EIP to EPL Transfer

Description

In this educational video, Professor Bijayendra Singh, an Upper Limb & Trauma Surgeon at Medway Hospital, presents a detailed case study of a female patient who sustained a distal radius fracture in her left wrist following a fall. The video outlines the initial treatment involving non-operative measures and immobilization in plaster. However, eight to nine weeks post-injury, the patient exhibits an inability to extend her thumb, indicating a potentially serious complication.



Professor Singh discusses diagnostic imaging and both initial and follow-up X-ray results that show an un-displaced fracture with good healing. The complexities of the patient's inability to lift her thumb, observed through demonstrations, lead to the decision for surgical intervention.



He provides a step-by-step guide to performing an extensor indicis to extensor pollicis transfer, essential for restoring thumb extension. This includes anatomical landmarks, surgical techniques for tendon identification and release, addressing associated challenges such as scar tissue, and performing the actual tendon transfer procedure.



The video covers critical aspects like ensuring good hemostasis, successful tendon repair techniques, and considerations for post-operative patient care, including physical therapy. The viewer is left with helpful insights into managing tendon injuries and rehabilitation protocols, rounding out with an encouragement to visit his website for further learning resources.

DOI: 10.1302/3114-240514

Specialties