Contracture of Fingers Due to Fixation of the Flexor Profundus Digitorum to the Ulna

Jeffery, Chris

doi:10.1016/0072-968x(76)90056-5

Cited by 12 publications

(24 citation statements)

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“…The origin of the ringer finger FDP fibres are almost exclusively from the volar aspect of the ulnar, whereas the origin of the fibres going to the index and middle fingers is the interosseous membrane [7]. The fibres to the little finger do arise from the ulna but from the medial side with a fibrous attachment that is more linear, whereas the ring finger origin is over a wide surface area [7].…”

Section: Discussionmentioning

confidence: 99%

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Flexor digitorum profundus entrapment in paediatric forearm fractures

Brogan

Nicol

2014

Journal of Surgical Case Reports

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Entrapment of the flexor digitorum profundus (FDP) is a recognized complication of paediatric both-bone forearm fractures. Although a rare complication, it is usually missed at the time of initial fracture management resulting in the need for corrective surgery. An attempted closed manipulation followed by immediate surgical correction of FDP entrapment in our hospital prompted a review of the evidence on this underreported problem. A comprehensive English language literature search was performed using Embase, Medline and Pubmed. Twenty cases have been reported in the literature and all were diagnosed post-operatively (range 2 days–16 years). Eighteen cases (90%) required surgical correction. Five cases (25%) were initially diagnosed as mild Volkmann's contracture yet at surgery no case was found to have evidence of previous muscle ischaemia. Although subclinical or mild Volkmann's ischaemic contracture is a recognized complication of closed forearm fracture, this report highlights the importance of considering a diagnosis of muscle entrapment in cases of flexion contracture.

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Section: Discussionmentioning

confidence: 99%

“…The fibres to the little finger do arise from the ulna but from the medial side with a fibrous attachment that is more linear, whereas the ring finger origin is over a wide surface area [7]. …”

Section: Discussionmentioning

confidence: 99%

Flexor digitorum profundus entrapment in paediatric forearm fractures

Brogan

Nicol

2014

Journal of Surgical Case Reports

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“…Two mechanisms for entrapment of flexor tendons have been proposed [2,5]. The first is for acute entrapment, usually involving the FDP tendon, occurring at the fracture site or tethering of the tendon on a bone spike.…”

Section: Case Reportmentioning

confidence: 99%

“…c The patient was unable to extend actively or passively the proximal interphalangeal joint of the index finger with wrist in neutral The level of the both-bone forearm fracture may determine the tendon involved. The ring finger FDP tendon appears to be entrapped near its origin by a mid-shaft ulna fracture [2,3,5,9]. Akita and Kawai [1] reported a middle finger FDS tendon entrapment in a patient with a distal onethird both-bone forearm with complete dorsal displacement.…”

Section: Case Reportmentioning

confidence: 99%

Late Presentation of Isolated Digital Contracture following Forearm Fracture

Gottschalk

Szczesniak

Bindra

2012

Hand (New York, N,Y.)

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“…Surgeons therefore rarely consider or discuss this complication with patients. Jeffrey et al [3] first described flexor tendon entrapment in a midshaft radius and ulna (MRU) paediatric forearm fracture, and a further 19 cases have been reported since then ( Table 1). The condition primarily occurs in children and adolescents [4] and is treatable.…”

Section: Introductionmentioning

confidence: 99%

Tenodesis Effect Mimicked by Flexor Tendon Entrapment in a Paediatric Midshaft Forearm Fracture: a Case Report and Review of the Literature

Page

Yacomel

Ting

et al. 2020

SN Compr. Clin. Med.

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Entrapment of the flexor digitorum profundus (FDP) tendon following radius and ulna midshaft paediatric forearm fractures has been reported rarely in the literature. To date, 19 cases have been described. A characteristic fracture pattern, persistent cortical defect at the fracture site and flexion contracture not responsive to hand therapy are all hallmarks of the condition. We present a case along with a review of the literature. A 12-year-old boy underwent exploration of a primary right open radius and ulna fracture site 22 months following initial open reduction and titanium elastic nail system (TENS) fixation. The little finger FDP tendon was found interposed between the ulna bone with a significant defect in the cortical surface of the ulna, correlating with a lucency identified on plain radiograph preoperatively. Removal of all interposed tissue, debridement of the bone edges and Pulvertaft tendon weave of the FDP of the little finger to the ring finger were performed. The patient recovered full upper limb function. Clinicians should be vigilant to identify this complication when managing patients with forearm fractures. A thorough clinical examination pre-and post-open or closed forearm fracture reduction should be performed to ensure early recognition of this rare complication. If the tenodesis effect and post-operative adhesions cannot be adequately released by therapy, interposition of the tendon at the fracture site should be considered as a differential diagnosis. If the complication is suspected, early operative intervention should be performed to ensure optimal fracture healing and restoration of function.

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Contracture of Fingers Due to Fixation of the Flexor Profundus Digitorum to the Ulna

Abstract: Two cases are reported where limitation of extension of one or more fingers resulted from fixation of the flexor profundus digitorum to the ring finger at the site of a fracture of the ulna.

Cited by 12 publications

References 0 publications

Flexor digitorum profundus entrapment in paediatric forearm fractures

Flexor digitorum profundus entrapment in paediatric forearm fractures

Late Presentation of Isolated Digital Contracture following Forearm Fracture

Tenodesis Effect Mimicked by Flexor Tendon Entrapment in a Paediatric Midshaft Forearm Fracture: a Case Report and Review of the Literature

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