Extensor tendon rupture and preoperative mri confirmations of suture anchor prolapse: a case report and literature review.

Autor: Alhaskawi A; Department of Orthopedics, The First Affiliated Hospital, Zhejiang University, #79 Qingchun Road, Hangzhou, Zhejiang Province, 310003, P. R. China., Zhou H; Department of Orthopedics, The First Affiliated Hospital, Zhejiang University, #79 Qingchun Road, Hangzhou, Zhejiang Province, 310003, P. R. China., Dong Y; Department of Orthopedics, The First Affiliated Hospital, Zhejiang University, #79 Qingchun Road, Hangzhou, Zhejiang Province, 310003, P. R. China., Ezzi SHA; Department of Orthopedics of the Third Xiangya Hospital, Central South University, Tongzipo Rd, Changsha, Hunan, 410083, China., Zou X; The Second Affiliated Hospital of Zhejiang Chinese Medical University, Zhejiang Province, 310003, Hangzhou, P. R. China., Weijie Z; Department of Orthopaedics, Joint Service Assurance Force 903 Hospital, Airport Road, Shangcheng District, Hangzhou City, Zhejiang Province, 310053, P.R. China., Yi F; The First School of Clinical Medicine, Zhejiang Chinese Medical University, #548 Binwen Road, Hangzhou, Zhejiang Province, 310053, P.R. China., Abdalbary SA; Department of Orthopedic Physical Therapy, Faculty of Physical Therapy, Nahda University in Beni Suef, Beni Suef, Egypt. saharabdalbary@yahoo.com., Lu H; Department of Orthopedics, The First Affiliated Hospital, Zhejiang University, #79 Qingchun Road, Hangzhou, Zhejiang Province, 310003, P. R. China. huilu@zju.edu.cn.
Jazyk: angličtina
Zdroj: BMC musculoskeletal disorders [BMC Musculoskelet Disord] 2024 May 04; Vol. 25 (1), pp. 355. Date of Electronic Publication: 2024 May 04.
DOI: 10.1186/s12891-024-07476-0
Abstrakt: Background: While suture anchors are widely used in medical procedures for their advantages, they can sometimes lead to complications, including anchor prolapse. This article presents a unique case of suture anchor prolapse at the base of the distal phalanx of the little finger after extensor tendon rupture reconstruction surgery.
Case Presentation: A 35-year-old male, underwent extensor tendon rupture reconstruction using a non-absorbable suture anchor. After seven years the patient visited our outpatients complaining of stiffness, pain, and protrusion at the surgical site. Initial X-ray imaging suggested suggesting either a fracture of the distal phalanx or tendon adhesion but lacked a definitive diagnosis. Subsequent magnetic resonance imaging (MRI) revealed bone connectivity between the middle and distal phalanges with irregular signal shadow and unclear boundaries while maintaining a regular finger shape. MRI proved superior in diagnosing prolapsed suture anchors, marking the first reported case of its kind. Surgical intervention confirmed MRI findings.
Conclusions: Suture anchor complications, such as prolapse, are a concern in medical practice. This case underscores the significance of MRI for accurate diagnosis and the importance of tailored surgical management in addressing this uncommon complication.
(© 2024. The Author(s).)
Databáze: MEDLINE
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