Extensor Tendon Rupture Caused by Instability of the Ulnar Head Secondary to Distal Radioulnar Joint Osteoarthritis: Two Case Reports of Vaughan–Jackson Syndrome

Extensor tendon rupture is an uncommon clinical scenario in degenerative osteoarthritis of the distal radioulnar joint (DRUJ). According to previous case reports, the pathomechanism was described to be a result of mechanical friction by the unstable ulnar head. There is still no established consensu...

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Main Authors: Cheng-Chun Chung, Min-Yao Chuang
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-04-01
Series:Formosan Journal of Musculoskeletal Disorders
Subjects:
Online Access:https://journals.lww.com/10.4103/fjmd.FJMD-D-24-00035
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author Cheng-Chun Chung
Min-Yao Chuang
author_facet Cheng-Chun Chung
Min-Yao Chuang
author_sort Cheng-Chun Chung
collection DOAJ
description Extensor tendon rupture is an uncommon clinical scenario in degenerative osteoarthritis of the distal radioulnar joint (DRUJ). According to previous case reports, the pathomechanism was described to be a result of mechanical friction by the unstable ulnar head. There is still no established consensus on the treatment of degenerative DRUJ osteoarthritis in these cases. We reported two cases of extensor tendon rupture without a history of associated trauma, reactive or rheumatoid arthritis. The Sauvé-Kapandji (SK) procedure was performed along with the tendon management for these patients. The satisfactory results showed the SK procedure with tendon reconstruction may be a treatment option for a patient with DRUJ osteoarthritis and associated extensor tendon rupture.
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institution OA Journals
issn 2210-7940
2210-7959
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publishDate 2025-04-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Formosan Journal of Musculoskeletal Disorders
spelling doaj-art-13a77fd9c05a46d79bc209fe9a2d98dc2025-08-20T02:02:10ZengWolters Kluwer Medknow PublicationsFormosan Journal of Musculoskeletal Disorders2210-79402210-79592025-04-01162848910.4103/fjmd.FJMD-D-24-00035Extensor Tendon Rupture Caused by Instability of the Ulnar Head Secondary to Distal Radioulnar Joint Osteoarthritis: Two Case Reports of Vaughan–Jackson SyndromeCheng-Chun ChungMin-Yao ChuangExtensor tendon rupture is an uncommon clinical scenario in degenerative osteoarthritis of the distal radioulnar joint (DRUJ). According to previous case reports, the pathomechanism was described to be a result of mechanical friction by the unstable ulnar head. There is still no established consensus on the treatment of degenerative DRUJ osteoarthritis in these cases. We reported two cases of extensor tendon rupture without a history of associated trauma, reactive or rheumatoid arthritis. The Sauvé-Kapandji (SK) procedure was performed along with the tendon management for these patients. The satisfactory results showed the SK procedure with tendon reconstruction may be a treatment option for a patient with DRUJ osteoarthritis and associated extensor tendon rupture.https://journals.lww.com/10.4103/fjmd.FJMD-D-24-00035case reportdistal radioulnar joint osteoarthritisextensor tendon rupturesauvé-kapandji procedurevaughan–jackson syndrome
spellingShingle Cheng-Chun Chung
Min-Yao Chuang
Extensor Tendon Rupture Caused by Instability of the Ulnar Head Secondary to Distal Radioulnar Joint Osteoarthritis: Two Case Reports of Vaughan–Jackson Syndrome
Formosan Journal of Musculoskeletal Disorders
case report
distal radioulnar joint osteoarthritis
extensor tendon rupture
sauvé-kapandji procedure
vaughan–jackson syndrome
title Extensor Tendon Rupture Caused by Instability of the Ulnar Head Secondary to Distal Radioulnar Joint Osteoarthritis: Two Case Reports of Vaughan–Jackson Syndrome
title_full Extensor Tendon Rupture Caused by Instability of the Ulnar Head Secondary to Distal Radioulnar Joint Osteoarthritis: Two Case Reports of Vaughan–Jackson Syndrome
title_fullStr Extensor Tendon Rupture Caused by Instability of the Ulnar Head Secondary to Distal Radioulnar Joint Osteoarthritis: Two Case Reports of Vaughan–Jackson Syndrome
title_full_unstemmed Extensor Tendon Rupture Caused by Instability of the Ulnar Head Secondary to Distal Radioulnar Joint Osteoarthritis: Two Case Reports of Vaughan–Jackson Syndrome
title_short Extensor Tendon Rupture Caused by Instability of the Ulnar Head Secondary to Distal Radioulnar Joint Osteoarthritis: Two Case Reports of Vaughan–Jackson Syndrome
title_sort extensor tendon rupture caused by instability of the ulnar head secondary to distal radioulnar joint osteoarthritis two case reports of vaughan jackson syndrome
topic case report
distal radioulnar joint osteoarthritis
extensor tendon rupture
sauvé-kapandji procedure
vaughan–jackson syndrome
url https://journals.lww.com/10.4103/fjmd.FJMD-D-24-00035
work_keys_str_mv AT chengchunchung extensortendonrupturecausedbyinstabilityoftheulnarheadsecondarytodistalradioulnarjointosteoarthritistwocasereportsofvaughanjacksonsyndrome
AT minyaochuang extensortendonrupturecausedbyinstabilityoftheulnarheadsecondarytodistalradioulnarjointosteoarthritistwocasereportsofvaughanjacksonsyndrome