Extensor Tendon Rupture over the Metacarpal Heads

HAND ◽  
1983 ◽  
Vol os-15 (2) ◽  
pp. 149-150
Author(s):  
M. L. Clayton ◽  
R. Thirupathi ◽  
D. C. Ferlic ◽  
B. Goldberg
Keyword(s):  
Rheumatoid Arthritis ◽  
Tendon Rupture ◽  
Extensor Tendon ◽  
Middle Finger ◽  
Extensor Retinaculum ◽  
Common Site ◽  
Extensor Tendons ◽  
Metacarpal Head ◽  
Distal Edge ◽  
The Common

Rupture of the extensor tendons is common in longstanding rheumatoid arthritis of the hand. The tendons commonly involved are those of the ring and little fingers and the common site of rupture is over the dorsal ulna and distal edge of the extensor retinaculum. We are reporting two cases of extensor tendon rupture over the metacarpal head of the middle finger due to prominent osteophytes.

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
Keyword(s):  
Rheumatoid Arthritis ◽  
Case Report ◽  
Diagnostic Tool ◽  
Tendon Rupture ◽  
Extensor Tendon ◽  
Nerve Compression ◽  
Posterior Interosseous Nerve ◽  
Rheumatoid Arthritic ◽  
Finger Extension

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.

EXTENSOR TENDON RUPTURE IN RHEUMATOID ARTHRITIS: A SURVEY OF PATIENTS BETWEEN 2005 AND 2010 AT FIVE KOREAN HOSPITALS

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 ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Medical Treatment ◽  
Tendon Rupture ◽  
Joint Damage ◽  
Extensor Tendon ◽  
Telephone Interviews ◽  
Recent Advancement ◽  
Referral Hospitals ◽  
Tendon Ruptures ◽  
Treatment Education

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.

SPONTANEOUS ULNAR DISLOCATION OF THE INDEX, LONG, RING AND SMALL FINGER EXTENSOR TENDONS AT THE METACARPOPHALANGEAL JOINTS: A CASE REPORT

Hand Surgery ◽  
2011 ◽  
Vol 16 (02) ◽  
pp. 193-196 ◽  
Author(s):  
Katsuhisa Tanabe ◽  
Takaya Nakajima ◽  
Eiji Sogo
Keyword(s):  
Rheumatoid Arthritis ◽  
Congenital Anomaly ◽  
Case Report ◽  
Extensor Tendon ◽  
Metacarpophalangeal Joint ◽  
Extensor Digitorum ◽  
Extensor Digitorum Communis ◽  
Metacarpophalangeal Joints ◽  
Extensor Tendons

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.

Rupture of Extensor Tendons due to Osteoarthritis of the Distal Radio-Ulnar Joint

1992 ◽  
Vol 17 (6) ◽  
pp. 694-696 ◽  
Author(s):  
A. J. CARR ◽  
P. D. BURGE
Keyword(s):  
At Risk ◽  
Clinical Sign ◽  
Tendon Rupture ◽  
Ring Finger ◽  
Extensor Tendon ◽  
Extensor Tendons ◽  
Ulnar Head ◽  
Little Finger

Extensor tendons ruptured in 12 patients as a result of osteoarthritis of the distal radio-ulnar joint. Rupture occurred without warning in ten cases and was sequential in five. Perforation of the dorsal capsule of the distal radio-ulnar joint, allowing contact between the roughened ulnar head and extensor tendons, was present in every case. The capsular performation was demonstrated by arthrography, which may be used to identify patients who are at risk of extensor tendon rupture. Loss of independent extension of the little finger is a valuable clinical sign because rupture of extensor digiti minimi may be masked by a powerful contribution from the extensor tendon of the ring finger.

Extensor Tendon Rupture Due to Advanced Kienböck’s Disease: Two Case Reports and a Review of Literature

2020 ◽  
Vol 25 (01) ◽  
pp. 123-128
Author(s):  
Tae Gyun Kim ◽  
Youn Moo Heo ◽  
Young Ki Min
Keyword(s):  
Tendon Rupture ◽  
Case Reports ◽  
Rare Complication ◽  
Extensor Tendon ◽  
Distal Radial Fracture ◽  
Traumatic Rupture ◽  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
Extensor Tendons ◽  
Kienbock’S Disease

Extensor tendon rupture of the finger is a very rare complication of Kienböck’s disease. However, advanced Kienböck’s disease can cause an attritional rupture of extensor tendons due to displaced lunate fragment. An extensor tendon of the thumb is frequently damaged in the distal radial fracture, and an extensor tendon of the fifth finger is mainly ruptured in arthritis of distal radio-ulnar joint. On the other hand, the extensor tendons of the 2nd, 3rd and 4th fingers are usually ruptured in advanced Kienböck’s disease. We report two elderly patients diagnosed with advanced Kienböck’s disease after non-traumatic rupture of extensor tendon of the fingers. Since the extensor tendon rupture in Kienböck’s disease present as a loss of active extension of metacarpophalangeal joint in the central fingers, these patients should undergo imaging of the wrist joints to ascertain concomitant Kienböck’s disease.

Risk factors for rupture of extensor tendons in the rheumatoid wrist

2020 ◽  
Vol 45 (10) ◽  
pp. 1087-1092
Author(s):  
Kenichi Asano ◽  
Takaaki Shinohara ◽  
Katsuyuki Iwatsuki ◽  
Michiro Yamamoto ◽  
Masahiro Tatebe ◽  
...  
Keyword(s):  
Risk Factors ◽  
Matrix Metalloproteinase ◽  
Tendon Rupture ◽  
Extensor Tendon ◽  
Distal Radioulnar Joint ◽  
Level Of Evidence ◽  
Radiographic Findings ◽  
Matrix Metalloproteinase 3 ◽  
Extensor Tendons ◽  
Rheumatoid Wrist

This study assessed the risk factors for spontaneous extensor tendon rupture in the rheumatoid wrist. The rupture group consisted of 25 wrists that had rupture of the extensor tendons and later received tendon reconstruction. The non-rupture group included 77 rheumatoid wrists without extensor tendon rupture. We assessed patients' pain at the distal radioulnar joint and swelling in the extensor tendon compartments clinically, matrix metalloproteinase-3 level in blood samples, and radiographic findings. We found that swelling in the extensor tendon compartments, the scallop sign, and severe dorsal subluxation are significantly associated with spontaneous extensor tendon rupture, but serum matrix metalloproteinase-3 level is not. Level of evidence: IV

Nutrient Pathways to Extensor Tendons of Primates

1985 ◽  
Vol 10 (1) ◽  
pp. 8-10 ◽  
Author(s):  
P. R. MANSKE ◽  
K. OGATA ◽  
PEGGY A. LESKER
Keyword(s):  
Young Adult ◽  
Extensor Tendon ◽  
Vascular Network ◽  
Extensor Retinaculum ◽  
Vascular Perfusion ◽  
Extensor Tendons

The nutrient pathways to the extensor tendon beneath the extensor retinaculum of young adult monkeys was investigated using hydrogen as tracer material. The results indicate that diffusion from the synovium is a more significant nutrient pathway than vascular perfusion from either the mesotendon or the longitudinal intratendinous vascular network.

Range of Motion after the Sauvé–Kapandji and Darrach Procedures without Extensor Tendon Rupture

2020 ◽  
Author(s):  
Tomoyuki Kato ◽  
Taku Suzuki ◽  
Makoto Kameyama ◽  
Masato Okazaki ◽  
Yasushi Morisawa ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Tendon Rupture ◽  
Extensor Tendon ◽  
Distal Radioulnar Joint ◽  
Wrist Flexion ◽  
Level Of Evidence ◽  
Radioulnar Joint ◽  
The Mean ◽  
Therapeutic Study ◽  
Loss Of Motion

Abstract Background Previous study demonstrated that distal radioulnar joint (DRUJ) plays a biomechanical role in extension and flexion of the wrist and suggested that fixation of the DRUJ could lead to loss of motion of the wrist. Little is known about the pre- and postoperative range of motion (ROM) after the Sauvé–Kapandji (S-K) and Darrach procedures without tendon rupture. To understand the accurate ROM of the wrist after the S-K and Darrach procedures, enrollment of patients without subcutaneous extensor tendon rupture is needed. Purpose This study aimed to investigate the pre- and postoperative ROM after the S-K and Darrach procedures without subcutaneous extensor tendon rupture in patients with rheumatoid arthritis (RA) and osteoarthritis (OA). Methods This retrospective study included 36 patients who underwent the S-K procedure and 10 patients who underwent the Darrach procedure for distal radioulnar joint disorders without extensor tendon rupture. Pre- and postoperative ROMs after the S-K and Darrach procedures were assessed 1 year after the surgery. Results In the S-K procedure, the mean postoperative ROM of the wrist flexion (40 degrees) was significantly lower than the mean preoperative ROM (49 degrees). In wrist extension, there were no significant differences between the mean preoperative ROM (51 degrees) and postoperative ROM (51 degrees). In the Darrach procedure, the mean postoperative ROM of the wrist flexion and extension increased compared with the mean preoperative ROM; however, there were no significant differences. Conclusion In the S-K procedure, preoperative ROM of the wrist flexion decreased postoperatively. This study provides information about the accurate ROM after the S-K and Darrach procedures. Level of Evidence This is a Level IV, therapeutic study.

Sign in / Sign up

Export Citation Format

Share Document