Trauma and Reconstruction Center, Teikyo University Hospital, 2-11-1 Kaga, Itabashi-ku, Tokyo, 173-8606, Japan.
J Med Case Rep. 2022 Aug 25;16(1):325. doi: 10.1186/s13256-022-03530-4.
The flexor pollicis longus is the most vulnerable muscle in acute compartment syndrome of the forearm. Reconstruction of a dysfunctional flexor pollicis longus is occasionally necessary following compartment syndrome of the forearm.
A 42-year-old Japanese man injured his left forearm in a motor vehicle accident. Open radial shaft fracture and acute compartment syndrome of the left forearm was diagnosed. We performed a fascial release of the forearm and debridement of the involved myonecrosis of the flexor pollicis longus. At second-look operation (3 days after the initial release), we performed palmaris longus tendon transfer to the flexor pollicis longus tendon. At 6-month follow-up, the patient had no complaints and returned to his job. At 2-year follow-up, the patient had achieved 88% of pinch strength, compared with the contralateral hand, and scored 11.4 on the QuickDASH score.
Palmaris longus transfer performed immediately after injury is simple and does not require an additional surgical approach. Hence, early palmaris longus tendon transfer, which can provide satisfactory outcomes, could be considered as a potential choice for flexor pollicis longus reconstruction in patients with compartment syndrome of the forearm.
在急性前臂间隔综合征中，指浅屈肌最容易受损。在前臂间隔综合征后，偶尔需要重建功能失调的指浅屈肌。
一名 42 岁的日本男性在一场机动车事故中受伤了他的左前臂。诊断为开放性桡骨干骨折和左前臂急性间隔综合征。我们进行了前臂筋膜松解和受累的指浅屈肌坏死清创术。在二次手术（初次松解后 3 天）中，我们进行了掌长肌腱转位到指浅屈肌腱。在 6 个月的随访中，患者没有任何不适并返回工作岗位。在 2 年的随访中，与对侧手相比，患者的捏力达到了 88%，QuickDASH 评分为 11.4。
损伤后立即进行掌长肌腱转移操作简单，不需要额外的手术入路。因此，早期掌长肌腱转移可以提供满意的结果，可以被认为是前臂间隔综合征患者指浅屈肌重建的一种潜在选择。
