scholarly journals Salvage of multiple extensor tendon ruptures using extensor carpi radialis longus tendon in volar-dislocated rheumatoid wrist

Injury Extra ◽  
2008 ◽  
Vol 39 (3) ◽  
pp. 106-112
Author(s):  
Shigeo Ishiguro ◽  
Akihiro Sudo ◽  
Koji Iida ◽  
Yoshito Oota ◽  
Makoto Muraki ◽  
...  
Keyword(s):  
Extensor Tendon ◽  
Longus Tendon ◽  
Rheumatoid Wrist ◽  
Tendon Ruptures ◽  
Extensor Carpi Radialis

Number of Ruptured Tendons and Surgical Delay as Prognostic Factors for the Surgical Repair of Extensor Tendon Ruptures in the Rheumatoid Wrist

2014 ◽  
Vol 41 (2) ◽  
pp. 265-269 ◽  
Author(s):  
Yu Sakuma ◽  
Kensuke Ochi ◽  
Takuji Iwamoto ◽  
Asami Saito ◽  
Koichiro Yano ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Statistical Significance ◽  
Extensor Tendon ◽  
Active Motion ◽  
Surgical Delay ◽  
Reconstruction Surgery ◽  
Tendon Reconstruction ◽  
Rheumatoid Wrist ◽  
Tendon Ruptures ◽  
Single Regression

Objective.Extensor tendon ruptures in the rheumatoid wrist are usually restored by extensor tendon reconstruction surgery. However, the factors significantly correlated with the outcomes of extensor tendon reconstruction have not been defined. We examined factors showing a statistically significant correlation with postoperative active motion after tendon reconstruction.Methods.Spontaneous extensor tendon ruptures of 66 wrists in patients (mean age, 52.6 yrs) with rheumatoid arthritis (RA) were evaluated. All patients underwent tendon reconstruction surgery with wrist arthroplasty or arthrodesis. Active ranges of motion of the affected fingers were evaluated at 12 weeks postsurgery. Statistical significance was determined using multiple and single regression analyses.Results.Forty-six (69.6%) wrists had “good” results, while 13 (19.7%) and 7 (10.6%) wrists had “fair” and “poor” results, respectively. In multiple regression analysis, an increased number of ruptured tendons and the age at operation were independent variables significantly correlated with the postoperative active motion of reconstructed tendons (p = 0.009). Single regression analysis also showed a significant association between the number of ruptured tendons and surgical delay (p = 0.02).Conclusion.The number of ruptured extensor tendons was significantly correlated with the results of tendon reconstruction, and the number of ruptured tendons was significantly correlated with preoperative surgical delay. Our results indicate that, in patients presenting with possible finger extensor tendon rupture, rheumatologists should consult with hand surgeons promptly to preserve hand function.

Synovectomy Combined With the Sauvé-Kapandji Procedure for the Rheumatoid Wrist

1999 ◽  
Vol 24 (4) ◽  
pp. 405-409 ◽  
Author(s):  
C. CHANTELOT ◽  
C. FONTAINE ◽  
R. M. FLIPO ◽  
H. MIGAUD ◽  
F. LE COUSTUMER ◽  
...  
Keyword(s):  
Wrist Arthrodesis ◽  
Wrist Motion ◽  
Longus Tendon ◽  
Radial Deviation ◽  
Rheumatoid Wrist ◽  
Arthritic Change ◽  
Advanced Stages ◽  
Extensor Carpi Radialis

The aim of synovectomy-stabilization (synovectomy combined with the Sauvé–Kapandji procedure) of the rheumatoid wrist is to obtain a stable painless wrist, retaining enough mobility for function. Thirty-nine wrists were retrospectively examined, at a mean follow up of 64.8 months. The improvement in pain was very significant. We noticed a decrease in wrist motion affecting both flexion and radial deviation. The arthritic change in the wrist continued to increase. We noticed a mean ulnar shift of 2.2 mm and a mean increase in the radial deviation of the wrist of 7°. Only transfer of the extensor carpi radialis longus tendon to the extensor carpi radialis brevis tendon was effective in correcting radial deviation of the carpus. Ninety-seven per cent of patients were very satisfied or satisfied. These encouraging results, even at advanced stages of wrist arthritis, have prompted us to lessen the indications for wrist arthrodesis.

Flexor Pollicis Longus Tendon Ruptures after Palmar Plate Fixation of Fractures of the Distal Radius

2009 ◽  
Vol 34 (4) ◽  
pp. 471-474 ◽  
Author(s):  
J. A. CASALETTO ◽  
D. MACHIN ◽  
R. LEUNG ◽  
D. J. BROWN
Keyword(s):  
Standard Treatment ◽  
Plate Fixation ◽  
Flexor Pollicis Longus ◽  
Distal Radial Fractures ◽  
Extensor Pollicis Longus ◽  
Longus Tendon ◽  
Palmar Plate ◽  
Tendon Ruptures ◽  
Flexor Pollicis Longus Tendon ◽  
Palmar Plate Fixation

Palmar plate fixation of distal radial fractures is becoming a standard treatment for this common injury. Ruptures of the extensor pollicis longus tendon have been reported in 8.6% of cases after this procedure. Although palmar plate fixation has also been associated with flexor pollicis longus (FPL) tendon problems, the majority of reported cases pre-date the use of newer anatomically precontoured locking plates. In this paper seven cases of FPL rupture are presented. This complication does not appear to be unique to one type of implant. The possible aetiologies for FPL ruptures are discussed and ways to reduce the incidence of this complication are suggested.

Rheumatoid Extensor Tendon Ruptures

Hand Clinics ◽  
1989 ◽  
Vol 5 (2) ◽  
pp. 191-202
Author(s):  
Bruce M. Leslie
Keyword(s):  
Extensor Tendon ◽  
Tendon Ruptures

scholarly journals Anatomic Association of the Proximal Fingernail Matrix to the Extensor Pollicis Longus Tendon: A Morphological and Histological Study

2018 ◽  
Vol 7 (12) ◽  
pp. 465 ◽  
Author(s):  
Patricia Palomo-López ◽  
Ricardo Becerro-de-Bengoa-Vallejo ◽  
Daniel López-López ◽  
César Calvo-Lobo ◽  
Manuel Herrera-Lara ◽  
...  
Keyword(s):  
Histological Study ◽  
Extensor Tendon ◽  
Functional Impairments ◽  
Extensor Pollicis Longus ◽  
Longus Tendon ◽  
The Matrix ◽  
Fresh Frozen ◽  
Human Cadavers ◽  
Distal Section ◽  
Extensor Pollicis Longus Tendon

Background: Extensor tendon disorders may cause severe functional impairments, and there is a lack of knowledge about their anatomic associations with the proximal fingernail matrix. Objective: To delineate the association between the distal extensor pollicis longus tendon (EPLT) insertion and the limit of the fingernail matrix in the thumb. Methods: The limit of the fingernail matrix and the distal bony insertion of the EPLT were identified in five thumbs from fresh-frozen human cadavers. An additional five thumbs were fixed and the longitudinal thumb sections were histologically analyzed. Results: The terminal limit of the matrix and fingernail was dorsal and overlapped to the EPL tendon, which was located between the fingernail matrix and the phalanx, and extended dorsally to the distal section of the terminal phalanx in all ten thumb bodies. Conclusion: The fingernail matrix is not directly inserted into the periosteum of the dorsal section of the base to the distal phalanx, because this anatomic relationship is separated by the deep fibers of the EPLT.

Success of Nonoperative Management of Adductor Longus Tendon Ruptures in National Football League Athletes

2009 ◽  
Vol 37 (7) ◽  
pp. 1394-1399 ◽  
Author(s):  
Theodore F. Schlegel ◽  
Brandon D. Bushnell ◽  
Jenna Godfrey ◽  
Martin Boublik
Keyword(s):  
National Football League ◽  
Nonoperative Management ◽  
Longus Tendon ◽  
Tendon Ruptures ◽  
Adductor Longus

scholarly journals Small flake, big problem: an unreported cause of extensor pollicis longus tendon rupture

2010 ◽  
Vol 92 (1) ◽  
pp. e24-e26 ◽  
Author(s):  
CAT Durrant ◽  
G Bantick
Keyword(s):  
Open Reduction ◽  
Tendon Rupture ◽  
Careful Monitoring ◽  
Rare Injury ◽  
Extensor Pollicis Longus ◽  
Longus Tendon ◽  
The Third ◽  
Bony Fragment ◽  
Extensor Carpi Radialis ◽  
Extensor Pollicis Longus Tendon

Fracture of the base of the third metacarpal with associated avulsion of the extensor carpi radialis brevis tendon is a rare injury. We report such a fracture and the unusual resulting complication of division of the extensor pollicis longus tendon by the avulsed bony fragment. Careful monitoring using lateral radiographs is needed to make the diagnosis and displacement of the avulsed fragment warrants open reduction and internal fixation.

scholarly journals Traumatic index extensor tendon attenuation mimicking closed tendon rupture: two case reports

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Yusuke Miyashima ◽  
Takuya Uemura ◽  
Takuya Yokoi ◽  
Shunpei Hama ◽  
Mitsuhiro Okada ◽  
...  
Keyword(s):  
High Speed ◽  
Tendon Rupture ◽  
Case Reports ◽  
English Literature ◽  
Extensor Tendon ◽  
Sports Injury ◽  
Tendon Graft ◽  
Metacarpophalangeal Joints ◽  
Extensor Indicis Proprius ◽  
Tendon Ruptures

Abstract Background While some traumatic closed index extensor tendon ruptures at the musclotendinous junction have been previously reported, closed index extensor tendon pseudorupture due to intertendinous attenuation is exceedingly rare with only one case report of a gymnastics-related sports injury in the English literature. Herein, we report two non-sports injury related cases of traumatic index extensor tendon attenuation mimicking closed tendon rupture, including the pathological findings and intraoperative video of the attenuated extensor indicis proprius tendon. Case presentation A 28-year-old man and a 30-year-old man caught their hands in a high-speed drill and lathe, respectively, which caused a sudden forced flexion of their wrists. They could not actively extend the metacarpophalangeal joints of their index fingers. Intraoperatively, although the extensor indicis proprius and index extensor digitorum communes tendons were in continuity without ruptures, both tendons were attenuated and stretched. The attenuated index extensor tendons were reconstructed either with shortening by plication or step-cut when the tendon damage was less severe or, in severely attenuated tendons, with tendon grafting (ipsilateral palmaris longus) or tendon transfer. Six months after the operation, the active extension of the index metacarpophalangeal joints had recovered well. Conclusions Two cases of traumatic index extensor tendon attenuation were treated successfully by shortening the attenuated tendon in combination with tendon graft or transfer. We recommend WALANT (wide-awake local anesthesia and no tourniquet) in the reconstruction surgery of index extensor tendon attenuation to determine the appropriate amount of tendon shortening or optimal tension for tendon grafting or transfer. Intraoperative voluntary finger movement is essential, as it is otherwise difficult to judge the stretch length of intratendinous elongation and extent of traumatic intramuscular damage affecting tendon excursion.

Sign in / Sign up

Export Citation Format

Share Document