FLEXOR DIGITORUM PROFUNDUS TENDON RUPTURE ASSOCIATED WITH DISTAL RADIUS FRACTURE MALUNION: A CASE REPORT

Hand Surgery ◽  
2009 ◽  
Vol 14 (01) ◽  
pp. 35-38 ◽  
Author(s):  
Takayuki Ishii ◽  
Masayoshi Ikeda ◽  
Yuka Kobayashi ◽  
Joji Mochida ◽  
Yoshinori Oka
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Tendon Rupture ◽  
Flexor Tendon ◽  
Corrective Osteotomy ◽  
Tendon Graft ◽  
Radius Fracture ◽  
Flexor Digitorum Profundus ◽  
Flexor Tendon Rupture ◽  
Flexor Digitorum

We present a case of subcutaneous flexor tendon rupture of the index finger following malunion of a distal radius fracture. The cause of the tendon rupture was mechanical attrition due to a bony prominence at the palmar joint rim in the distal radius due to malunion. Corrective osteotomy and the Sauvé-Kapandji procedure were carried out for the wrist pain and forearm rotation disability and a tendon graft was carried out for the flexor tendon rupture. Recovery was satisfactory.

DELAYED RUPTURE OF FLEXOR POLLICIS LONGUS TENDON AFTER VOLAR PLATING OF THE DISTAL RADIUS

Hand Surgery ◽  
2006 ◽  
Vol 11 (01n02) ◽  
pp. 67-70 ◽  
Author(s):  
Siu Cheong Koo ◽  
Sheung Tung Ho
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Tendon Rupture ◽  
Flexor Tendon ◽  
Radius Fracture ◽  
Flexor Pollicis Longus ◽  
Volar Plating ◽  
Longus Tendon ◽  
Flexor Tendon Rupture ◽  
Flexor Pollicis Longus Tendon

Flexor tendon rupture following distal radius fracture is rare. We described a case of flexor pollicis longus rupture, presented five years after volar plating of distal radius fracture.

scholarly journals Acute Isolated Flexor Tendon Laceration Associated With a Distal Radius Fracture

Hand ◽  
2016 ◽  
Vol 12 (3) ◽  
pp. NP39-NP42 ◽  
Author(s):  
J. Ryan Hill ◽  
Ram K. Alluri ◽  
Alidad Ghiassi
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Tendon Rupture ◽  
Flexor Tendon ◽  
Plate Fixation ◽  
Distal Radius Fractures ◽  
Radius Fracture ◽  
Radius Fractures ◽  
Flexor Tendon Rupture ◽  
Tendon Laceration

Background: Subacute rupture of the flexor tendons secondary to distal radius fractures is well documented. Recently, accounts of flexor tendon rupture following open reduction internal fixation have been associated with volar plate fixation. However, discovery of an occult traumatic flexor tendon laceration during fixation of an acute distal radius fracture is not well described. This case indicates the importance of careful preoperative and intraoperative examination of the flexor tendons in the setting of comminuted distal radius fractures. Methods: A forty-seven-year-old male sustained a comminuted, dorsally displaced distal radius fracture. Initial and post-reduction examinations revealed no gross functional abnormalities. Upon operative fixation of the fracture, laceration of the flexor digitorum profundus (FDP) tendon to the index finger was incidentally noted at the level of the fracture site. Results: Due to extensive dorsal comminution, shortening, and the presence of a lunate facet fragment, we performed volar fragment-specific and dorsal spanning bridge plate fixation. The proximal and distal ends of the FDP tendon were marked, but repair was deferred until implant removal. This allowed for proper informed consent and avoided potential compromise of the repair given the presence of a volar implant. Conclusions: Acute flexor tendon rupture secondary to closed distal radius fractures may go unnoticed if a high index of suspicion is not maintained. Delayed diagnosis of these ruptures convolutes the mechanism of injury and disrupts the recovery process. Hand surgeons should be vigilant in examining flexor tendon function during the preoperative evaluation, especially in the setting of acute high-energy injury.

Volar Plate Position is Associated with Flexor Tendon Rupture after Distal Radius Fracture Fixation

2012 ◽  
Vol 37 (8) ◽  
pp. 28-29 ◽  
Author(s):  
Alison Kitay ◽  
Morga Swanstrom ◽  
Joseph J. Schreiber ◽  
Michelle Gerwin Carlson ◽  
Andrew J. Weiland ◽  
...  
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Fracture Fixation ◽  
Tendon Rupture ◽  
Flexor Tendon ◽  
Volar Plate ◽  
Radius Fracture ◽  
Flexor Tendon Rupture

Volar Plate Position and Flexor Tendon Rupture Following Distal Radius Fracture Fixation

2013 ◽  
Vol 38 (6) ◽  
pp. 1091-1096 ◽  
Author(s):  
Alison Kitay ◽  
Morgan Swanstrom ◽  
Joseph J. Schreiber ◽  
Michelle G. Carlson ◽  
Joseph T. Nguyen ◽  
...  
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Fracture Fixation ◽  
Tendon Rupture ◽  
Flexor Tendon ◽  
Volar Plate ◽  
Radius Fracture ◽  
Flexor Tendon Rupture

scholarly journals A Silent Closed Rupture of the Flexor Digitorum Profundus on the Index Finger: An Unsolved Mystery

2021 ◽  
Vol 17 (2) ◽  
pp. 146-149
Author(s):  
Hyun-Dong Yeo ◽  
Na-Hyun Hwang ◽  
Seung-Ha Park ◽  
Byung-Il Lee ◽  
Eul-Sik Yoon ◽  
...  
Keyword(s):  
Tendon Rupture ◽  
Flexor Tendon ◽  
Index Finger ◽  
Tendon Graft ◽  
Flexor Digitorum Profundus ◽  
Left Index Finger ◽  
Two Stage ◽  
Closed Rupture ◽  
Flexor Tendon Rupture ◽  
Flexor Digitorum

We report the case of a patient who fully recovered from a closed flexor tendon rupture through a two-stage flexor tendon reconstruction using silicone rods, despite a considerable delay in treatment. A 17-year-old male patient visited our clinic with a sudden inability to flex his left index finger, although there were no signs of injury. Magnetic resonance imaging revealed an extensive rupture of the flexor digitorum profundus from the base of the distal phalanx to the proximal phalangeal joint of his left hand. After a two-stage tendon graft operation was performed, the patient regained full flexion of the index finger and was able to hold a fist without any limitations in range of motion. Complete rupture of tendons usually accompanies history of trauma or underlying tendon pathology. In our case, however, the tendon rupture occurred silently with no obvious underlying causes. It is important to recognize the signs to evaluate the underlying structures for appropriate management and treatment. Even with considerable delay, the patient may regain full function of the tendon.

scholarly journals Spontaneous Flexor Tendon Rupture due to Primary Distal Radioulnar Joint Osteoarthritis

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Akira Hashimoto ◽  
Motoki Sonohata ◽  
Hideyuki Senba ◽  
Masaaki Mawatari
Keyword(s):  
Synovial Fluid ◽  
Tendon Rupture ◽  
Flexor Tendon ◽  
Index Finger ◽  
Wrist Joint ◽  
Distal Radioulnar Joint ◽  
Flexor Digitorum Profundus ◽  
Radioulnar Joint ◽  
Flexor Tendon Rupture ◽  
Flexor Digitorum

Spontaneous flexor tendon rupture is rare, occurring most commonly in the little finger or flexor pollicis longus. To the best of our knowledge, there have been no reports of spontaneous flexor tendon rupture due to primary distal radioulnar joint (DRUJ) osteoarthritis (OA). We present a case of spontaneous flexor tendon rupture in the index finger due to primary DRUJ OA in a 71-year-old female farmer. Surgical exploration confirmed that, at the wrist joint level, the flexor digitorum profundus of the index finger had undergone degeneration and complete rupture. The flexor digitorum superficialis of the index finger was elongated and thinned. A bony spur toward the volar side was covered with synovial fluid from a pinhole-sized perforation of the capsule. The combination of direct friction from the DRUJ spur and the matrix metalloproteinases in the synovial fluid from the perforation of the DRUJ capsule may have caused the spontaneous flexor tendon rupture. Palmar-side symptoms associated with DRUJ OA should be carefully examined because of the risk of spontaneous flexor tendon rupture.

scholarly journals Flexor Tendon Rupture Due to Previously Undiagnosed Kienböck Disease: A Case Report

Hand ◽  
2016 ◽  
Vol 12 (3) ◽  
pp. NP37-NP38 ◽  
Author(s):  
Kenrick Turner ◽  
Nicholas N. Sheppard ◽  
Samuel E. Norton
Keyword(s):  
Tendon Rupture ◽  
Flexor Tendon ◽  
Flexor Digitorum Profundus ◽  
Unknown Etiology ◽  
Bony Prominence ◽  
Flexor Tendon Rupture ◽  
Kienböck Disease ◽  
Tendon Ruptures ◽  
Flexor Digitorum ◽  
Good Range

Background: Spontaneous flexor tendon rupture is rare and most common in the little finger. The pathogenesis of spontaneous tendon ruptures is unclear but may occur through attrition or mechanical abrasion over a bony prominence. Kienböck disease is avascular necrosis of the lunate, with an unknown etiology. Methods: We present a case of spontaneous rupture of flexor digitorum profundus due to Kienböck disease, which we believe is the first recorded case of flexor tendon rupture attributable to osteonecrosis of the lunate. Results: The patient underwent single-stage reconstruction of FDP and regained a good range of motion at the affected DIPJ. Conclusions: This case illustrates the the importance of plain radiographs in the assessment of a patient presenting with spontaneous flexor tendon rupture in the hand to exclude bony pathology as a cause.

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