexor pollicis longus fpl tendon.
It is much larger than the extensor pollicis brevis the origin of which it partly covers and acts to stretch the thumb together with this muscle. The tendon of epl is located over the back of the wrist where it bends through a tunnel adjacent to a slight prominence of bone. Extensor pollicis longus epl tendon. Please do not remove this.
Bakkers post op protocol important instructions following surgery. In human anatomy the extensor pollicis longus muscle epl is a skeletal muscle located dorsally on the forearm. Thumb tendons abductor pollicis longus apl tendon. Epl extensor pollicis longus tendon repair dr.
For example after a broken wrist the tendon to the thumb epl tendon that allows you to make a thumbs up can break. Extrinsic denotes their location outside the hand. This oblique direction is so that it can pull the thumb up and back as if trying to hitchhike. The eip tendon is then re directed and sewn into the thumb bone or thumb tendon epl.
Unfortunately this arrangement makes the tendon prone to damage from various causes and then it can rupture. The tendon runs around a bony prominence on the back of the wrist called listers tubercle. It is unique to humans. In this area it is confined to a tight tunnel.
Primary upper extremity and hand extensor tendon repair protocol this protocol is not intended to be a substitute for ones clinical decision making regarding the progression of a patients post operative course based on their physical examfindings individual progress andor the presence of post operative complications. The tendon insertion of the extra index finger extensor tendon extensor indicus proprius eip is detached. The apl tendon runs on the radial side of the wrist the side the thumb is on. After this type of surgery a splint or cast is used for a few weeks after which supervised therapy may be started allowing gentle movement with a protective splint may be used for an additional few weeks.
Often the two ends of the tendon are very damaged and cannot be sewn back together. A tendon transfer is a surgery that moves a working muscle and tendon to replace a non working muscle and tendon.
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