Flexor Digitorum Tendon Transection As A Complication of Endoscopic Carpal Tunnel Release

1997 ◽  
Vol 22 (4) ◽  
pp. 508-509
Author(s):  
N. A. S. POSCH ◽  
K. E. BOS

A complete laceration of the flexor digitorum profundus tendon of the middle finger following endoscopic carpal tunnel release is reported. In a cadaver study the mechanism that could have led to this complication was investigated.

2018 ◽  
Vol 23 (04) ◽  
pp. 589-592
Author(s):  
Satoshi Kamihata ◽  
Takashi Oda ◽  
Takuro Wada

We experienced a rare case of carpal tunnel syndrome and rupture of the flexor digitorum profundus tendon to the index finger with a scapholunate advanced collapse wrist. We speculated that the lunate that had extruded into the carpal tunnel compressed the median nerve and caused wear of the flexor tendon following neglected perilunate subluxation. Carpal tunnel release, opponensplasty by palmaris longus tendon transfer, and a bridge graft by a half-slip of the flexor carpi radialis tendon resulted in recovery of pinch function and improvement in numbness of the hand.


1994 ◽  
Vol 19 (2) ◽  
pp. 197-198 ◽  
Author(s):  
K. NAKAMICHI ◽  
S. TACHIBANA

We report a case of a closed rupture within the carpal tunnel of the flexor digitorum profundus tendon of the little finger. There was no underlying pathology.


HAND ◽  
1978 ◽  
Vol os-10 (1) ◽  
pp. 52-55 ◽  
Author(s):  
Paul R. Manske ◽  
Peggy A. Lesker

Summary The results of an experimental study of the breaking strength of the tendon-bone junction of the flexor digitorum profundus tendon in cadaver specimens indicates a significantly weaker insertion of the ring finger compared to the middle finger. This explains in part the more frequent occurrence of avulsion of the ring finger profundus tendon as observed clinically.


Hand Surgery ◽  
2005 ◽  
Vol 10 (01) ◽  
pp. 109-114 ◽  
Author(s):  
I. Grant ◽  
A. C. Berger ◽  
D. C. R. Ireland

We report three patients who sustained a rupture of the flexor digitorum profundus tendon to the small finger within the carpal tunnel. There was a common mechanism of injury, each rupture occurred during resisted flexion of the digit with the metacarpophalangeal joint in extension. All the patients were male, one patient had an asymptomatic undiagnosed fracture of the hook of hamate, one patient had radiological evidence of piso-triquetral osteoarthritis. In each case, an attrition rupture was confirmed at surgery.


2016 ◽  
Vol 21 (01) ◽  
pp. 92-94 ◽  
Author(s):  
Munn Yi Tina Lee ◽  
Yeo Chong Jin

Spontaneous rupture of flexor tendons within the carpal tunnel is rare in the absence of rheumatoid arthritis. Other predisposing conditions such as gout, infection, pisotriquetrial osteoarthritis, as well as hook of hamate fracture non-union, have previously been reported. However, tendon ruptures of the hand in the presence of acromegaly, as well as spontaneous ruptures within the carpal tunnel, have not been described in the literature.


2020 ◽  
Vol 71 (1) ◽  
pp. 426-429
Author(s):  
Marian Turbatu ◽  
Laura Stroica ◽  
Ana Maria Oproiu ◽  
Adrian Barbilian ◽  
Chen Feng-Ifrim ◽  
...  

The carpal tunnel is an osteofibrous canal situated in the volar wrist. It contains the median nerve and nine tendons: the flexor pollicislongus, the four flexor digitorum superficialis and the four flexor digitorum profundus. Patients presenting carpal tunnel syndorome often complain about pain, tingling and numbness in the first 3 fingers and lateral half of the IVth finger. While initial treatment may be medical, patients often require surgical release of the transverse carpal ligament. Even though the surgical procedure is considered to have low difficulty it is accompanied by a significant morbidity and sometimes persistent symptoms post-surgery. In this study we dissected both hands of 9 formalin fixed cadavers and measured fixed landmarks in order to enhance the safety of a surgical decompression of the median nerve.


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