Elbow Arthrography in the Evaluation of Posterior Interosseous Nerve Compression in Rheumatoid Arthritis

1986 ◽  
Vol 11 (1) ◽  
pp. 120-122
Author(s):  
A. I. ROTH ◽  
B. N. STULBERG ◽  
E. J. FLEEGLER ◽  
G. H. BELHOBEK

This is a case report of a fifty-nine-year-old rheumatoid arthritic woman who developed lack in finger extension bilaterally. These deficits had two completely different aetiologies, Posterior Interosseous Nerve (PIN) Syndrome and extensor tendon rupture. No previous report in the literature has used elbow arthrography as a diagnostic tool in a patient with PIN Syndrome. Elbow arthrography confirmed the abnormality at this joint and aided in appropriate management.

JPRAS Open ◽  
2021 ◽  
Author(s):  
Seigo Suganuma ◽  
Kaoru Tada ◽  
Shingo Takagawa ◽  
Hidetoshi Yasutake ◽  
Keito Shimanuki ◽  
...  

Hand Surgery ◽  
2012 ◽  
Vol 17 (01) ◽  
pp. 43-47 ◽  
Author(s):  
Hyun Sik Gong ◽  
Joon Oh Lee ◽  
Goo Hyun Baek ◽  
Byung Sung Kim ◽  
Jin Young Kim ◽  
...  

Background. Recent medical advancements in the treatment of rheumatoid arthritis (RA) can prevent joint damage and tendon involvement. The authors evaluated patterns of extensor tendon ruptures in RA patients that presented to hand surgeons over a recent five-year period. Methods. Medical records and radiographs were retrospectively reviewed, and telephone interviews were conducted with 38 patients that had experienced extensor tendon ruptures in a rheumatoid hand during the study period and were operated on at one of five tertiary referral hospitals in South Korea. Patterns of tendon ruptures were compared in patients that did or did not receive medical treatment. Results. Twenty-nine of the 38 patients (76%) had tendon ruptures in more than two digits. When multiple digits were involved, mean duration between first and latest rupture was 2.9 months. When patients treated with medications by rheumatologists (24 patients) were compared with those not treated (14 patients), no significant differences were found for; number of ruptured tendons, time from first to last rupture, disease duration, or radiographic RA severity. Conclusions. RA patients who once experienced a tendon rupture are still at risk of sequential tendon ruptures despite recent advancement of medical treatment. Education of the risks of sequential tendon ruptures and timely consultation to hand surgeons continue to be necessary in RA patients.


Hand Surgery ◽  
2011 ◽  
Vol 16 (02) ◽  
pp. 193-196 ◽  
Author(s):  
Katsuhisa Tanabe ◽  
Takaya Nakajima ◽  
Eiji Sogo

Finger extensor tendon dislocation at the metacarpophalangeal joint is caused by various etiologies, such as trauma, congenital anomaly, or rheumatoid arthritis. When the dislocation occurs with no etiology, this is called spontaneous dislocation. Although spontaneous extensor tendon dislocation in one, two or three fingers has been described, to our knowledge, simultaneous dislocation in four fingers has not been reported. In this paper, we report a spontaneous ulnar dislocation of all the extensor tendons in the index, long, ring, and small fingers. Repair of the radial sagittal bands of the extensor digitorum communis of the middle and ring fingers reduced dislocation of all the extensor tendons in four fingers.


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