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.

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.

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 Radiotriquetral arthrodesis for rheumatoid wrist with flexor tendon rupture: A case report

2019 ◽  
Vol 27 (3) ◽  
pp. 230949901988637
Author(s):  
Koichi Yano ◽  
Yasunori Kaneshiro ◽  
Masuhiro Tomita ◽  
Yusuke Miyashima ◽  
Hirohisa Yagi ◽  
...  
Keyword(s):  
Tendon Rupture ◽  
Flexor Tendon ◽  
Index Finger ◽  
Wrist Joint ◽  
Rare Complication ◽  
Flexor Digitorum Profundus ◽  
Left Index Finger ◽  
Carpal Collapse ◽  
Rheumatoid Wrist ◽  
Flexor Tendon Rupture

Flexor tendon rupture in the wrist of patients with rheumatoid arthritis is a rare complication, and there is no standard treatment for the wrist joint. Here, we present the case of a rupture of the flexor digitorum profundus of the left index finger owing to a rheumatoid wrist. Plain radiography and computed tomography showed carpal collapse, especially lunate, and arthrosis between the capitate and lunate. For stability and mobility of the wrist and index finger, resection of the lunate and radiotriquetral (RT) arthrodesis using the distal ulna as a bone graft and arthrodesis of the distal interphalangeal joint of the index finger were performed. At 2 years postoperatively, her wrist was painless and stable on radiography without recurrence of tendon rupture, and the arc of motion of the dorsal-palmar flexion of the wrist joint was 125°. RT arthrodesis could be a surgical choice of “mobile” partial wrist arthrodesis.

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.

Spontaneous Flexor Tendon Rupture of the Flexor Digitorum Profundus Secondary to an Anatomic Variant

2007 ◽  
Vol 32 (8) ◽  
pp. 1195-1199 ◽  
Author(s):  
Fujioka Masaki ◽  
Tasaki Isao ◽  
Yakabe Aya ◽  
Ichimura Ryuuji ◽  
Matsuoka Yohjiroh
Keyword(s):  
Tendon Rupture ◽  
Flexor Tendon ◽  
Flexor Digitorum Profundus ◽  
Anatomic Variant ◽  
Flexor Tendon Rupture ◽  
Flexor Digitorum

scholarly journals Flexor Tendon Ruptures After Distal Scaphoid Excision for Scaphotrapeziotrapezoid Osteoarthritis

Hand ◽  
2017 ◽  
Vol 12 (5) ◽  
pp. NP152-NP156 ◽  
Author(s):  
Matthew E. Deren ◽  
Charles H. Mitchell ◽  
Arnold-Peter C. Weiss
Keyword(s):  
Flexor Tendon ◽  
Index Finger ◽  
Single Case ◽  
Senior Author ◽  
Flexor Digitorum Profundus ◽  
Progress Notes ◽  
Flexor Tendon Rupture ◽  
Tendon Ruptures ◽  
Carpal Ligaments ◽  
Flexor Digitorum

Background: Distal scaphoid excision is one treatment option for osteoarthritis of the scaphotrapeziotrapezoid (STT) joint following failure of conservative measures. Potential complications of this procedure include injury to the carpal ligaments, cartilage, and radial artery. Methods: A single case was identified by the senior author, and the medical record was reviewed for surgical notes, progress notes, and radiographs. Results: A 68-year-old male sustained ruptures of the flexor digitorum superficialis (FDS) and flexor digitorum profundus to the index finger 3 years following a distal scaphoid excision for symptomatic STT osteoarthritis. He required a flexor tendon reconstruction using the remaining FDS tendon for graft incorporated with a Pulvertaft weave. His midcarpal pain continued after recovery of his index finger function, eventually requiring a 4-corner fusion of the wrist. Conclusions: Flexor tendon rupture is a previously unreported complication of distal scaphoid excision for STT arthritis.

Atraumatic Index Finger Flexor Tendon Rupture as a Presenting Sign of Capitate Osteonecrosis

2022 ◽  
Vol 12 (1) ◽  
Author(s):  
Viviana M. Serra López ◽  
Joseph Koressel ◽  
Stephen Y. Liu ◽  
David Steinberg
Keyword(s):  
Tendon Rupture ◽  
Flexor Tendon ◽  
Index Finger ◽  
Flexor Tendon Rupture

Are Flexor Tendon Ruptures Ever Spontaneous? - A Literature Review on Closed Flexor Tendon Ruptures of the Little Finger

2019 ◽  
Vol 24 (02) ◽  
pp. 180-188
Author(s):  
Jasmin Shimin Lee ◽  
Duncan Angus McGrouther
Keyword(s):  
Spontaneous Rupture ◽  
Tendon Rupture ◽  
Flexor Tendon ◽  
Tendon Repair ◽  
Flexor Digitorum Profundus ◽  
Pubmed Database ◽  
Tendon Ruptures ◽  
Flexor Digitorum ◽  
Surgical Setting ◽  
Little Finger

Background: When closed ruptures of flexor tendons of fingers occur, there is often an identifiable pathology, which should be addressed in the same surgical setting as the tendon repair. The concept of “spontaneous” tendon rupture, occurring in the absence of identified pathology, however, has also been reported in a significant number of papers. This controversy has prompted us to do a review of the existing literature.Methods: We did a review of cases of closed ruptures of the flexor digitorum profundus (FDP) of the little finger in existing literature. Fifty-three publications were retrieved by searching “FDP tendon rupture” and “little finger” using PubMed database. We analyzed data such as the zone of rupture noted intra-operatively; and any precipitating factors, pathology or trauma. We also conducted a review on papers which discussed the concept of “spontaneous rupture”.Results: Fifty-three publications were retrieved. There were 8 cases of ruptures in Zone I; 2 in Zone II; 30 in Zone III; 59 in Zone IV and 5 in Zone V. Majority of cases were associated with an element of trauma of varying severity, or pathology. A precipitating cause was not documented in 12 cases. Amongst all 36 cases of ruptures labelled as “spontaneous”, only 1 case was truly “spontaneous” without any associated trauma or pathology.Conclusions: Most reports labeled as spontaneous rupture occurred in Zone III, where tendon ruptures are rare. There are documented pathological causes or evidence of trauma to most of these cases. We conclude these ruptures may have been mislabeled as spontaneous ruptures. Bearing in mind the propensity for tendon excursion, we suspect the lack of documentation of exploration in proximal zones contributed to this mislabeling. Understanding this concept of non-spontaneity to most tendon ruptures and the common sites of rupture or pathology is crucial for a surgeon to make strategic incisions and minimize future recurrence.

scholarly journals Intrasynovial Tendon Graft for Chronic Flexor Tendon Laceration of the Finger: A Case Report

2013 ◽  
Vol 7 (1) ◽  
pp. 282-285 ◽  
Author(s):  
Jun Sasaki ◽  
Toshiro Itsubo ◽  
Koichi Nakamura ◽  
Masanori Hayashi ◽  
Shigeharu Uchiyama ◽  
...  
Keyword(s):  
Flexor Tendon ◽  
Ring Finger ◽  
Tendon Graft ◽  
Normal Function ◽  
Flexor Digitorum Profundus ◽  
Postoperative Function ◽  
A2 Pulley ◽  
The Right ◽  
Flexor Digitorum ◽  
Tendon Laceration

We present the case of a patient with flexor digitorum profundus tendon laceration at the A2 pulley level caused by an injury to the base of the right ring finger by a knife. The patient was treated by flexor tendon reconstruction from the palm to the fingertip by using the left second toe flexor tendon as a graft, which improved the active range of motion. Further improvement was achieved by subsequent tenolysis, which eventually restored nearly normal function. Our experience with this case indicates that the intrasynovial tendon is a reasonable graft source for the synovial space in fingers and may enable restoration of excellent postoperative function.

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