scholarly journals Closed rupture of the flexor digitorum profundus tendon of little finger: A case report

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.


2020 ◽  
Vol 13 (3) ◽  
pp. e233510
Author(s):  
Sriskandarasa Senthilkumaran ◽  
William M Ledingham

Calcific tendonitis of the hand is a rare condition. We present a case where there was extensive calcification along the flexor digitorum profundus tendon of the little finger. The patient’s symptoms resolved with non-operative management.


Hand Surgery ◽  
2012 ◽  
Vol 17 (02) ◽  
pp. 255-257
Author(s):  
Yukio Abe ◽  
Yasuhiro Tominaga

We report a case of paradoxical extension phenomenon of the little finger, so called "lumbrical plus deformity" due to repetitive trauma to the ulnar side of the palm. The adhesion between the flexor digitorum profundus tendon and the lumbrical muscle was the cause of this phenomenon. The lumbrical muscle release was sufficient to solve this rare problem.


2020 ◽  
Vol 16 (3) ◽  
pp. 198-201
Author(s):  
Jinha Park ◽  
Si Young Roh

The authors report cases of treatment and rehabilitation for flexor digitorum profundus (FDP) tendon rupture of the little finger in patients with history of steroid injection. In case 1, a 43-year-old man had been given two local corticosteroid injections on the palm over 8 weeks due to trigger finger of his left little finger. While doing chin-ups 1 week after the last injection, he experienced a painful snapping in his left little finger and lost flexion of the distal interphalangeal (DIP) joint. In case 2, a 49-year-old man had been diagnosed with ipsilateral carpal tunnel syndrome and was given local corticosteroid injection on the wrist. Two months after the injection the patient experienced sudden loss of flexion on the DIP joint of his left little finger while playing golf. During operation, an intratendinous rupture of the FDP tendon of the little finger was present and direct tendon repair was done in both patients. Continuous splint remolding was performed according to the range of motion. The range of motion was checked continuously at the ward and outpatient clinic every week. The final results of treatment were checked 6 months after surgery by the criteria developed by Strickland and Glogovac in 1980.


Hand Surgery ◽  
2014 ◽  
Vol 19 (02) ◽  
pp. 253-256 ◽  
Author(s):  
Masatoshi Fukuoka ◽  
Shinichiro Takayama ◽  
Atuhito Seki

The cases of two patients, a four-year-old boy and an eight-year-old boy, who had been incapable of active flexion of the little finger since birth, are presented. They were capable of active flexion of the metacarpophalangeal (MP) joint, but not of the proximal interphalangeal (PIP) and distal interphalangeal (DIP) joints. They were diagnosed with a defect of the flexor digitorum profundus (FDP) tendon of the little finger and underwent surgery. In both cases, the FDP tendon turned into fibrous tissue proximal to the palm and lost continuity on this side. Reconstruction was performed by making an end-to-side anastomosis of the residual proximal end of the FDP tendon to the FDP tendon of the ring finger in the palmar region. Although one patient required repeated surgery due to post-operative tendon adhesion, good outcomes were achieved, with both patients becoming capable of active flexion.


2011 ◽  
Vol 36 (8) ◽  
pp. 698-700 ◽  
Author(s):  
D. K. Jain ◽  
G. Kakarala ◽  
J. Compson ◽  
R. Singh

This study was done to identify whether the dimensions of the distal phalanges allow suture anchor fixation of the flexor digitorum profundus tendon. Forty pairs of hands were dissected to measure the anteroposterior and lateral dimensions of distal phalanges of all digits. The mean anteroposterior depth of the distal phalanx at the insertion of the tendon was found to be 4.7 mm for the little finger, 5.4 mm for the ring finger, 5.9 mm for the middle finger, 5.4 mm for the index finger and 6.9 mm for the thumb respectively. The commonly available anchors and drill bits for fingers were found to be suboptimal for anchoring the flexor digitorum profundus tendon to the distal phalanx of the little finger. The drill bits used for these anchors were found to be too long for the little fingers and some ring and index fingers.


2018 ◽  
Vol 23 (01) ◽  
pp. 121-124
Author(s):  
Kazufumi Sano ◽  
Yosuke Akiyama ◽  
Satoru Ozeki

Asymptomatic pisotriquetral arthroses caused ruptures of the flexor digitorum profundus tendon of the little finger in 2 elderly patients. Ruptures occurred with unnoticeable onset, and bilateral ruptures separately occurred with interval of several years in one patient. The tendon was ruptured in zone IV with perforation of the gliding floor through which the degenerative pisiform was visible. The gliding floor was repaired followed with excision of the pisiform, and the ruptured tendon was then transferred to the profundus tendon of the ring finger. Asymptomatic pisotriquetral arthrosis in old age can be an aspect of the pathological background of flexor tendon ruptures of the little finger that occur unnoticed.


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