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Severe extensor tendon attrition and multiple tendon ruptures resulting from Kienböck's disease
S Ramkumar1, I C Josty, P J Sykes
1The Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, UK.
Annals of Plastic Surgery
|December 29, 2000
Summary
Kienböck's disease can lead to rare tendon ruptures. This case report details the first instance of extensive extensor tendon attrition and rupture in a white patient with a long-standing history of this wrist condition.
Area of Science:
- Orthopedics
- Hand Surgery
- Rheumatology
Background:
- Kienböck's disease, a condition causing avascular necrosis of the lunate, is a recognized cause of chronic wrist pain.
- Complications of Kienböck's disease can include tendon attrition and rupture, though rare.
Observation:
- A case of extensive extensor tendon attrition affecting all hand extensors and extensor tendon rupture of the little finger is presented.
- This complication occurred in a patient with a 45-year history of Kienböck's disease.
- This is the first reported incidence of this specific complication in a Caucasian patient.
Findings:
- The study details the clinical presentation of severe extensor tendon compromise secondary to chronic Kienböck's disease.
- Surgical management strategies for this rare complication were employed.
Implications:
- This report expands the understanding of potential complications associated with long-standing Kienböck's disease.
- It highlights the importance of considering tendon integrity in patients with chronic wrist conditions.
- Successful surgical outcomes suggest viable treatment options for this rare presentation.