Nontraumatic instability of the middle finger extensor digitorum communis tendon in a child. A case report
The instability of extensor tendons in the hand is mostly an outcome of rheumatoid arthritis, but can also be a manifestation of sagittal band rupture as a result of injury, often during boxing. A 14-year-old patient was admitted to a hand surgery department due to the painful instability of the mid...
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Polish Society of Orthopaedics and Traumatology (PTOiTr)
2024-12-01
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| Series: | Chirurgia Narządów Ruchu i Ortopedia Polska |
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| Online Access: | http://polishorthopaedics.pl/gicid/01.3001.0054.8663 |
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| author | Michał Zakryś Michał Górecki Piotr Czarnecki |
| author_facet | Michał Zakryś Michał Górecki Piotr Czarnecki |
| author_sort | Michał Zakryś |
| collection | DOAJ |
| description | The instability of extensor tendons in the hand is mostly an outcome of rheumatoid arthritis, but can also be a manifestation of sagittal band rupture as a result of injury, often during boxing. A 14-year-old patient was admitted to a hand surgery department due to the painful instability of the middle finger extensor digitorum communis in the right hand. No trauma was reported, and the symptoms appeared about a year earlier with a gradual aggravation. Prior to admission, the patient underwent an unsatisfactory attempt at conservative treatment with an extension splint. A surgical centralisation and stabilisation of the middle finger extensor digitorum communis was implemented according to the Wheeldon technique. The treatment comprised resection anovergrown joint capsule, stabilising the tendon with a flap created from neighbouring juncturae tendinum and subsequent rehabilitation. The procedure resulted in an excellent functional outcome. With a one-year-long follow-up, a return to normal function and sport was achieved, and the patient reports no abnormalities or complaints. |
| format | Article |
| id | doaj-art-66a87bf89fe144aa8babd717cd183b7a |
| institution | OA Journals |
| issn | 0009-479X 2956-4719 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Polish Society of Orthopaedics and Traumatology (PTOiTr) |
| record_format | Article |
| series | Chirurgia Narządów Ruchu i Ortopedia Polska |
| spelling | doaj-art-66a87bf89fe144aa8babd717cd183b7a2025-08-20T02:39:09ZengPolish Society of Orthopaedics and Traumatology (PTOiTr)Chirurgia Narządów Ruchu i Ortopedia Polska0009-479X2956-47192024-12-0189415515810.31139/chnriop.2024.89.4.301.3001.0054.8663Nontraumatic instability of the middle finger extensor digitorum communis tendon in a child. A case reportMichał Zakryś0Michał Górecki1Piotr Czarnecki2Student Research Group at Department of Traumatology, Orthopaedics and Hand Surgery, University of Medical Sciences, Poznań, PolandDepartment of Traumatology, Orthopaedics and Hand Surgery, University of Medical Sciences, Poznań, PolandDepartment of Traumatology, Orthopaedics and Hand Surgery, University of Medical Sciences, Poznań, PolandThe instability of extensor tendons in the hand is mostly an outcome of rheumatoid arthritis, but can also be a manifestation of sagittal band rupture as a result of injury, often during boxing. A 14-year-old patient was admitted to a hand surgery department due to the painful instability of the middle finger extensor digitorum communis in the right hand. No trauma was reported, and the symptoms appeared about a year earlier with a gradual aggravation. Prior to admission, the patient underwent an unsatisfactory attempt at conservative treatment with an extension splint. A surgical centralisation and stabilisation of the middle finger extensor digitorum communis was implemented according to the Wheeldon technique. The treatment comprised resection anovergrown joint capsule, stabilising the tendon with a flap created from neighbouring juncturae tendinum and subsequent rehabilitation. The procedure resulted in an excellent functional outcome. With a one-year-long follow-up, a return to normal function and sport was achieved, and the patient reports no abnormalities or complaints.http://polishorthopaedics.pl/gicid/01.3001.0054.8663extensor tendons of the handextensor tendons instability of the handsagittal band ruptureWheeldon technique |
| spellingShingle | Michał Zakryś Michał Górecki Piotr Czarnecki Nontraumatic instability of the middle finger extensor digitorum communis tendon in a child. A case report Chirurgia Narządów Ruchu i Ortopedia Polska extensor tendons of the hand extensor tendons instability of the hand sagittal band rupture Wheeldon technique |
| title | Nontraumatic instability of the middle finger extensor digitorum communis tendon in a child. A case report |
| title_full | Nontraumatic instability of the middle finger extensor digitorum communis tendon in a child. A case report |
| title_fullStr | Nontraumatic instability of the middle finger extensor digitorum communis tendon in a child. A case report |
| title_full_unstemmed | Nontraumatic instability of the middle finger extensor digitorum communis tendon in a child. A case report |
| title_short | Nontraumatic instability of the middle finger extensor digitorum communis tendon in a child. A case report |
| title_sort | nontraumatic instability of the middle finger extensor digitorum communis tendon in a child a case report |
| topic | extensor tendons of the hand extensor tendons instability of the hand sagittal band rupture Wheeldon technique |
| url | http://polishorthopaedics.pl/gicid/01.3001.0054.8663 |
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