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Spontaneous flexor tendon rupture in the palm
1Division of Plastic Surgery, University of Rochester, NY.
Annals of Plastic Surgery
|October 1, 1989
Summary
A spontaneous flexor digitorium profundus tendon rupture occurred in a 54-year-old man without predisposing conditions. Surgical repair with a tendon graft successfully restored normal hand motion.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Tendon Injuries
Background:
- Spontaneous tendon ruptures are uncommon, particularly in the absence of systemic inflammatory conditions or trauma.
- The flexor digitorium profundus tendon is crucial for finger flexion, and its rupture significantly impairs hand function.
Observation:
- A 54-year-old male presented with a spontaneous rupture of the flexor digitorium profundus tendon at the lumbrical level.
- No history or surgical findings indicated rheumatoid arthritis, carpal bone abnormalities, fractures, or gout.
Findings:
- The patient underwent surgical repair using a "mini" interposition flexor tendon graft.
- Full range of motion was regained post-operatively, indicating successful functional restoration.
Implications:
- This case highlights an idiopathic tendon rupture, suggesting potential unknown mechanisms compromising tendon vascularity.
- Understanding the etiology of such spontaneous ruptures is crucial for preventing recurrence and optimizing treatment strategies in hand surgery.