EXTENSOR TENDON RUPTURE DUE TO CUTANEOUS LEICHMANIASIS: A CASE REPORT

Hand Surgery ◽  
2010 ◽  
Vol 15 (02) ◽  
pp. 131-133 ◽  
Author(s):  
Nevra Seyhan ◽  
Mustafa Keskin ◽  
Zekeriya Tosun ◽  
Nedim Savaci
Keyword(s):  
Infectious Disease ◽  
Case Report ◽  
Cutaneous Leishmaniasis ◽  
Tendon Rupture ◽  
Parasitic Infection ◽  
Extensor Tendon ◽  
Skin Ulcer ◽  
Diagnostic Features ◽  
Tropical Areas ◽  
Tendon Ruptures

Acute cutaneous leishmaniasis is a parasitic infectious disease prevalent in tropical areas. Most doctors in non-endemic countries are not familiar with this disease. Spontaneous tendon ruptures occurring by different mechanisms have been described in the literature but a tendon rupture caused by a skin ulcer secondary to a parasitic infection has not been reported before. In this article clinical and diagnostic features of cutaneous leishmaniasis are reviewed and a case with spontaneous extensor tendon rupture due to cutaneous leishmaniasis is presented.

scholarly journals Spontaneous extensor tendon rupture due to scaphoid osteophyte: A case report and literature review

JPRAS Open ◽  
2021 ◽  
Author(s):  
Seigo Suganuma ◽  
Kaoru Tada ◽  
Shingo Takagawa ◽  
Hidetoshi Yasutake ◽  
Keito Shimanuki ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Tendon Rupture ◽  
Extensor Tendon

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.

Partial Achilles Tendon Ruptures Associated with Fluoroquinolone Antibiotics: A Case Report and Literature Review

1996 ◽  
Vol 17 (8) ◽  
pp. 496-498 ◽  
Author(s):  
William C. McGarvey ◽  
Dishan Singh ◽  
Saul G. Trevino
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Magnetic Resonance ◽  
Literature Review ◽  
Achilles Tendon ◽  
Tendon Rupture ◽  
Resonance Imaging ◽  
Achilles Tendinitis ◽  
Fluoroquinolone Antibiotics ◽  
Tendon Ruptures

Fluoroquinolone antibiotics (such as ciprofloxacin, pefloxacin, ofloxacin, norfloxacin, temafloxacin, etc.) have recently been implicated in the etiology of Achilles tendinitis and subsequent tendon rupture. We report on a patient with bilateral partial Achilles tendon ruptures associated with ciprofloxacin therapy and present a review of the current literature on this increasingly recognized complication. Treatment with fluoroquinolones should be discontinued at the first sign of tendon inflammation so as to reduce the risk of subsequent rupture. Magnetic resonance imaging is useful in distinguishing between Achilles tendinitis and partial tendon rupture.

scholarly journals Traumatic index extensor tendon attenuation mimicking closed tendon rupture: two case reports

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Yusuke Miyashima ◽  
Takuya Uemura ◽  
Takuya Yokoi ◽  
Shunpei Hama ◽  
Mitsuhiro Okada ◽  
...  
Keyword(s):  
High Speed ◽  
Tendon Rupture ◽  
Case Reports ◽  
English Literature ◽  
Extensor Tendon ◽  
Sports Injury ◽  
Tendon Graft ◽  
Metacarpophalangeal Joints ◽  
Extensor Indicis Proprius ◽  
Tendon Ruptures

Abstract Background While some traumatic closed index extensor tendon ruptures at the musclotendinous junction have been previously reported, closed index extensor tendon pseudorupture due to intertendinous attenuation is exceedingly rare with only one case report of a gymnastics-related sports injury in the English literature. Herein, we report two non-sports injury related cases of traumatic index extensor tendon attenuation mimicking closed tendon rupture, including the pathological findings and intraoperative video of the attenuated extensor indicis proprius tendon. Case presentation A 28-year-old man and a 30-year-old man caught their hands in a high-speed drill and lathe, respectively, which caused a sudden forced flexion of their wrists. They could not actively extend the metacarpophalangeal joints of their index fingers. Intraoperatively, although the extensor indicis proprius and index extensor digitorum communes tendons were in continuity without ruptures, both tendons were attenuated and stretched. The attenuated index extensor tendons were reconstructed either with shortening by plication or step-cut when the tendon damage was less severe or, in severely attenuated tendons, with tendon grafting (ipsilateral palmaris longus) or tendon transfer. Six months after the operation, the active extension of the index metacarpophalangeal joints had recovered well. Conclusions Two cases of traumatic index extensor tendon attenuation were treated successfully by shortening the attenuated tendon in combination with tendon graft or transfer. We recommend WALANT (wide-awake local anesthesia and no tourniquet) in the reconstruction surgery of index extensor tendon attenuation to determine the appropriate amount of tendon shortening or optimal tension for tendon grafting or transfer. Intraoperative voluntary finger movement is essential, as it is otherwise difficult to judge the stretch length of intratendinous elongation and extent of traumatic intramuscular damage affecting tendon excursion.

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.

Extensor Tendon Rupture Associated with Osteoarthritis of the Distal Radioulnar Joint

2008 ◽  
Vol 33 (4) ◽  
pp. 469-474 ◽  
Author(s):  
H. YAMAZAKI ◽  
S. UCHIYAMA ◽  
Y. HATA ◽  
N. MURAKAMI ◽  
H. KATO
Keyword(s):  
Risk Factors ◽  
Tendon Rupture ◽  
Extensor Tendon ◽  
Distal Radioulnar Joint ◽  
X Rays ◽  
Radioulnar Joint ◽  
Ulnar Head ◽  
Sigmoid Notch ◽  
Tendon Ruptures ◽  
Grade 3

Non-rheumatoid osteoarthritis of the distal radioulnar joint can cause extensor tendon rupture. We analysed the radiographic morphology of the distal radioulnar joint to identify the risk factors for this complication. Forty-one wrist X-rays of 37 patients with extensor tendon rupture caused by distal radioulnar joint osteoarthritis were evaluated retrospectively for the severity of osteoarthritis by the Kellgren/Lawrence scoring system. Measurements were obtained from posteroanterior views. All but one wrist had severe osteoarthritic changes exceeding grade 3. The radiographic features that were different from those of the contralateral wrists included deepening and widening of the sigmoid notch, radial shift of the ulnar head and dorsal inclination of the sigmoid notch. There was no significant association between tendon rupture and the morphology of the ulnar head or ulnar variance. The scallop sign, dorsal inclination of the sigmoid notch and radial shift of the ulnar head are radiological risk factors for extensor tendon ruptures.

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