Spontaneous Midsubstance Rupture of the Flexor Digitorum Profundus Tendon of the Long Finger
Closed flexor tendon injuries can often result from trauma that causes sudden forceful extension of an actively flexed digit. These closed tendon injuries commonly occur as avulsions in flexor zone I. Spontaneous midsubstance flexor tendon ruptures are rare, especially in the absence of an underlyin...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-09-01
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| Series: | Journal of Hand Surgery Global Online |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589514121001353 |
| _version_ | 1818023026328862720 |
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| author | Rehan Zahid, MD Uzair Qazi, MD Scott Farner, MD |
| author_facet | Rehan Zahid, MD Uzair Qazi, MD Scott Farner, MD |
| author_sort | Rehan Zahid, MD |
| collection | DOAJ |
| description | Closed flexor tendon injuries can often result from trauma that causes sudden forceful extension of an actively flexed digit. These closed tendon injuries commonly occur as avulsions in flexor zone I. Spontaneous midsubstance flexor tendon ruptures are rare, especially in the absence of an underlying pathology. Diagnosing such injuries accurately is challenging and critical. We present a case of a zone III spontaneous flexor tendon rupture of the long finger after forceful eccentric loading. Surgical exploration was performed, and the level of the rupture was identified during surgery. A side-to-side tendon repair technique was performed using a palmaris longus tendon graft. No underlying pathology to explain the rupture was found in this case. This report emphasizes the importance of considering spontaneous midsubstance ruptures, identifying the level of ruptures, and preoperative planning for such cases. It reviews the possible causes and treatment of spontaneous flexor tendon rupture. |
| first_indexed | 2024-12-10T03:37:46Z |
| format | Article |
| id | doaj.art-99fd9112029b4a999022fa972686fd2f |
| institution | Directory Open Access Journal |
| issn | 2589-5141 |
| language | English |
| last_indexed | 2024-12-10T03:37:46Z |
| publishDate | 2022-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Hand Surgery Global Online |
| spelling | doaj.art-99fd9112029b4a999022fa972686fd2f2022-12-22T02:03:40ZengElsevierJournal of Hand Surgery Global Online2589-51412022-09-0145306310Spontaneous Midsubstance Rupture of the Flexor Digitorum Profundus Tendon of the Long FingerRehan Zahid, MD0Uzair Qazi, MD1Scott Farner, MD2Christine M Kleinert Institute of Hand and Microsurgery, Louisville, KY; Corresponding author: Rehan Zahid, MD, Christine M Kleinert Institute of Hand and Microsurgery, 225 Abraham Flexner Way, Suite 750, Louisville, KY 40202.Christine M Kleinert Institute of Hand and Microsurgery, Louisville, KYChristine M Kleinert Institute of Hand and Microsurgery, Louisville, KYClosed flexor tendon injuries can often result from trauma that causes sudden forceful extension of an actively flexed digit. These closed tendon injuries commonly occur as avulsions in flexor zone I. Spontaneous midsubstance flexor tendon ruptures are rare, especially in the absence of an underlying pathology. Diagnosing such injuries accurately is challenging and critical. We present a case of a zone III spontaneous flexor tendon rupture of the long finger after forceful eccentric loading. Surgical exploration was performed, and the level of the rupture was identified during surgery. A side-to-side tendon repair technique was performed using a palmaris longus tendon graft. No underlying pathology to explain the rupture was found in this case. This report emphasizes the importance of considering spontaneous midsubstance ruptures, identifying the level of ruptures, and preoperative planning for such cases. It reviews the possible causes and treatment of spontaneous flexor tendon rupture.http://www.sciencedirect.com/science/article/pii/S2589514121001353Closed flexor tendon ruptureFlexor tendon repairMidsubstance ruptureSpontaneous tendon ruptureZone III rupture |
| spellingShingle | Rehan Zahid, MD Uzair Qazi, MD Scott Farner, MD Spontaneous Midsubstance Rupture of the Flexor Digitorum Profundus Tendon of the Long Finger Journal of Hand Surgery Global Online Closed flexor tendon rupture Flexor tendon repair Midsubstance rupture Spontaneous tendon rupture Zone III rupture |
| title | Spontaneous Midsubstance Rupture of the Flexor Digitorum Profundus Tendon of the Long Finger |
| title_full | Spontaneous Midsubstance Rupture of the Flexor Digitorum Profundus Tendon of the Long Finger |
| title_fullStr | Spontaneous Midsubstance Rupture of the Flexor Digitorum Profundus Tendon of the Long Finger |
| title_full_unstemmed | Spontaneous Midsubstance Rupture of the Flexor Digitorum Profundus Tendon of the Long Finger |
| title_short | Spontaneous Midsubstance Rupture of the Flexor Digitorum Profundus Tendon of the Long Finger |
| title_sort | spontaneous midsubstance rupture of the flexor digitorum profundus tendon of the long finger |
| topic | Closed flexor tendon rupture Flexor tendon repair Midsubstance rupture Spontaneous tendon rupture Zone III rupture |
| url | http://www.sciencedirect.com/science/article/pii/S2589514121001353 |
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