Salvage options for flexor carpi radialis tendon disruption during ligament reconstruction and tendon interposition or suspension arthroplasty of the trapeziometacarpal joint

J Hand Surg Am. 2013 Sep;38(9):1806-11. doi: 10.1016/j.jhsa.2013.06.014. Epub 2013 Aug 6.


Several techniques of thumb basilar joint arthroplasty depend on an intact flexor carpi radialis (FCR) tendon. There are situations, however, when the FCR tendon may be attenuated or iatrogenically injured, which make these techniques difficult or unfeasible. Familiarity with intraoperative salvage techniques in this setting is imperative. We present techniques for stabilizing the base of the thumb metacarpal when the FCR is deficient or injured.

Keywords: Flexor carpi radialis tendon disruption; ligament suspension arthroplasty; thumb carpometacarpal joint.

Publication types

  • Case Reports

MeSH terms

  • Arthroplasty / methods*
  • Female
  • Hand / diagnostic imaging
  • Humans
  • Ligaments, Articular / surgery*
  • Middle Aged
  • Osteoarthritis / diagnostic imaging
  • Osteoarthritis / surgery*
  • Radiography
  • Reconstructive Surgical Procedures / methods*
  • Suture Anchors
  • Tendons / surgery*
  • Thumb / surgery*