Flexor Tendon Ruptures After Distal Scaphoid Excision for Scaphotrapeziotrapezoid Osteoarthritis.
Publication/Presentation Date
9-1-2017
Abstract
BACKGROUND: Distal scaphoid excision is one treatment option for osteoarthritis of the scaphotrapeziotrapezoid (STT) joint following failure of conservative measures. Potential complications of this procedure include injury to the carpal ligaments, cartilage, and radial artery.
METHODS: A single case was identified by the senior author, and the medical record was reviewed for surgical notes, progress notes, and radiographs.
RESULTS: A 68-year-old male sustained ruptures of the flexor digitorum superficialis (FDS) and flexor digitorum profundus to the index finger 3 years following a distal scaphoid excision for symptomatic STT osteoarthritis. He required a flexor tendon reconstruction using the remaining FDS tendon for graft incorporated with a Pulvertaft weave. His midcarpal pain continued after recovery of his index finger function, eventually requiring a 4-corner fusion of the wrist.
CONCLUSIONS: Flexor tendon rupture is a previously unreported complication of distal scaphoid excision for STT arthritis.
Volume
12
Issue
5
First Page
152
Last Page
152
ISSN
1558-9455
Published In/Presented At
Deren, M. E., Mitchell, C. H., & Weiss, A. C. (2017). Flexor Tendon Ruptures After Distal Scaphoid Excision for Scaphotrapeziotrapezoid Osteoarthritis. Hand (New York, N.Y.), 12(5), NP152–NP156. https://doi.org/10.1177/1558944717708028
Disciplines
Diagnosis | Medicine and Health Sciences | Other Analytical, Diagnostic and Therapeutic Techniques and Equipment | Radiology
PubMedID
28511568
Department(s)
Department of Radiology and Diagnostic Medical Imaging
Document Type
Article