Flexor Pollicis Longus Reconstruction in Patient with the Linburg-Comstock Syndrome

Sung Jong Woo; Sang Won Moon

doi:10.12790/jkssh.2016.21.2.84

Journal List > J Korean Soc Surg Hand > v.21(2) > 1106553

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Woo and Moon: Flexor Pollicis Longus Reconstruction in Patient with the Linburg-Comstock Syndrome

CASE REPORT

J Korean Soc Surg Hand 2016;21(2):84-88.

Published online: 11 June 2016

DOI: https://doi.org/10.12790/jkssh.2016.21.2.84

Flexor Pollicis Longus Reconstruction in Patient with the Linburg-Comstock Syndrome

Sung Jong Woo¹, Sang Won Moon^2,

¹Department of Orthopaedic Surgery, Prime Hospital, Busan, Korea

²Department of Orthopaedic Surgery, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea

Correspondence to: Sang Won Moon, Department of Orthopedic Surgery, Haeundae Paik Hospital, Inje University College of Medicine, 875 Haeun-daero, Haeundae-gu, Busan 48108, Korea, TEL: +82-51-797-0668, FAX: +82-51-797-0991, E-mail: oldeca5@naver.com

Received 21 February 20169 June 2016 Accepted 12 June 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Linburg-Comstock phenomenon is defined simultaneous flexion of thumb and other fingers. The coupling of the flexor pollicis longus and flexor digitorum profundus tendons is the main pathognomonic feature of this lesion. Typically, pain is noted at the distal level of the forearm at the site of the abnormal connection. We describe a case of flexor pollicis longus tendon rupture who undergoes a carpal tunnel release, and report the Linburg-Comstock syndrome after the flexor tendon reconstruction.

Keywords: Flexor pollicis longus, Flexor digitorum profundus, Abnormal tendon connection, Linburg-Comstock syndrome

REFERENCES

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Fig. 1.

(A) Severe tenosynovitis and adhesion were seen in radial side of the wrist. (B) A flexor pollicis longus tendon was ruptured and retracted.

Fig. 2.

Four months follow-up physical examination demonstrate active motion of right interphalangeal joint of thumb. (A) Active extension. (B) Active flexion.

Fig. 3.

Demonstration of the patient's simultaneous flexion of the Interphalangeal joint of the thumb and the distal interphalangeal joint of the index finger (arrow) of the right hand.

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