The use of silicone rods for two-stage tendon reconstruction was described in the 1970s. Since that time, it has become the procedure of choice for delayed tendon reconstruction. Migration of the rod from its distal attachment can occur at any time; however, the risk is increased when there is a delay in progressing to the second stage. The author presents a case in which a silicone rod migrated to the carpal tunnel five years after a first-stage tendon reconstruction. An acute onset of median nerve neuropathy was the presenting symptom of rod migration. A thorough history, examination and recognition of the relationship between the background history and symptoms led to a prompt progression to surgery and a good overall outcome.
SouthworthS.R., HartwigR.H.. Foreign body in the median nerve: A complication of acupuncture.J Hand Surg (Br Eur)1990; 15: 111-2.
2.
LoS.J., VerjeeL., KatsarmaE.. Acute carpal tunnel syndrome caused by a dermal fragment.Injury Extra2006; 37: 359-60.
3.
DayC.S., LeeA.H., AhmedI.. Acute carpal tunnel secondary to metallosis after total wrist arthroplasty.J Hand Surg (Eur Vol) 20132013; 38: 80-1.
4.
HanK-J, LeeY.S., KimJ.H.. Progressive median neuropathy caused by the proximal migration of a retained foreign body (a glass splinter).J Hand Surg (Eur Vol)2011; 36: 608-9.
5.
HunterJ.M.. Flexor-tendon reconstruction in severely damaged hands a two-stage procedure using a silicone-dacron reinforced gliding prosthesis prior to tendon grafting.J Bone Joint Surg Am1971; 53: 829-58.
6.
WilsonG.R., WatsonJ.S.. Migration of silicone rods.J Hand Surg Br1994; 19: 199-201.
7.
DziewulskiP.. The migrating tendon spacer.Br J Plast Surg1991; 44: 393.
8.
BasheerM.H.. Removal of a silicon rod 25 years after insertion for flexor tendon reconstruction.J Hand Surg (Eur)2007; 32: 591.
