A successful surgical treatment of a closed rupture of flexor digitorum superficialis in surgeon’s hand. A case report and review of literature
| Autor: | Yazeed Alsaadi, Turki S. Alhassan, Salah Aldekhayel, Mohammed F. Alfawzan, Obaid Al-Meshal |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Article Avulsion 03 medical and health sciences 0302 clinical medicine Case report medicine Flexor tendon Flexion contracture Tendon injury Tenosynovitis business.industry Hand surgery musculoskeletal system medicine.disease Tendon Surgery body regions medicine.anatomical_structure Tendon avulsion 030220 oncology & carcinogenesis Tendon rupture 030211 gastroenterology & hepatology Presentation (obstetrics) business Interphalangeal Joint Range of motion tissues |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2020.01.041 |
| Popis: | Highlights • Isolated closed rupture or avulsion of flexor digitorum superficialis tendon is a rare pathology. • Early diagnosis and managment can prevent irreversible disabilities. • In our case we demonstrate the clinical presentation and surgical management of a closed ruptured flexor digitorum superficialis. Introduction Isolated closed rupture or avulsion of the flexor digitomm superficialis (FDS) tendon at its insertion is a rare diagnosis. It can be related to a pathology such as rheumatoid arthritis, bony abnormalities, tenosynovitis, fractures, or tuberculosis. A review of the literature identified only few cases of closed avulsion or rupture of FDS tendons nonpathologically. We hope this report will help to gather more experience for the surgical intervention in a delayed presentation of ruptured flexor digitorm superficialis tendon. The work has been reported in line with the SCARE criteria. Presentation of case We report a case of 48-year-old surgeon who sustained a trauma to her left middle finger. The patient presented three months after injury with complaints of pain and decreased range of motion of involved digit. Patient was treated conservatively and after failure of conservative treatment surgical intervention was done with complete tendon excision and capsulotomy of Proximal interphalangeal joint. Patient retained full range of motion and pain subsided. Discussion Isolated closed avulsions or rupture of the FDS tendon is a challenging entity in hand surgery in diagnosis and treatment. Nonsurgical treatment with splinting and physiotherapy might help to prevent flexion deformity. The surgical treatment include tenolysis, flexor digitorum superficialis tendon excision, and in selected patients capsulotomies of involved joints. Conclusion A review of the literature identified only few cases of closed avulsion of FDS tendons nonpathologically. Early diagnosis and intervention can prevent sequel of flexion contracture. |
| Databáze: | OpenAIRE |
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