Free Palmaris Longus Graft Tenodesis Effectively Treats Swan Neck Adduction Collapse Secondary to Thumb Basilar Joint Arthritis

Abstract

Thumb metacarpophalangeal joint tenodesis can be an alternative to arthrodesis in patients who have swan neck deformity of the thumb secondary to basilar joint arthritis. It has the advantage of retaining useful motion. The procedure provides high patient satisfaction and good thumb function, strength, and range of motion. It is easily performed simultaneously with trapezial resection arthroplasty without complications.