Spontaneous Rupture of Both Flexor Tendons in a Single Digit

1984 ◽  
Vol 9 (2) ◽  
pp. 134-136 ◽  
Author(s):  
R. N. MATTHEWS ◽  
J. N. WALTON

The rare event of simultaneous, spontaneous rupture of both flexor tendons in the mid-segment of one finger is described and discussed in relation to previous reports of tendon rupture in the hand.

HAND ◽  
1979 ◽  
Vol os-11 (1) ◽  
pp. 72-75 ◽  
Author(s):  
D. R. A. Goodwin ◽  
C. H. Michels ◽  
S. L. Weissman

A case reported with the clinical and radiological features of Madelung's deformity, in which the additional complication of tendon rupture was found.


Hand ◽  
2020 ◽  
pp. 155894471989578
Author(s):  
Suzanne M. Beecher ◽  
Billy Lane O’Neill ◽  
Michael O’Shaughnessy

Collagenase has revolutionized the treatment of Dupuytren’s disease. It acts by lysing collagen in Dupuytren’s cords. It can also act on collagen in tendons, leading to tendon rupture. In this letter, we highlight caution where bowstringed flexor tendons were masquerading as Dupuytren’s cords in a patient with upper limb spasticity. The initial plan was to inject the cords with collagenase; however, we proceeded with an open approach. If we had proceeded with our initial plan to inject the palpable cords with collagenase, tendon rupture would have been the likely outcome. We advise that administrators of collagenase proceed with caution in patients with upper limb neurological disorders, bearing in mind that bow-stringed flexor tendons can mimic Dupuytren’s cords.


2007 ◽  
Vol 35 (8) ◽  
pp. 1308-1314 ◽  
Author(s):  
Daniel W. White ◽  
Joseph C. Wenke ◽  
Dan S. Mosely ◽  
Sally B. Mountcastle ◽  
Carl J. Basamania

Background Although a rare event, the prevalence of major tendon rupture has increased in recent decades. Identification of risk factors is important for prevention purposes. Hypothesis Race is a risk factor for major tendon ruptures. Study Design Cohort study (prevalence); Level of evidence, 2. Methods All patients admitted for surgical management of a rupture of a major tendon at Womack Army Medical Center, Fort Bragg, North Carolina, in 1995 and 1996 were identified and evaluated for risk factors. Results The authors identified 52 major tendon ruptures 29 Achilles, 12 patellar, 7 pectoralis major, and 4 quadriceps tendon ruptures. All patients were active-duty soldiers, and 1 was a female soldier. Forty-one tendon ruptures occurred among black soldiers, 8 occurred among white soldiers, and 3 occurred among Latino soldiers. The population at risk included 93 224 exposures during the 2-year period, of which 67.1% were white, 24.5% were black, and 8.4% were self-classified as other race. The rate ratio for tendon rupture, adjusted for gender and age, was 13.3 (95% confidence interval, 6.2-28.5) between blacks and whites and 2.9 (95% confidence interval, 0.8-10.9) between Latinos and whites. Conclusion The rate of major tendon rupture was 13 times greater for black men in this study population when compared with whites. Interventions among those at a higher risk for injury should be considered.


2019 ◽  
Vol 24 (02) ◽  
pp. 180-188
Author(s):  
Jasmin Shimin Lee ◽  
Duncan Angus McGrouther

Background: When closed ruptures of flexor tendons of fingers occur, there is often an identifiable pathology, which should be addressed in the same surgical setting as the tendon repair. The concept of “spontaneous” tendon rupture, occurring in the absence of identified pathology, however, has also been reported in a significant number of papers. This controversy has prompted us to do a review of the existing literature.Methods: We did a review of cases of closed ruptures of the flexor digitorum profundus (FDP) of the little finger in existing literature. Fifty-three publications were retrieved by searching “FDP tendon rupture” and “little finger” using PubMed database. We analyzed data such as the zone of rupture noted intra-operatively; and any precipitating factors, pathology or trauma. We also conducted a review on papers which discussed the concept of “spontaneous rupture”.Results: Fifty-three publications were retrieved. There were 8 cases of ruptures in Zone I; 2 in Zone II; 30 in Zone III; 59 in Zone IV and 5 in Zone V. Majority of cases were associated with an element of trauma of varying severity, or pathology. A precipitating cause was not documented in 12 cases. Amongst all 36 cases of ruptures labelled as “spontaneous”, only 1 case was truly “spontaneous” without any associated trauma or pathology.Conclusions: Most reports labeled as spontaneous rupture occurred in Zone III, where tendon ruptures are rare. There are documented pathological causes or evidence of trauma to most of these cases. We conclude these ruptures may have been mislabeled as spontaneous ruptures. Bearing in mind the propensity for tendon excursion, we suspect the lack of documentation of exploration in proximal zones contributed to this mislabeling. Understanding this concept of non-spontaneity to most tendon ruptures and the common sites of rupture or pathology is crucial for a surgeon to make strategic incisions and minimize future recurrence.


1993 ◽  
Vol 18 (5) ◽  
pp. 585-587 ◽  
Author(s):  
D. R. SANTANA ◽  
L. DELISS

Post-traumatic rupture of flexor tendons is a very rare event. We report such an event following an epiphyseal fracture of the distal radius. This has not previously been reported in the English literature.


2013 ◽  
Vol 03 (03) ◽  
pp. 113-115 ◽  
Author(s):  
Sanath Kumar Shetty ◽  
Raj Sankar N. R. ◽  
Nirmal Babu P. ◽  
Lawrence J. Mathias ◽  
Shubha P. Bhat ◽  
...  

AbstractAlkaptonuria is a rare autosomal recessive disorder characterised by the absence of homogentisic acid oxidase and the subsequent accumulation of homogentisic acid, a metabolic product of the aromatic aminoacids phenylalanine and tyrosine; which is deposited in articular cartilages, intervertebral discs, sclera, tympanic membrane, tendons and ligaments leading to their degeneration. Here we describe a case of spontaneous rupture of Achilles tendon1,2,3 due to Ochronosis.


2016 ◽  
Vol 51 (3) ◽  
pp. 378-382 ◽  
Author(s):  
Eduardo Frois Temponi ◽  
Lúcio Honório de Carvalho ◽  
Cláudio Otávio da Silva Bernardes ◽  
Bruno Presses Teixeira

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