FLEXOR DIGITORUM PROFUNDUS AVULSION OF THE LEFT LITTLE FINGER THROUGH ENCHONDROMA OF THE DISTAL PHALANX: PULL-OUT WIRE TECHNIQUE TREATMENT WITHOUT BONE GRAFT

Hand Surgery ◽  
2008 ◽  
Vol 13 (01) ◽  
pp. 17-20 ◽  
Author(s):  
Toru Yamauchi ◽  
Takashi Yoshii ◽  
Takeo Sempuku
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
Pathological Fracture ◽  
Distal Phalanx ◽  
Flexor Digitorum Profundus ◽  
Rare Occurrence ◽  
Pull Out ◽  
Without Bone Graft ◽  
Flexor Digitorum ◽  
Little Finger

This case report describes the rare occurrence of a flexor digitorum profundus (FDP) avulsion of the left little finger in association with a pathological fracture of an enchondroma. The enchondroma was treated by simple curettage without bone graft. The FDP tendon was re-attached to the distal phalanx using the pull-out technique with a non-absorbable polyethylene suture. We recommend simple curettage without bone grafting in cases of enchondroma of the distal phalanx in which the bone defect is small.

FDP Avulsion Injury Due to Enchondroma: A Unique Surgical Approach

2020 ◽  
Vol 25 (02) ◽  
pp. 240-244
Author(s):  
Francisco Moura ◽  
Andrej Salibi ◽  
Anuj Mishra
Keyword(s):  
Surgical Approach ◽  
Bone Grafting ◽  
Distal Phalanx ◽  
Flexor Digitorum Profundus ◽  
Fixation Technique ◽  
Avulsion Injury ◽  
Pull Out ◽  
First Case ◽  
Operative Recovery ◽  
Flexor Digitorum

Flexor Digitorum Profundus avulsion injury associated with an enchondroma at the level of the distal phalanx is extremely rare. There have been few cases reported to date and most have been surgically managed using a screw and/or Bunnell pull-out wire technique with or without bone grafting. We describe the first case using a simple interosseus fixation technique for the reattachment of FDP tendon without bone grafting. The patient made an excellent post-operative recovery. This technique is a simple, effective, patient-friendly and internalised solution which, in addition, may prevent the need for bone grafting.

Do the dimensions of the distal phalanges allow suture anchor fixation of the flexor digitorum profundus? A cadaver study

2011 ◽  
Vol 36 (8) ◽  
pp. 698-700 ◽  
Author(s):  
D. K. Jain ◽  
G. Kakarala ◽  
J. Compson ◽  
R. Singh
Keyword(s):  
Suture Anchor ◽  
Ring Finger ◽  
Distal Phalanx ◽  
Flexor Digitorum Profundus ◽  
Drill Bits ◽  
Flexor Digitorum ◽  
Suture Anchor Fixation ◽  
Anchor Fixation ◽  
Flexor Digitorum Profundus Tendon ◽  
Little Finger

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.

FLEXOR DIGITORUM PROFUNDUS TENDON AVULSION THROUGH A RECURRENT ENCHONDROMA — A CASE REPORT

Hand Surgery ◽  
2001 ◽  
Vol 06 (01) ◽  
pp. 125-126 ◽  
Author(s):  
Darren B. Chen ◽  
David C. Yee
Keyword(s):  
Case Report ◽  
Ring Finger ◽  
Distal Phalanx ◽  
Flexor Digitorum Profundus ◽  
Contact Sport ◽  
Distal Interphalangeal ◽  
Flexor Digitorum ◽  
Tendon Avulsion ◽  
Flexor Digitorum Profundus Tendon

Flexor digitorum profundus (FDP) tendon avulsion from the distal phalanx is a well recognised injury, which usually follows a hyperextension force to a flexed distal interphalangeal (DIP) joint. It is commonly seen in contact sport athletes, with a predilection for the ring finger.2,4 Avulsion of the FDP tendon from pathological bone is an infrequent occurrence. It has, however, been reported to occur in association with an enchondroma of the distal phalanx.2,3 To our knowledge, an FDP tendon avulsion through a recurrent enchondroma has not been reported. We present the case findings of such an event.

IRREDUCIBLE SIMULTANEOUS DISLOCATION OF BOTH INTERPHALANGEAL JOINTS IN THE LITTLE FINGER: A CASE REPORT

Hand Surgery ◽  
2009 ◽  
Vol 14 (01) ◽  
pp. 39-42 ◽  
Author(s):  
Kazuo Hara ◽  
Shigeharu Uchiyama ◽  
Hiroyuki Kato
Keyword(s):  
Case Report ◽  
Closed Reduction ◽  
Flexor Digitorum Profundus ◽  
First Report ◽  
Pip Joint ◽  
Distal Interphalangeal ◽  
Flexor Digitorum ◽  
Little Finger

We present a case with irreducible simultaneous dislocation of both the distal interphalangeal (DIP) and proximal interphalangeal (PIP) joints in the little finger. A combination of the delay from injury to closed reduction and the entrapped flexor digitorum profundus (FDP) tendon at the PIP joint prevented closed reduction from being performed. To our knowledge, this is the first report of such a condition.

Avulsion of flexor digitorum profundus secondary to enchondroma of the distal phalanx. Case report and literature review

2015 ◽  
Vol 34 (4) ◽  
pp. 210-214 ◽  
Author(s):  
M. Arthozoul ◽  
C. Brun ◽  
J.-M. Laffosse ◽  
V. Martinel ◽  
J.-L. Grolleau ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Distal Phalanx ◽  
Flexor Digitorum Profundus ◽  
Flexor Digitorum

scholarly journals Anatomy of the Distal End of Flexor Digitorum Longus Tendon and Percutaneous Release Technique: A Cadaveric Study

2019 ◽  
Vol 4 (4) ◽  
pp. 247301141988427
Author(s):  
Baofu Wei ◽  
Ruoyu Yao ◽  
Annunziato Amendola
Keyword(s):  
Distal Phalanx ◽  
Neurovascular Bundle ◽  
Middle Phalanx ◽  
Flexor Digitorum Longus ◽  
Longus Tendon ◽  
Pull Out ◽  
Percutaneous Release ◽  
Significant Difference ◽  
Distal Interphalangeal ◽  
Flexor Digitorum

Background: The transfer of flexor-to-extensor is widely used to correct lesser toe deformity and joint instability. The flexor digitorum longus tendon (FDLT) is percutaneously transected at the distal end and then routed dorsally to the proximal phalanx. The transected tendon must have enough mobility and length for the transfer. The purpose of this study was to dissect the distal end of FDLT and identify the optimal technique to percutaneously release FDLT. Methods: Eight fresh adult forefoot specimens were dissected to describe the relationship between the tendon and the neurovascular bundle and measure the width and length of the distal end of FDLT. Another 7 specimens were used to create the percutaneous release model and test the strength required to pull out FDLT proximally. The tendons were randomly released at the base of the distal phalanx (BDP), the space of the distal interphalangeal joint (SDIP), and the neck of the middle phalanx (NMP). Results: At the distal interphalangeal (DIP) joint, the neurovascular bundle begins to migrate toward the center of the toe and branches off toward the center of the toe belly. The distal end of FDLT can be divided into 3 parts: the distal phalanx part (DPP), the capsule part (CP), and the middle phalanx part (MPP). There was a significant difference in width and length among the 3 parts. The strength required to pull out FDLT proximally was about 168, 96, and 20 N, respectively, for BDP, SDIP, and NMP. Conclusion: The distal end of FDLT can be anatomically described at 3 locations: DPP, CP, and MPP. The tight vinculum brevis and the distal capsule are strong enough to resist proximal retraction. Percutaneous release at NMP can be performed safely and effectively. Clinical Relevance: Percutaneous release at NMP can be performed safely and effectively during flexor-to-extensor transfer.

scholarly journals The effect of tissue culture on suture holding strength and degradation in canine tendon

2009 ◽  
Vol 34 (5) ◽  
pp. 643-650 ◽  
Author(s):  
H. OMAE ◽  
C. ZHAO ◽  
Y.-L. SUN ◽  
M. E. ZOBITZ ◽  
S. L. MORAN ◽  
...  
Keyword(s):  
Tissue Culture ◽  
Tensile Load ◽  
Flexor Digitorum Profundus ◽  
Tendon Suture ◽  
Pull Out ◽  
Culture Model ◽  
Static Tensile ◽  
Tissue Culture Model ◽  
Flexor Digitorum ◽  
Pull Out Strength

The purpose of this study was to assess tendon metabolism and suture pull-out strength after simple tendon suture in a tissue culture model. One hundred and twelve flexor digitorum profundus tendons from 28 dogs were cultured for 7, 14, or 21 days with or without a static tensile load. In both groups increased levels of matrix metalloproteinase (MMP) mRNA was noted. Suture pull-out strength did not decrease during tissue culture. While the presence of a static load had no effect on the pull-out strength, it did affect MMP mRNA expression. This tissue culture model could be useful in studying the effect of factors on the tendon-suture interface.

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