- See:
-
FDP rupture;
-
FPL Rupture:
-
Teno-synovectomy:
- Discussion:
- when flexor tendon ruptures occur, there are two usual causes:
- attrition or direct invasion by tenosynovitis;
- these occur in carpal canal due to invasion or attrition;
- scaphoid bone is most common site for the attrition process
-
FPL,
FDS, &
FDP to index fingers are tendons most often involved w/ attrition ruptures;
- Exam:
- affected finger tends to have an extended appearance;
- Treatment Considerations:
- rheumatoid FDP rupture needs to be distinguished from
FDP rupture;
- if both the FDS and the FDP tendons are ruptured, then consider
PIP fusion;
- see
FPL Rupture:
- most important factor for determining type of treatment is level of tendon rupture;
- w/ tendon ruptures in the palm the distal tendon end may be sutured to the adjacent intact tendon;
Flexor tendon ruptures in rheumatoid arthritis.
A. Ertel.
Hand Clinics. Vol 5. 1989. p 177-190.
Flexor tenosynovitis in the rheumatoid hand.
DC Ferlic and ML Clayton.
J. Hand Surgery Vol 3. 1978. p 364-367.
