Spontaneous rupture of the flexor digitorum profundus and superficialis of the index finger and the flexor pollicis longus without labor-associated tendon loading

The Journal of Hand Surgery
Shinji ImaiYoshitaka Matsusue

Abstract

Closed ruptures of the flexor tendon have been described in association with distinct underlying pathologies. The spontaneous rupture of the flexor tendon secondary to axial tendon loading alone is infrequent. The previously reported cases with spontaneous rupture were mostly men aged 30 to 60 years. In addition, rupture occurred during manual labor with the fingers engaged in forceful or resisted flexion. Labor-associated forceful usage, in addition to gender and age, has been implicated in the pathogenesis of the stressful rupture of the flexor tendon. Here we report a case with spontaneous rupture of the flexor digitorum profundus (FDP) and superficialis of the index finger as well as the flexor pollicis longus (FPL). Unlike the previously reported cases the present patient was an elderly woman engaged in no apparent occupational activities. In the present case, however, the patient had a particular predisposing condition. The patient used only the right hand during her whole lifetime because of a perinatal brachial plexus injury on the contralateral arm. The present case may show that the tendons of an elderly patient could yield to the axial loading of normal levels of activities of daily living when the usage is as incess...Continue Reading

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Citations

Apr 23, 2013·Archives of Orthopaedic and Trauma Surgery·Jae-Hwi NhoYou-Sung Suh
Aug 16, 2005·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·J T K MeltonI M R Lowdon
Feb 27, 2014·Hand : Official Journal of the American Association for Hand Surgery·I J Behr, J T Behr
Jan 16, 2014·Hand : Official Journal of the American Association for Hand Surgery·Nicole BadurFranck Marie Leclère
Oct 30, 2012·The Journal of Hand Surgery·Thomas J GoetzAndrew Travlos
Feb 26, 2008·The Journal of Hand Surgery·Eric P Hofmeister, Charles E Craven
Sep 11, 2007·The Journal of Hand Surgery·Aaron J BoisDale Classen
Jul 10, 2014·The Journal of Hand Surgery, European Volume·G J LeeG H Baek
May 7, 2010·The Journal of Hand Surgery, European Volume·Asif BhattiRaj Ragoowansi
Mar 12, 2008·The Journal of Hand Surgery, European Volume·F ByrneH Mullett
May 17, 2019·Case Reports in Orthopedics·Akira HashimotoMasaaki Mawatari

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