Brachioradialis tendon transfer and palmaris longus tendon graft for thumb avulsion: A case report and review of literature

Figure 1 Complete traumatic thumb avulsion. A and B: Complete traumatic thumb avulsion at the metacarpophalangeal joint with the flexor pollicis longus tendon avulsion at the musculotendinous junction, as seen on photographs; C: The hand radiograph taken at the emergency department. Triangle: The base of the proximal phalanx; white arrow: The metacarpophalangeal joint; blue arrow: Flexor pollicis longus tendon; two black arrows: Proper palmar digital nerves of the thumb.

Figure 2 Follow-up at 7 months after the first stage of thumb repair is shown. A: Passive interphalangeal joint flexion of 60°; B: Complete extension.

Figure 3 Second stage of thumb repair. A and B: General aspect of thumb and wound healing after the second stage of thumb repair; C: Control radiograph showing good consolidation of the metacarpophalangeal joint arthrodesis, which is fixed in 30° flexion, after the second stage of thumb repair.