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Extensor tendon ruptures in rheumatoid arthritis

S C Williamson1, P Feldon

  • 1Tufts Combined Hand Surgery Service, Boston, Massachusetts, USA.

Hand Clinics
|August 1, 1995
PubMed
Summary
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Preventing extensor tendon rupture through medical management or tenosynovectomy is ideal. If rupture occurs, tendon transfer or grafting restores function, requiring rheumatologist collaboration for optimal outcomes.

Area of Science:

  • Hand surgery
  • Rheumatology
  • Orthopedics

Background:

  • Extensor tendon ruptures can lead to significant loss of hand function.
  • Chronic dorsal tenosynovitis increases the risk of impending tendon rupture.
  • Associated joint involvement complicates surgical planning and outcomes.

Purpose of the Study:

  • To outline optimal management strategies for extensor tendon ruptures.
  • To emphasize the importance of preventative measures.
  • To discuss surgical options for restoring extensor function post-rupture.

Main Methods:

  • Review of current treatment protocols for extensor tendon injuries.
  • Analysis of surgical techniques including tendon transfer and grafting.
  • Highlighting the role of rheumatological consultation in managing tenosynovitis.

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Main Results:

  • Prevention via medical management or tenosynovectomy is the preferred approach.
  • Tendon transfer or free tendon grafting offers acceptable functional restoration after rupture.
  • Timely intervention is crucial to prevent progression from single to multiple finger involvement.

Conclusions:

  • Proactive management and prevention are key to treating extensor tendon ruptures.
  • Surgical reconstruction provides viable options for functional recovery.
  • Multidisciplinary collaboration, particularly with rheumatologists, is essential for comprehensive care.