Technique of Dynamic Flexor Digitorum Superficialis Transfer to Lateral Bands for Proximal Interphalangeal Joint Deformity Correction in Severe Dupuytren Disease

2018 ◽  
Vol 43 (2) ◽  
pp. 192.e1-192.e6 ◽  
Author(s):  
Michael J. Schreck ◽  
Hayden S. Holbrook ◽  
L. Andrew Koman
Keyword(s):  
Deformity Correction ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Flexor Digitorum Superficialis ◽  
Joint Deformity ◽  
Flexor Digitorum ◽  
Dupuytren Disease

An Unusual Role of the Vinculum after Complete Laceration of the Flexor Tendons

1987 ◽  
Vol 12 (1) ◽  
pp. 105-108
Author(s):  
Y. SASAKI ◽  
S. NOMURA
Keyword(s):  
Clinical Diagnosis ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Flexor Digitorum Superficialis ◽  
Flexor Tendons ◽  
Full Flexion ◽  
Flexor Digitorum ◽  
Flexion Strength

Two cases are described with full flexion of the proximal interphalangeal joint produced by an intact short vinculum after complete laceration of both superficialis and profundus tendons. To establish the clinical diagnosis of complete flexor digitorum superficialis division, the necessity of examining the flexion strength of an injured finger is emphasized.

TREATMENT OF CONGENITAL SWAN NECK DEFORMITY WITH DYNAMIC TENODESIS OF PROXIMAL INTERPHALANGEAL JOINT

2001 ◽  
Vol 26 (2) ◽  
pp. 165-167 ◽  
Author(s):  
V. SMRÈKA ◽  
I. DYLEVSKÝ
Keyword(s):  
Tendon Transfer ◽  
Tendon Graft ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Flexor Digitorum Superficialis ◽  
Middle Phalanx ◽  
Flexor Digitorum ◽  
Swan Neck Deformity

Congenital swan neck deformities in seven fingers of two patients were treated by transfer of the flexor digitorum superficialis tendon to a tendon graft which was attached the extensor aponeurosis over the middle phalanx. The tendon transfer is protected for at least 2 months by a modified Murphy splint.

SUBCUTANEOUS RUPTURE OF THE FLEXOR TENDON OF THE LITTLE FINGER ASSOCIATED WITH ANOMALOUS FLEXOR DIGITORUM SUPERFICIALIS

Hand Surgery ◽  
2007 ◽  
Vol 12 (02) ◽  
pp. 87-90
Author(s):  
Hiroya Senda ◽  
Hidenori Muro
Keyword(s):  
Flexor Tendon ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Flexor Digitorum Superficialis ◽  
Anomalous Muscle ◽  
Distal Interphalangeal ◽  
Hook Of Hamate ◽  
Flexor Digitorum ◽  
A1 Pulley ◽  
Little Finger

A 59-year-old man suffered from subcutaneous rupture of the flexor tendon of the little finger associated with fracture of the hook of hamate. He could not flex his little finger completely at the distal interphalangeal joint, but incomplete flexion of the proximal interphalangeal joint was possible. Surgical exploration revealed anomaly of the flexor digitorum superficialis of the little finger, as it originated from the palmar aspect of the carpal ligament, and a small portion of the muscle belly was traversed toward the A1 pulley over the profundus tendon and then it ran into the A1 pulley as a normal superficialis tendon. The flexor digitorum superficialis of the little finger is well known to show variations, but our case is extremely rare, and furthermore there are no reports in the available literatures about the function of this anomalous muscle.

Comparative study on the effectiveness of corticosteroid injections between trigger fingers with and without proximal interphalangeal joint flexion contracture

2015 ◽  
Vol 41 (2) ◽  
pp. 198-203 ◽  
Author(s):  
R. Shinomiya ◽  
T. Sunagawa ◽  
Y. Nakashima ◽  
Y. Kawanishi ◽  
T. Masuda ◽  
...  
Keyword(s):  
Corticosteroid Injection ◽  
Flexion Contracture ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Joint Contracture ◽  
Flexor Digitorum Superficialis ◽  
Joint Flexion ◽  
Hypoechoic Lesion ◽  
Flexor Digitorum ◽  
A1 Pulley

Trigger fingers with proximal interphalangeal joint flexion contracture are suggested to have a poorer response to corticosteroid injection than those without contracture, though this has not been proven scientifically. We compared the clinical response to corticosteroid injection between trigger fingers with and without proximal interphalangeal joint contracture, and investigated the influence of the injection on the A1 pulley and flexor digitorum tendons using ultrasonography. One month after injection, pain was significantly reduced in the no contracture group, and 56% of trigger fingers with proximal interphalangeal joint contracture resolved. Before injection, relative thickening of the A1 pulley and flexor digitorum tendons, and a partial hypoechoic lesion of the flexor digitorum superficialis tendon were observed in the contracture group. One month after injection, the thickening of the tendons and the A1 pulley was reduced, but the partial hypoechoic lesion was still observed in significant numbers. We have demonstrated that the presence of a proximal interphalangeal joint contracture was associated with a reduced clinical response to corticosteroid injection, and we suggest that the pathologic change in the flexor digitorum superficialis tendon, represented by the partial hypoechoic lesion, contributed to corticosteroid injection resistance. Level of evidence: IV

Treatment of chronic, traumatic hyperextension deformities of the proximal interphalangeal joint with flexor digitorum superficialis tenodesis

2003 ◽  
Vol 28 (3) ◽  
pp. 448-452 ◽  
Author(s):  
Louis W. Catalano ◽  
Andreas C. Skarparis ◽  
Steven Z. Glickel ◽  
O.Alton Barron ◽  
Debby Malley ◽  
...  
Keyword(s):  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Flexor Digitorum Superficialis ◽  
Flexor Digitorum

Irreducible Dislocation of the Proximal Inter-Phalangeal Joint of a Finger

1998 ◽  
Vol 23 (2) ◽  
pp. 252-252 ◽  
Author(s):  
J. KUNG ◽  
S. TOULIOPOLIS ◽  
D. CALIGIURI
Keyword(s):  
Proximal Phalanx ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Flexor Digitorum Superficialis ◽  
Flexor Digitorum

We report a patient with an irreducible dislocation of the proximal interphalangeal joint which was due to entrapment of the head of the proximal phalanx in the opening of the flexor digitorum superficialis tendon just proximal to its chiasma.

Intramuscular Tenotomy of Flexor Digitorum Superficialis in the Distal Forearm After Surgical Excision of Dupuytren’s Disease

2003 ◽  
Vol 28 (1) ◽  
pp. 37-39 ◽  
Author(s):  
V. BARR ◽  
R. BHATIA ◽  
P. HAWKINS ◽  
R. SAVAGE
Keyword(s):  
Surgical Excision ◽  
Proximal Interphalangeal Joint ◽  
Dupuytren’S Disease ◽  
Distal Forearm ◽  
Flexor Digitorum Superficialis ◽  
Dupuytren's Disease ◽  
Postoperative Therapy ◽  
Finger Extension ◽  
Flexor Digitorum ◽  
Loss Of Strength

Contracture of the proximal interphalangeal joint after surgery to excise Dupuytren’s disease, despite release of the contributory structures within the finger, can be caused by flexor digitorum superficialis (FDS) contracture. We describe five cases where FDS contracture was released by intramuscular tenotomy in the distal forearm. Standard postoperative therapy for Dupuytren’s fasciectomy was used and clinical review showed improved finger extension with no loss of strength. We suggest that intramuscular tenotomy of FDS in the forearm can be used safely where indicated after excision of the Dupuytren’s disease.

scholarly journals Infiltration of synovitis into the flexor tendon: a case report

2020 ◽  
Vol 48 (8) ◽  
pp. 030006052093618
Author(s):  
Qianjun Jin ◽  
Haiying Zhou ◽  
Hui Lu
Keyword(s):  
Flexor Tendon ◽  
Surgical Excision ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Flexion Angle ◽  
Flexor Digitorum Profundus ◽  
Normal Tendon ◽  
Active Flexion ◽  
Flexor Digitorum ◽  
Flexor Digitorum Profundus Tendon

Synovitis is a type of aseptic inflammation that occurs within joints or surrounding tendons. No previous reports have described a hypertrophic synovium eroding the tendon sheath and manifesting as synovitis within the flexor tendon. We herein report a case involving a 10-year-old girl who presented to our hospital with a 1-month history of a swollen mass and progressive inability to completely flex her left index finger. The active flexion angle of the proximal interphalangeal joint was limited to 85°. A longitudinal incision of the flexor digitorum profundus tendon was surgically performed. The synovium inside and outside the flexor digitorum profundus tendon was completely removed. After the surgical excision, normal tendon gliding returned without recurrence by the 1-year follow-up. The active flexion angle of the proximal interphalangeal joint improved to 100°. To the best of our knowledge, this is the first case of synovitis affecting the flexor tendon and leading to limited flexion of a finger. The manifestation of a double ring sign on magnetic resonance imaging is quite characteristic. Early diagnosis and monitoring of the hyperproliferation and invasiveness of the synovial tissue are required. Surgical excision can be a simple and effective tool when necessary.

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