case_images: PMC3860663_01
case_images: Radiography of Patient's Hand Reveals an Incompletely Amputated Thumb of the Left Hand
case_images: traumamon-17-401-g001.jpg
case_images: PMC3860663_01_traumamon-17-401-g001.jpg
case_images: fig1770
case_images: Radiography demonstrated comminuted fracture of the metacarpal bone (Figure 1).
case_images: Intraoperative Photography Shows Tenomuscular Avulsion of EPL and FPL Tendons.
case_images: traumamon-17-401-g002.jpg
case_images: PMC3860663_01_traumamon-17-401-g002.jpg
case_images: fig1771
case_images: Extrinsic tendons including flexor pollicis longus (FPL) and extensor pollicis longus (EPL) had been avulsed from tenomuscular junction (Figure 2).
case_images: The First Metacarpal Fixation by Steel Wire and K Wire
case_images: traumamon-17-401-g003.jpg
case_images: PMC3860663_01_traumamon-17-401-g003.jpg
case_images: fig1772
case_images: First metacarpal bone was shortened and fixed with K wires (Figure 3).
case_images: Incisions Repaired for EIP to EPL Transfer
case_images: traumamon-17-401-g004.jpg
case_images: PMC3860663_01_traumamon-17-401-g004.jpg
case_images: fig1773
case_images: The rerouted EIP tendon was then sutured to the EPL tendon by the Pulvertaft weave technique (Figure 4). 
case_images: Incision for FPL to FDP Transfer
case_images: traumamon-17-401-g005.jpg
case_images: PMC3860663_01_traumamon-17-401-g005.jpg
case_images: fig1774
case_images: The avulsed FPL tendon was transferred to the anterior forearm under the transverse carpal ligament and was sutured side-to-side to the deep flexor tendon of the index finger (Figure 5).
case_images: Left Hand of the Patient About one Month After Tendon Transfer With Complete Extension of Thumb With Local Thenar Area Necrosis
case_images: traumamon-17-401-g006.jpg
case_images: PMC3860663_01_traumamon-17-401-g006.jpg
case_images: fig1775
case_images: At the short term follow-up, the patient was able to flex and extend the thumb and grasp, opposition and pinching were satisfactory (Figures 6 and 7).
case_images: Grasping a Bottle by Patient
case_images: traumamon-17-401-g007.jpg
case_images: PMC3860663_01_traumamon-17-401-g007.jpg
case_images: fig1776
case_images: At the short term follow-up, the patient was able to flex and extend the thumb and grasp, opposition and pinching were satisfactory (Figures 6 and 7).