Hi, I had surgery last week to to release scar tissue around the Extensor Pollicis Longus tendon in my left hand. This was following a bad wrist fracture a year ago. After the operation, I had barely come round from the anaesthetic and vaguely remember the surgeon saying something about scar tissue but that I should push the thumb back gently as exercise, which I did. It was so great to have the full mobility of my thumb back. Unfortunately the next day my thumb joint made a clunk sound and the thumb went back to the pre op state. I spoke to a physio at the hospital where I had the op to check what may have happened and also to check what the operation notes said about the state of the tendon (I was concerned that I had moved my thumb too much). He told me that the tendon was intact and had been freed from scar tissue and that I should move it about as much as possible. That night I was stretching my thumb back towards the little finger with my other hand and heard a loud crack. I saw the surgeon today to review post op progress, he confirmed that the tendon had snapped and that I should have been doing specific physio exercises not to stress the tendon because there was scar tissue on the tendon itself. Too little information, too late I thought! I was further dissapointed when he then said I should live with the dissability instead of having a tendon transfer from the index finger. He's made an appointment for me to see him in two months and suggested I make a list of reasons what I can't do with the thumb before he considers whether or not I should be put forward for a tendon transfer op. My worry is that I wait two months before a review, then if I get put forward for the op it could be another few months wait on the NHS before I get the transfer. So my question.. eventually, is there an ideal time-frame in which to have a tendon graft after rupture of the Extensor Pollicis Longus. Would the operation be more successful if I go private sooner than waiting four months or longer for the NHS?
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.