Closed Rupture of Both Flexor Digitorum Profundus and Superficialis Tendons of the Small Finger in Zone II: Case Report

2011 ◽  
Vol 36 (1) ◽  
pp. 121-124 ◽  
Author(s):  
Hibino Naohito ◽  
Aoki Masato ◽  
Amari Rui ◽  
Hamada Daisuke ◽  
Yoshizumi Yusuke ◽  
...  
2020 ◽  
Vol 13 (4) ◽  
pp. e234393
Author(s):  
Ryan James Bickley ◽  
James Banks Deal ◽  
Ryan Luke Frazier ◽  
William Etzler Daner

Closed ruptures of the flexor digitorum profundus (FDP) tendon cause a loss of active flexion at the distal interphalangeal joint. Commonly referred to as a ‘jersey finger’ because of its association with tackling sports, the distal aspect of FDP is avulsed from its insertion on the distal phalanx in zone I, with or without a fragment of bone. Because of this classic injury mechanism and pattern, providers may not seek advanced imaging beyond plain radiographs. Although rare, injury to FDP more proximally may occur. More often this injury is associated with a weak underlying tendon because of repetitive microtrauma or anomalous anatomy, for example. We present a case of a closed rupture of the FDP in zone III, and stress the importance of maintaining a high clinical suspicion and the potential use of adjunct ultrasound imaging to localise the site of injury.


2004 ◽  
Vol 37 (01) ◽  
pp. 67-70
Author(s):  
Pawan Agarwal

ABSTRACTClosed rupture of the FDP tendon is rare. However, whenever they occur the most common site of rupture is the tendon-bone insertion, less frequent site is at the musculo-tendinous junction. Midsubstance ruptures are even more unique and are usually due to underlying pathology such as fracture, cystic degeneration, rheumatoid arthritis, or sequel following local steroid injection. This report describes a closed rupture of FDP tendon of little finger. Mechanism of injury, diagnosis and management are discussed.


1994 ◽  
Vol 19 (2) ◽  
pp. 197-198 ◽  
Author(s):  
K. NAKAMICHI ◽  
S. TACHIBANA

We report a case of a closed rupture within the carpal tunnel of the flexor digitorum profundus tendon of the little finger. There was no underlying pathology.


1996 ◽  
Vol 21 (3) ◽  
pp. 375-377 ◽  
Author(s):  
A. FUKUI ◽  
A. KIDO ◽  
Y. INADA ◽  
Y. MII ◽  
S. TAMAI

A case of rupture of flexor digitorum profundus tendon of the little finger caused by calcification of the triangular fibrocartilage (TFC) is reported. At operation, a round defect of the TFC and rupture of the flexor digitorum profundus tendon (FDP) of the little finger were observed. The defect of TFC was repaired using the palmaris tendon and FDP of the little finger was woven into FDP of the ring finger. Eleven months after operation, the patient had almost full flexion and extension of the distal and proximal interphalangeal joints.


2010 ◽  
Vol 36 (2) ◽  
pp. 147-153 ◽  
Author(s):  
M. M. Al-Qattan

The ‘figure of eight’ suture technique for flexor tendon repair is known to be simple and strong but it has the major disadvantage of being bulky, with the knots outside the repair site. When the superficialis tendon is intact it may cause impingement and/or increase the work of flexion with postoperative mobilization and it is not known whether this bulky repair is suitable for isolated profundus injuries in zone II. A series of 36 patients (36 fingers) with clean-cut isolated flexor digitorum profundus tendon injuries in zones IIA/IIB were reviewed retrospectively. Repairs were done with three ‘figure of eight’ sutures and the pulleys proximal to the tendon laceration level were vented. Postoperatively, early active exercises were carried out. There were no ruptures. At a mean final follow-up of 6 months, the outcome (in range of motion) was excellent in 27 fingers and good in the remaining nine fingers by the Strickland criteria. It was concluded that the bulky ‘figure of eight’ technique can be used in isolated profundus tendon injuries in zones IIA/IIB.


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