Attritional Rupture of the Little Finger Flexor Digitorum Profundus Tendon in the Carpal Tunnel in a Patient with Acromegaly

2016 ◽  
Vol 21 (01) ◽  
pp. 92-94 ◽  
Author(s):  
Munn Yi Tina Lee ◽  
Yeo Chong Jin
Keyword(s):  
Carpal Tunnel ◽  
Flexor Digitorum Profundus ◽  
Non Union ◽  
Tendon Ruptures ◽  
Hook Of Hamate ◽  
Hamate Fracture ◽  
Flexor Digitorum ◽  
Flexor Digitorum Profundus Tendon ◽  
Predisposing Conditions ◽  
Little Finger

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.

Closed Rupture of the Flexor Digitorum Profundus Tendon within the Carpal Tunnel

1994 ◽  
Vol 19 (2) ◽  
pp. 197-198 ◽  
Author(s):  
K. NAKAMICHI ◽  
S. TACHIBANA
Keyword(s):  
Carpal Tunnel ◽  
Flexor Digitorum Profundus ◽  
Closed Rupture ◽  
Flexor Digitorum ◽  
Flexor Digitorum Profundus Tendon ◽  
Underlying Pathology ◽  
Little Finger

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.

RUPTURE OF THE FLEXOR DIGITORUM PROFUNDUS TENDON TO THE SMALL FINGER WITHIN THE CARPAL TUNNEL

Hand Surgery ◽  
2005 ◽  
Vol 10 (01) ◽  
pp. 109-114 ◽  
Author(s):  
I. Grant ◽  
A. C. Berger ◽  
D. C. R. Ireland
Keyword(s):  
Carpal Tunnel ◽  
Metacarpophalangeal Joint ◽  
Flexor Digitorum Profundus ◽  
Common Mechanism ◽  
Mechanism Of Injury ◽  
Radiological Evidence ◽  
Hook Of Hamate ◽  
Flexor Digitorum ◽  
Flexor Digitorum Profundus Tendon

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.

“Silent Ruptures” of the Flexor Digitorum Profundus of the Little Finger due to Pisotriquetral Arthroses

2018 ◽  
Vol 23 (01) ◽  
pp. 121-124
Author(s):  
Kazufumi Sano ◽  
Yosuke Akiyama ◽  
Satoru Ozeki
Keyword(s):  
Elderly Patients ◽  
Old Age ◽  
Flexor Tendon ◽  
Ring Finger ◽  
Flexor Digitorum Profundus ◽  
Tendon Ruptures ◽  
Flexor Digitorum ◽  
Flexor Digitorum Profundus Tendon ◽  
Little Finger

Asymptomatic pisotriquetral arthroses caused ruptures of the flexor digitorum profundus tendon of the little finger in 2 elderly patients. Ruptures occurred with unnoticeable onset, and bilateral ruptures separately occurred with interval of several years in one patient. The tendon was ruptured in zone IV with perforation of the gliding floor through which the degenerative pisiform was visible. The gliding floor was repaired followed with excision of the pisiform, and the ruptured tendon was then transferred to the profundus tendon of the ring finger. Asymptomatic pisotriquetral arthrosis in old age can be an aspect of the pathological background of flexor tendon ruptures of the little finger that occur unnoticed.

Sliding Position of the Flexor Tendons Relative to the Hook of Hamate in CT Scans

2019 ◽  
Vol 24 (01) ◽  
pp. 72-75
Author(s):  
Kenji Goto ◽  
Kiyohito Naito ◽  
Yoichi Sugiyama ◽  
Nana Nagura ◽  
Ayaka Kaneko ◽  
...  
Keyword(s):  
Flexor Tendon ◽  
Tendon Injury ◽  
Ct Scans ◽  
Flexor Digitorum Profundus ◽  
Flexor Digitorum Superficialis ◽  
Ulnar Side ◽  
Flexor Tendon Injury ◽  
Hook Of Hamate ◽  
Flexor Digitorum ◽  
Little Finger

Background: The aim of this study was to assess the height of nonunion formation injuring the ulnar-side finger flexor tendon, the positional relationship between the hook of the hamate and little finger flexor tendon was evaluated on CT scans. Methods: The subjects were 20 healthy patients (40 hands) (14 males and 6 females, mean age: 28 years old). Their hands were imaged in extension and flexion of the fingers on CT. The position of the little finger flexor tendon was determined regarding the height of the hook of the hamate as 100%. Results: The heights of the flexor digitorum profundus tendons were 46 ± 6% in extension and 44 ± 9% in flexion, and those of the flexor digitorum superficialis tendons were 87 ± 8% in extension and 91 ± 9% in flexion. Conclusions: Our study suggested that 40% of the base of the hook of the hamate does not contact with the flexor tendon, suggesting that flexor tendon injury is unlikely to occur in that region.

scholarly journals Closed rupture of the flexor digitorum profundus tendon of little finger: A case report

2004 ◽  
Vol 37 (01) ◽  
pp. 67-70
Author(s):  
Pawan Agarwal
Keyword(s):  
Steroid Injection ◽  
Flexor Digitorum Profundus ◽  
Cystic Degeneration ◽  
Closed Rupture ◽  
Frequent Site ◽  
Local Steroid Injection ◽  
Flexor Digitorum ◽  
Flexor Digitorum Profundus Tendon ◽  
Underlying Pathology ◽  
Little Finger

ABSTRACTClosed rupture of the FDP tendon is rare. However, whenever they occur the most common site of rupture is the tendon-bone insertion, less frequent site is at the musculo-tendinous junction. Midsubstance ruptures are even more unique and are usually due to underlying pathology such as fracture, cystic degeneration, rheumatoid arthritis, or sequel following local steroid injection. This report describes a closed rupture of FDP tendon of little finger. Mechanism of injury, diagnosis and management are discussed.

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.

Closed Rupture of the Flexor Digitorum Profundus Tendon of the Little Finger Caused by Calcification of the Triangular-Fibrocartilage

1996 ◽  
Vol 21 (3) ◽  
pp. 375-377 ◽  
Author(s):  
A. FUKUI ◽  
A. KIDO ◽  
Y. INADA ◽  
Y. MII ◽  
S. TAMAI
Keyword(s):  
Ring Finger ◽  
Flexor Digitorum Profundus ◽  
Closed Rupture ◽  
Triangular Fibrocartilage ◽  
Full Flexion ◽  
Flexor Digitorum ◽  
Flexor Digitorum Profundus Tendon ◽  
Flexion And Extension ◽  
Little Finger

A case of rupture of flexor digitorum profundus tendon of the little finger caused by calcification of the triangular fibrocartilage (TFC) is reported. At operation, a round defect of the TFC and rupture of the flexor digitorum profundus tendon (FDP) of the little finger were observed. The defect of TFC was repaired using the palmaris tendon and FDP of the little finger was woven into FDP of the ring finger. Eleven months after operation, the patient had almost full flexion and extension of the distal and proximal interphalangeal joints.

Enveloping calcification of flexor digitorum profundus tendon: a diagnosis easily missed

2020 ◽  
Vol 13 (3) ◽  
pp. e233510
Author(s):  
Sriskandarasa Senthilkumaran ◽  
William M Ledingham
Keyword(s):  
Rare Condition ◽  
Operative Management ◽  
Flexor Digitorum Profundus ◽  
Extensive Calcification ◽  
Calcific Tendonitis ◽  
Non Operative Management ◽  
Flexor Digitorum ◽  
Flexor Digitorum Profundus Tendon ◽  
Little Finger

Calcific tendonitis of the hand is a rare condition. We present a case where there was extensive calcification along the flexor digitorum profundus tendon of the little finger. The patient’s symptoms resolved with non-operative management.

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
Keyword(s):  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Middle Finger ◽  
Cadaver Study ◽  
Flexor Digitorum Profundus ◽  
Endoscopic Carpal Tunnel Release ◽  
Flexor Digitorum ◽  
Flexor Digitorum Profundus Tendon

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.

PARADOXICAL EXTENSION PHENOMENON OF THE LITTLE FINGER DUE TO REPETITIVE TRAUMA TO THE PALM

Hand Surgery ◽  
2012 ◽  
Vol 17 (02) ◽  
pp. 255-257
Author(s):  
Yukio Abe ◽  
Yasuhiro Tominaga
Keyword(s):  
Flexor Digitorum Profundus ◽  
Ulnar Side ◽  
Lumbrical Muscle ◽  
Flexor Digitorum ◽  
Repetitive Trauma ◽  
Flexor Digitorum Profundus Tendon ◽  
Little Finger

We report a case of paradoxical extension phenomenon of the little finger, so called "lumbrical plus deformity" due to repetitive trauma to the ulnar side of the palm. The adhesion between the flexor digitorum profundus tendon and the lumbrical muscle was the cause of this phenomenon. The lumbrical muscle release was sufficient to solve this rare problem.

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