The Hip: Preservation, Replacement and Revision

Rheumatoid Arthritis: Flexor Tendon Rupture

- 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.

Flexor tenosynovitis in the rheumatoid hand.

Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Thursday, September 20, 2012 2:22 pm