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Squaring of thumb in osteoarthritis.
QJM
November 2023
Department of Internal Medicine, NC Medical College and Hospital, Israna, Panipat, Haryana, India 132145.
Gliding resistance of the flexor pollicis longus tendon after repair: does partial excision of the oblique pulley affect gliding resistance?
Plast Reconstr Surg
November 2006
Rochester, Minn. From the Biomechanics Laboratory, Division of Orthopedic Research, Mayo Clinic College of Medicine.
Background: After tendon repair, it is critical for the repair site to pass smoothly under the pulley edge to promote gliding and reduce the risk of adhesion or rupture. In this study, the authors assessed the effect of partial excision by "squaring off" the distal edge of the oblique pulley on the gliding resistance of the flexor pollicis longus tendon after repair in vitro.
Methods: Gliding resistance of 10 human thumbs was measured directly with three different sequential conditions: intact flexor pollicis longus tendon with intact A1 and oblique pulleys (group A), intact pulleys after repair of the tendon (group B), and after repair and excision of the distal triangular part (squaring off) of the oblique pulley (group C).
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