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Updated: May 30, 2026
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A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects
Published on: December 10, 2021
Flexor tendon rupture 55 years following a wrist laceration.
Steven L Peterson1, Kagan Ozer
1Hand Surgery Section, Department of Orthopedics, Denver Health Medical Center, 777 Bannock St, MC 0188, Denver, CO 80204-4507, USA. steve.peterson@dhha.org
Summary
A rare index flexor digitorum profundus rupture occurred at the wrist 55 years after a laceration. Treatment involved tenodesis to an adjacent finger tendon due to nerve and adhesion complications.
Area of Science:
- Hand surgery
- Orthopedic surgery
- Traumatology
Background:
- Flexor tendon ruptures at the wrist or palm are infrequent occurrences.
- This case highlights a delayed presentation of flexor tendon injury.
Observation:
- A 55-year-old laceration site preceded an index flexor digitorum profundus rupture at the wrist.
- Associated findings included a median nerve neuroma-in-continuity and flexor digitorum superficialis adhesions.
Findings:
- Surgical intervention involved tenodesis of the ruptured tendon to the adjacent long finger flexor digitorum profundus.
- This technique was employed due to the extensive median nerve pathology and adhesions.
Implications:
- This case demonstrates a unique late complication of penetrating hand trauma.
- Tenodesis offers a viable reconstructive option for managing rare, complex flexor tendon ruptures with associated nerve injury.
