What is EIP EPL transfer?

Extensor pollicis longus (EPL) tendon ruptures have been treated succesfully with the transfer of the extensor indicis proprius (EIP) tendon (1–10), which is usually located ulnar to the tendon of the extensor digitorum communis II (EDC II) to the index finger.

Where is the EIP tendon located?

Extensor indicis proprius (EIP) tendon The EIP tendon straightens the index finger. It works with the extensor digitorum communis to the index finger. It has its own muscle belly in the forearm and then, as it becomes a tendon, it travels through a tough band, or retinaculum, in the wrist.

What is Vaughan Jackson syndrome?

Vaughan-Jackson syndrome is characterized by the disruption of the digital extensor tendons, beginning on the ulnar side with the extensor digiti minimi and extensor digitorum communis tendon of the small finger. It is most commonly associated with rheumatoid arthritis.

What is extensor Indicis?

Extensor Indicis Propius is a narrow elongated skeletal muscle situated in deep layer of posterior compartment of the forearm along with Supinator, Abductor Pollicis Longus, Extensor Pollicis Longus and Brevis. It is responsible for the movement of the index finger.

How is the EIP inserted into the EPL?

The tendon insertion of the extra index finger extensor tendon (Extensor indicus proprius – EIP) is detached. The EIP tendon is then re-directed and sewn into the thumb bone or thumb tendon (EPL).

How is an EIP tendon transferred to an EPL tendon?

EIP to EPL Tendon Transfer Surgery. The tendon insertion of the extra index finger extensor tendon (Extensor indicus proprius – EIP) is detached. The EIP tendon is then re-directed and sewn into the thumb bone or thumb tendon (EPL).

When to transfer the EPL to the extensor indicis proprius?

Transfer of the extensor indicis proprius (EIP) to extensor pollicis longus (EPL) tendon is a reliable procedure to restore thumb extension for a ruptured or otherwise irreparable EPL tendon. The EPL can rupture from attritional wear after distal radius fracture or due to osteophytes and chronic inflammation from wrist arthritis.

When to use a splint after EIP surgery?

The EIP tendon is then re-directed and sewn into the thumb bone or thumb tendon (EPL). After this type of surgery, a splint or cast is used for a few weeks, after which supervised therapy may be started allowing gentle movement with a protective splint may be used for an additional few weeks.