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Traumatic flexor digitorum superficialis and A2-A3 pulley rupture: case report
Parker Johnsen1, Kieran O'Shea1, Scott W Wolfe1
1Hand and Upper Extremity Service, Hospital for Special Surgery, New York, NY.
The Journal of Hand Surgery
|February 25, 2014
Summary
Simultaneous traumatic rupture of the flexor digitorum superficialis tendon and flexor tendon pulleys is rare. Surgical repair, including tendon excision and pulley reconstruction, successfully restored hand function.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Traumatology
Background:
- Traumatic injuries to the flexor tendons and pulleys can significantly impair hand function.
- Simultaneous rupture of the flexor digitorum superficialis tendon and adjacent pulleys presents a complex surgical challenge.
Observation:
- A case involving simultaneous traumatic rupture of the flexor digitorum superficialis tendon and the A2 and A3 flexor tendon pulleys was observed.
- The injury resulted in significant functional deficit of the affected digit.
Findings:
- Excision of the damaged flexor digitorum superficialis tendon was performed.
- Reconstruction of the ruptured A2 and A3 flexor tendon pulleys was successfully achieved.
Implications:
- This case demonstrates the feasibility of surgical intervention for combined flexor tendon and pulley injuries.
- Successful management led to the restoration of normal function in the affected finger.
- The findings highlight the importance of prompt and accurate surgical repair in managing complex hand trauma.

