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Closed flexor tendon ruptures.

David T Netscher1, Justin J Badal1

  • 1Division of Plastic Surgery, Baylor College of Medicine, Houston, TX; Department of Orthopedics, Baylor College of Medicine, Houston, TX.

The Journal of Hand Surgery
|December 3, 2014
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Summary
This summary is machine-generated.

This review covers causes, diagnoses, and treatments for closed flexor tendon ruptures in the hand. It classifies ruptures by mechanism, noting rheumatoid arthritis as a condition with multiple contributing factors.

Keywords:
Ruptureclosed flexor tendon ruptureflexor tendon

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Area of Science:

  • Hand surgery
  • Orthopedic surgery
  • Musculoskeletal disorders

Background:

  • Closed flexor tendon disruptions in the hand are complex injuries.
  • Understanding the etiology is crucial for effective management.
  • Rheumatoid arthritis presents unique challenges due to multifactorial tendon involvement.

Purpose of the Study:

  • To review the various causes of closed flexor tendon disruptions.
  • To outline diagnostic approaches for these injuries.
  • To discuss available treatment options for hand tendon ruptures.

Main Methods:

  • Literature review of closed flexor tendon disruptions.
  • Classification of tendon ruptures based on mechanism.
  • Analysis of contributing factors in specific conditions like rheumatoid arthritis.

Main Results:

  • Identified five primary mechanisms of closed tendon rupture: traumatic avulsion, spontaneous midsubstance rupture, attrition rupture, infiltrative tenosynovial rupture, and iatrogenic causes.
  • Recognized that multiple etiologies can coexist in a single patient.
  • Highlighted attrition, tenosynovial infiltration, and steroid use as key factors in rheumatoid arthritis-related tendon ruptures.

Conclusions:

  • A comprehensive understanding of rupture mechanisms aids diagnosis and treatment planning.
  • Rheumatoid arthritis necessitates a tailored approach due to its complex impact on flexor tendons.
  • Further research into the specific interactions of these factors can optimize patient outcomes.