Extensor Digiti Minimi Damage due to Longstanding Kienböck’s Disease

Pacha-Vicente, Daniel; Sevilla-Tirado, J; López-Martínez, Rosa; Lluch-Bergadà, Alex; Mir-Bulló, Xavier; Llusá-Pérez, Manuel

doi:10.1016/j.jhsb.2006.11.012

Cited by 10 publications

(15 citation statements)

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“…[13] reported extensor tendon rupture and Pacha-Vicente et al . [14] reported attrition of EDM muscle following long-standing Kienböck's disease, but none of these authors reported these as the presenting complaints.…”

Section: Discussionmentioning

confidence: 99%

Vaughan-Jackson-like syndrome as an unusual presentation of Kienböck's disease: a case report

Mazhar

Rambani

2011

J Med Case Reports

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IntroductionKienböck's disease is a condition of osteonecrosis of the lunate bone in the hand, and most patients present with a painful and sometimes swollen wrist with a limited range of motion in the affected wrist. Vaughan-Jackson syndrome is characterized by the disruption of the digital extensor tendons, beginning on the ulnar side with the extensor digiti minimi and extensor digitorum communis tendon of the small finger. It is most commonly associated with rheumatoid arthritis. We describe a case of a patient with an unusual presentation of Kienböck's disease with symptoms similar to those of Vaughan-Jackson syndrome.Case presentationA 40-year-old man of Indian ethnic origin with no known history of trauma presented to our clinic with a ten-day history of an inability to extend his right little and ring fingers with associated pain in his right wrist. He was being treated with long-term steroids but had no other significant medical history. His examination revealed an inability to extend the metacarpal and phalangeal joints of the right ring and little fingers with localized tenderness over the lunate bone. Spontaneous disruption of the extensor tendons was diagnosed clinically and, after radiological investigation, was confirmed to be secondary to dorsal extrusion of the fragmented lunate bone. The patient underwent surgical repair of the tendons and had a full recovery afterward.ConclusionKienböck's disease, though rare, is an important cause of spontaneous extensor tendon rupture. The original description of Vaughan-Jackson syndrome was of rupture of the extensor tendons of the little and ring fingers caused by attrition at an arthritic inferior radioulnar joint. We describe a case of a patient with Kienböck's disease that first appeared to be a Vaughan-Jackson-like syndrome.

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Section: Discussionmentioning

confidence: 99%

Vaughan-Jackson-like syndrome as an unusual presentation of Kienböck's disease: a case report

Mazhar

Rambani

2011

J Med Case Reports

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“…[1,2,3,4,5,6,7] On the other hand, although closed tendon ruptures of fingers are a well-known complication due to in advanced Kienböck disease, only 23 cases (extensor 18, flexor 5 cases) have been reported in the English literature. [8,9,10,11,12,13,14,15,16,17,18,19,20] In previous reports, all the closed tendon ruptures were caused by the protrusion of fragments of the lunate bone or a mass of ectopic bone, suggesting the closed tendon ruptures are attritional ruptures in advanced Kienböck disease. We present a rare occurrence of attritional extensor tendon rupture of the right fourth finger in a 69-year-old woman with Kienböck disease and review reports of similar cases.…”

Section: Introductionmentioning

confidence: 98%

Closed rupture of extensor tendon resulting from untreated Kienböck disease

2019

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“…Mean age 73 years (66-81). Mean follow-up five years (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12). In 7 cases multiple tendon involvement, mainly those responsible for the middle, ring and little fingers were seen.…”

Section: Introductionmentioning

confidence: 99%

“…La rotura de los tendones extensores de la mano a nivel de la articulación radio-cubital distal es un problema relativamente frecuente en pacientes con artritis reumatoide 1 . Sin embargo, es menos frecuente en alteraciones locales de la articulación, como las secundarias a artrosis 2 , secuelas de fractura, deformidad congénita 3 o enfermedad de Kienböck 4,5 .…”

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“…Unión (sutura tipo pulvertaft) extensor común 3.º dedo con extensor común 2.º dedo Unión (sutura tipo pulvertaft) extensores 5.º dedo y extensor común 4.º y parcial 3.º a flexor superficial 4.º dedo transpuesto Rotura con afectación tendinosa del 3. er , el 4.• y el 5.• dedos correspondiente al caso número 6. mediante resección cubital distal presentaban inestabilidad del muñón distal. No existió ningún caso de reintervención por nueva rotura al final del periodo de estudio, con 5 años de seguimiento medio(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12).…”

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Rotura espontánea del aparato extensor secundaria a artrosis de la articulación radiocubital distal

Sánchez

Moli

Celma

2015

Rev Iberoam Cir Mano

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Objetivo: Presentar los resultados funcionales de pacientes no reumáticos, intervenidos por roturas del aparato extensor con artrosis de la articulación radiocubital distal. Valorar la influencia de la varianza y la luxación dorsal del cúbito en estos pacientes.Material y método: Estudio retrospectivo de los casos de rotura atraumática del aparato extensor a nivel de la articulación radio-cubital distal intervenidos en el periodo 2002-2012. Se recogen variables sociodemográficas, estudio radiológico centrado en análisis de factores desencadenantes: artropatía, morfología de la articulación, presencia de subluxación de la cabeza cubital y varianza cubital. Se descarta la enfermedad reumática mediante estudio analítico. Se detalla la técnica quirúrgica realizada según la presencia de factores desencadenantes y el número de tendones afectos. Se valora el resultado funcional por medio de la escala TAM, Quick-DASH y el dolor según la escala EVA.Resultados: Se identifican 8 casos de rotura espontánea del aparato extensor por artrosis en la articulación radio-cubital distal. Media de edad 73 años (66-81). Seguimiento medio 5 años (212). En 7 casos se observa afectación tendinosa múltiple, principalmente los encargados de los dedos medio, anular y meñique. En el estudio radiológico destaca la presencia de una varianza cubital minus en 3 casos. Resultado funcional según escala TAM: bueno en 5 casos y regular en 3 casos. EVA media de 2. Quick-DASH 21.7.Conclusiones: Los pacientes presentan a medio-largo plazo un resultado funcional aceptable utilizando la escala TAM y el cuestionario Quick-DASH, con un dolor residual leve según la escala EVA. Todos los pacientes mantienen o mejoran su TAM comparados con su exploración preoperatoria, obteniendo un resultado bueno en el 62.5% de los casos. No es necesaria la presencia de una varianza plus o subluxación de la cabeza para desencadenar la rotura puesto que se observan 3 casos con varianza minus y sin subluxación.

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Extensor Digiti Minimi Damage due to Longstanding Kienböck’s Disease

Cited by 10 publications

References 4 publications

Vaughan-Jackson-like syndrome as an unusual presentation of Kienböck's disease: a case report

Vaughan-Jackson-like syndrome as an unusual presentation of Kienböck's disease: a case report

Closed rupture of extensor tendon resulting from untreated Kienböck disease

Rotura espontánea del aparato extensor secundaria a artrosis de la articulación radiocubital distal

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