Surgical Treatment of Chronic Traumatic Rupture of the Flexor Digitorum Profundus Tendon in a 9-Years-Old Female: A Case Report
a case report
Abstract
Background: Flexor tendon rupture is a common traumatic event that is treated with surgery. Delay in reconstruction can reduce the chances of successful treatment even the surgeon is forced to choose fuse surgery.
Case Report: The study case was a 9-year-old girl who presented after months of traumatic injury with severe deformity of index finger and shortened flexor digitorum profundus (FDP). Although there was no suitable tendon, a plantaris tendon graft was prepared from her left leg. After one year, the range of motion (ROM) in the left hand was normal beyond expectation.
Conclusion: Single-stage tendon graft repair surgery even in chronic cases with shortened tendon and severe deformity is a good method which is recommended for similar patients, especially in children.
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10. Srikanth R, Rayidi KR, Kakumanu S. Brachioradialis to flexor digitorum profundus tendon transfer to restore finger flexion Indian J Plast Surg. 2018;51(2):123-30. doi: 10.4103/ijps.IJPS_7_18. [PubMed: 30505081]. [PubMed Central: PMC6219348].
11. Bommier A, McGuire D, Boyer P, Rafee A, Razali S, Oberlin C. Results of heterodigital flexor digitorum profundus hemi-tendon transfer for 23 flexor tendon injuries in zones 1 or 2. J Hand Surg Eur Vol. 2018;43(5):487-93. doi: 10.1177/1753193417737920. [PubMed: 29065767].
2. de Jong JP, Nguyen JT, Sonnema AJ, Nguyen EC, Amadio PC, Moran SL. The incidence of acute traumatic tendon injuries in the hand and wrist: A 10-year population-based study. Clin Orthop Surg. 2014;6(2):196-202. doi: 10.4055/cios.2014.6.2.196. [PubMed: 24900902]. [PubMed Central: PMC4040381].
3. Tang JB. Tendon injuries across the world: treatment. Injury. 2006;37(11):1036-42. doi: 10.1016/j.injury.2006.07.027. [PubMed: 17045267].
4. Leddy JP. Avulsions of the flexor digitorum profundus. Hand Clin. 1985;1(1):77-83. [PubMed: 4093464].
5. Lung BE, Burns B. Anatomy, shoulder and upper limb, hand flexor digitorum profundus muscle. In: StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing; 2021. [PubMed: 30252302].
6. Sabapathy SR, Gowda DK, Ranade AB, Venkatramani H, Sebastin SJ. Functional outcome of extensor carpi radialis longus transfer for finger flexion in posttraumatic flexor muscle loss. J Hand Surg Am. 2005;30(2):267-72. doi: 10.1016/j.jhsa.2004.11.017. [PubMed: 15781348].
7. Oberlin C, Durand S, Fox M, Belkheyar Z. Transfer of the recovered biceps to the long flexors of the digits to restore grip function following complete traumatic brachial plexus palsy. Chir Main. 2010;29(3):167-71. doi: 10.1016/j.main.2010.03.010. [PubMed: 20556886].
8. Bertelli JA, Ghizoni MF. Brachialis muscle transfer to reconstruct finger flexion or wrist extension in brachial plexus palsy. J Hand Surg Am. 2006;31(2):190-6. doi: 10.1016/j.jhsa.2005.09.020. [PubMed: 16473677].
9. Naohito H, Masato A, Rui A, Daisuke H, Yusuke Y, Koichi I. Closed rupture of both flexor digitorum profundus and superficialis tendons of the small finger in zone II: Case report. J Hand Surg Am. 2011;36(1):121-4. doi: 10.1016/j.jhsa.2010.09.024. [PubMed: 21146330].
10. Srikanth R, Rayidi KR, Kakumanu S. Brachioradialis to flexor digitorum profundus tendon transfer to restore finger flexion Indian J Plast Surg. 2018;51(2):123-30. doi: 10.4103/ijps.IJPS_7_18. [PubMed: 30505081]. [PubMed Central: PMC6219348].
11. Bommier A, McGuire D, Boyer P, Rafee A, Razali S, Oberlin C. Results of heterodigital flexor digitorum profundus hemi-tendon transfer for 23 flexor tendon injuries in zones 1 or 2. J Hand Surg Eur Vol. 2018;43(5):487-93. doi: 10.1177/1753193417737920. [PubMed: 29065767].
| Files | ||
| Issue | Vol 8, No 2 (2022) | |
| Section | Case Report | |
| DOI | https://doi.org/10.18502/jost.v8i2.9315 | |
| Keywords | ||
| Tendon Injuries Tendon Transfer Muscles Hand Deformities Accidental Falls | ||
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How to Cite
1.
Kargar M, Sadeghi A, Montazeri SMH. Surgical Treatment of Chronic Traumatic Rupture of the Flexor Digitorum Profundus Tendon in a 9-Years-Old Female: A Case Report. J Orthop Spine Trauma. 2022;8(2):66-8.
