Median nerve neuropathy after flexor pollicis longus tendon reconstruction: A case report

doi:10.12998/wjcc.v13.i27.108003

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Sep 26, 2025 (publication date) through Aug 5, 2025

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World Journal of Clinical Cases

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2307-8960

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Case Report

World J Clin Cases. Sep 26, 2025; 13(27): 108003
Published online Sep 26, 2025. doi: 10.12998/wjcc.v13.i27.108003

Median nerve neuropathy after flexor pollicis longus tendon reconstruction: A case report

Ji Woong Ho, Young-Keun Lee

Ji Woong Ho, Young-Keun Lee, Department of Orthopedic Surgery, Research Institute of Clinical Medicine of Jeonbuk National University–Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju 54907, South Korea

Young-Keun Lee, Department of Orthopedic Surgery, Jeonbuk Nation University Medical School, Jeonbuk-do 54896, South Korea

Author contributions: Ho JW and Lee YK as the patient’s orthopedic surgeons reviewed the literature and contributed to manuscript drafting; All authors issued final approval for the version to be submitted.

Informed consent statement: The patient signed an informed consent form for the publication of this case report and any accompanying images.

Conflict-of-interest statement: All named authors hereby declare that they have no conflicts of interest relevant to this study to disclose.

CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).

Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Young-Keun Lee, MD, PhD, Professor, Department of Orthopedic Surgery, Jeonbuk National University Medical School, 567 Baekje-daero, Deokjin-gu, Jeonju-si, Jeonbuk-do 54896, South Korea. trueyklee@naver.com

Received: April 2, 2025
Revised: April 30, 2025
Accepted: June 16, 2025
Published online: September 26, 2025
Processing time: 125 Days and 7.5 Hours

Core Tip

Core Tip: Median nerve neuropathy can occur as a complication of flexor tendon reconstruction using the Pulvertaft weave technique at wrist due to irritation of tendon suture knots. Thus, physicians should be aware of nerve irritation as a possible complication of tendon reconstruction and prevent it. The preventive method to cover tendon suture knots using surrounding tissue such as deep transverse carpal ligament dissected during the approach is recommended.