case_images: PMC5404658_01
case_images: Preoperative X-rays of the injured right thumb revealing no fractures. (A) Posteroranterior view; (B) lateral view.
case_images: icrp_a_1308830_f0001_b.jpg
case_images: PMC5404658_01_icrp_a_1308830_f0001_b.jpg
case_images: F0001
case_images: Plain X-rays confirmed our findings in the physical examination showing no osseous defects (Figure 1).
case_images: Preoperative sonography of the injured right thumb revealing an avulsion of the EPL tendon with a gap of 17 mm in full extension.
case_images: icrp_a_1308830_f0002_c.jpg
case_images: PMC5404658_01_icrp_a_1308830_f0002_c.jpg
case_images: F0002
case_images: It showed a considerable gap of 17 mm between the torn ends of the EPL tendon according to an avulsion of the proximal stump (Figure 2).
case_images: Intraoperative photo documentation. (A) Total rupture of the EPL close to the distal insertion; (B) Fixation of the EPL tendon with the Mini QUICKANCHOR  suture anchor and transfixation of the IP-joint with Kirschner-wire (1.25 mm).
case_images: icrp_a_1308830_f0003_c.jpg
case_images: PMC5404658_01_icrp_a_1308830_f0003_c.jpg
case_images: F0003
case_images: Surgical site presented a complete avulsion of the EPL tendon with a remarkable gap (Figure 3(A)).
case_images: Clinical outcome 1 year after surgery. (A) In full active extension; (B) in maximal active flection.
case_images: icrp_a_1308830_f0004_c.jpg
case_images: PMC5404658_01_icrp_a_1308830_f0004_c.jpg
case_images: F0004
case_images: One year after surgery the patient obtained a ROM of 0/0/65  of the right IP-joint compared to 5/0/70  of the contralateral thumb (Figure 4(A,B)).