Tendon Grafting for Multiple Extensor Tendon Ruptures of Fingers in Rheumatoid Hands

2002 ◽  
Vol 27 (4) ◽  
pp. 326-328 ◽  
Author(s):  
S. NAKAMURA ◽  
M. KATSUKI
Keyword(s):  
Rheumatoid Arthritis ◽  
Patient Satisfaction ◽  
Extensor Tendon ◽  
Muscle Contracture ◽  
Finger Flexion ◽  
Tendon Ruptures ◽  
Tendon Grafts ◽  
Extensor Lag

We assessed the outcome of tendon grafting of multiple finger extensor tendon ruptures in 14 patients with rheumatoid arthritis. Extensor lags improved from a preoperative mean of 33° (range, 20°–65°) to a postoperative mean of 18° (range, 0–60°). However, loss of finger flexion was observed, with a mean postoperative fingertip to palm distance of 1.6 (range: 0–7.5) cm. Patient satisfaction correlated with the fingertip to palm distance, though not with the postoperative extensor lag. Because of the loss of finger flexion which was probably due to muscle contracture, we conclude that the results of tendon grafts in this situation are unsatisfactory.

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.

A Comparison of Results of Extensor Tendon Repair Followed by Early Controlled Mobilisation Versus Static Immobilisation

1989 ◽  
Vol 14 (1) ◽  
pp. 18-20 ◽  
Author(s):  
J. A. Chow ◽  
S. Dovelle ◽  
L. J. Thomes ◽  
P. K. Ho ◽  
J. Saldana
Keyword(s):  
Tendon Repair ◽  
Extensor Tendon ◽  
Functional Results ◽  
Consecutive Series ◽  
Extensor Tendons ◽  
Dynamic Splinting ◽  
Tendon Surgery ◽  
Tendon Ruptures ◽  
Controlled Motion ◽  
Extensor Lag

To compare the functional results of early controlled mobilisation and static immobilisation following repair of extensor tendons, we conducted a comparative study between two centres. In one, a consecutive series of tenorrhaphy patients was treated post-operatively by the dynamic splinting technique. In the other, a consecutive group was treated by static splinting. All patients treated by dynamic splinting were graded excellent within six weeks following surgery; no tendon ruptures occurred and no secondary corrective tendon surgery was required. After static splinting, 40% were graded excellent, 31% good, 29% fair, and none poor; six fingers treated by static splintage subsequently required tenolysis. Following surgical repair of extensor tendons of the hand, patients treated by early controlled motion regain better flexion function in terms of grip strength and pulp-to-palm distance. Dynamic splinting is a more effective technique than static splinting in the prevention of extensor lag.

EXTENSOR TENDON RUPTURES IN RHEUMATOID ARTHRITIS

Hand Clinics ◽  
1995 ◽  
Vol 11 (3) ◽  
pp. 449-459
Author(s):  
Sterling C. Williamson ◽  
Paul Feldon
Keyword(s):  
Rheumatoid Arthritis ◽  
Extensor Tendon ◽  
Tendon Ruptures

scholarly journals Grip Lock Injury in Male Gymnasts

2009 ◽  
Vol 1 (6) ◽  
pp. 518-521 ◽  
Author(s):  
Emily M. Bezek ◽  
Ann E. VanHeest ◽  
Douglas T. Hutchinson
Keyword(s):  
Open Fracture ◽  
Case Reports ◽  
Athletic Trainers ◽  
Extensor Tendon ◽  
Tendon Injury ◽  
Ulnar Styloid Fracture ◽  
Tendon Ruptures ◽  
Extensor Lag ◽  
Extensor Tendon Injuries ◽  
Limited Duration

Background: Grip lock is a high bar injury in male gymnastics and occurs while the gymnast is rotating around the high bar. Its mechanism and treatment have been poorly documented. Study Design: Case reports. Results: One gymnast sustained an extensor tendon injury and ulnar styloid fracture and was treated nonoperatively. The second gymnast sustained open fracture of the radius and ulna with extensor tendon ruptures and was surgically treated. Both gymnasts healed and were able to return to collegiate gymnastics despite residual finger extensor lag. Conclusions: Grip lock is a physically and psychologically devastating injury on the men’s high bar that can cause forearm fractures and extensor tendon injuries at the wrist (Zone 8), which may result in residual extensor tendon lag. Injuries may be prevented with proper grip fit, appropriate maintenance of grips, and limited duration of use, as well as education of athletes, athletic trainers, and coaches

Dynamic Traction After Extensor Tendon Repair in Zones 6, 7, and 8: A Retrospective Study

1989 ◽  
Vol 14 (1) ◽  
pp. 21-22 ◽  
Author(s):  
C. D. Kerr ◽  
J. R. Burczak
Keyword(s):  
Retrospective Study ◽  
Tendon Repair ◽  
Extensor Tendon ◽  
Extensor Retinaculum ◽  
Tendon Ruptures ◽  
Full Flexion ◽  
Extensor Lag

Review of the notes of 46 extensor tendon repairs in 21 patients treated by post-operative dynamic traction without an M.P. flexion block, no tendon ruptures or extensor lag and only one digit without full flexion after a mean follow-up of seven weeks. Re-examination of 26 treated repairs in nine patients for this study demonstrated a mean T.A.M. of 259° at an average 14 months follow-up. No bow-stringing occurred because the extensor retinaculum was not excised, and no tenolyses were necessary.

FLEXOR DIGITORUM SUBLIMIS TRANSFER FOR MULTIPLE EXTENSOR TENDON RUPTURES IN RHEUMATOID ARTHRITIS

1973 ◽  
Vol 52 (5) ◽  
pp. 530-533 ◽  
Author(s):  
EDWARD A. NALEBUFF ◽  
MUKUND R. PATEL ◽  
Edward A. Nalebuff ◽  
Robert B
Keyword(s):  
Rheumatoid Arthritis ◽  
Extensor Tendon ◽  
Tendon Ruptures ◽  
Flexor Digitorum

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.

Rheumatoid Extensor Tendon Ruptures

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

Export Citation Format

Share Document