Traumatic injury of the third palmar interosseous muscle in a patient with dementia: A case report

Kazumi Goto; Tomoki Murakami; Takeomi Nakamura; Isaku Saku

doi:10.1016/j.tcr.2022.100654

Traumatic injury of the third palmar interosseous muscle in a patient with dementia: A case report

Trauma Case Rep. 2022 May 24:40:100654. doi: 10.1016/j.tcr.2022.100654. eCollection 2022 Aug.

Authors

Kazumi Goto¹, Tomoki Murakami¹, Takeomi Nakamura¹, Isaku Saku¹

Affiliation

¹ Department of Orthopedic Surgery, Yaizu City Hospital, 1000, Dohbara, Yaizu-shi, Shizuoka 425-8505, Japan.

Abstract

An 81-year-old man with dementia presented with a third palmar interosseous injury. A fourth flexor digitorum superficialis tendon transfer surgery was performed the following day. The patient achieved adduction of the little finger; however, flexion contracture that began 2 months after the surgery progressed until completion because of issues related to postoperative rehabilitation and home exercise. An injury of the third palmar interosseous muscle is extremely rare and is even more uncommon in older adults. Therefore, careful consideration must be given to determine whether surgery is the best choice, especially if the patient has dementia.

Keywords: Abducted little finger; Tendon transfer; Third palmar interosseous muscle.

Publication types

Case Reports