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Erschienen in: Clinical Orthopaedics and Related Research® 8/2011

01.08.2011 | Case Report

Case Report: Pseudotendon Formation after a Type III Flexor Digitorum Profundus Avulsion

Erschienen in: Clinical Orthopaedics and Related Research® | Ausgabe 8/2011

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Abstract

Background

Avulsion of the flexor digitorum profundus tendon is a common injury to the hand that virtually always requires surgical repair for restoration of normal finger function.

Case Description

We report a case of a Type III flexor digitorum profundus tendon avulsion in which the patient refused surgery yet attained nearly full active ROM and an excellent functional result via the formation of a pseudotendon, as observed on MRI obtained 2.5 years after the initial injury.

Literature Review

There are no reported cases of restoration of normal finger function after pseudotendon formation in a flexor digitorum profundus tendon avulsion injury.

Purposes and Clinical Relevance

This case shows the potential for pseudotendon to not only form but have adequate tensile strength to restore function in certain types of flexor tendon injuries.
Literatur
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Zurück zum Zitat Kulick MI, Kilgore ES Jr, Newmeyer WL 3rd. Pseudotendon formation after flexor tendon injury. J Hand Surg Am. 1985;10:638–640.PubMed Kulick MI, Kilgore ES Jr, Newmeyer WL 3rd. Pseudotendon formation after flexor tendon injury. J Hand Surg Am. 1985;10:638–640.PubMed
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Zurück zum Zitat Leddy JP. Flexor tendon-acute injuries. In: Green DP, ed. Operative Hand Surgery. 3rd ed. New York, NY: Churchill Livingstone; 1993:1839–1845. Leddy JP. Flexor tendon-acute injuries. In: Green DP, ed. Operative Hand Surgery. 3rd ed. New York, NY: Churchill Livingstone; 1993:1839–1845.
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Zurück zum Zitat Leddy JP, Packer JW. Avulsion of the profundus tendon insertion in athletes. J Hand Surg Am. 1977;2:66–69.PubMed Leddy JP, Packer JW. Avulsion of the profundus tendon insertion in athletes. J Hand Surg Am. 1977;2:66–69.PubMed
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Zurück zum Zitat Moiemen NS, Elliot D. Primary flexor tendon repair in zone I. J Hand Surg Br. 2000;25:78–84.PubMedCrossRef Moiemen NS, Elliot D. Primary flexor tendon repair in zone I. J Hand Surg Br. 2000;25:78–84.PubMedCrossRef
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Zurück zum Zitat Tuttle HG, Olvey SP, Stern PJ. Tendon avulsion injuries of the distal phalanx. Clin Orthop Relat Res. 2006;445:157–168.PubMed Tuttle HG, Olvey SP, Stern PJ. Tendon avulsion injuries of the distal phalanx. Clin Orthop Relat Res. 2006;445:157–168.PubMed
Metadaten
Titel
Case Report: Pseudotendon Formation after a Type III Flexor Digitorum Profundus Avulsion
Publikationsdatum
01.08.2011
Erschienen in
Clinical Orthopaedics and Related Research® / Ausgabe 8/2011
Print ISSN: 0009-921X
Elektronische ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-011-1906-y

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