Extensor Tendon Rupture Due to Osteoarthritis of the Distal Radio-Ulnar Joint

Ohshio, Itaru; Ogino, Toshihiko; Minami, Akio; Kato, Hiroyuki; Miyake, Akiko

doi:10.1016/0266-7681(91)90026-k

Cited by 23 publications

(29 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The JT are also useful surgically for the proper identification of the tendons of the hand and have been used in the repair of the dorsal aponeurosis (Bora et al, 1987;Ohshio et al, 1991;Tada et al, 1991;Carr and Burge, 1992;Jebson and Blair, 1992;Zilber and Oberlin, 2004;Tanaka et al 2006). The interaction between the adjacent fingers was larger on the ulnar side of the hand than the radial side, and this was found to be associated with the type and direction of the JT connection, which was shown to be thicker on the ulnar side.…”

Section: Juncturaementioning

confidence: 91%

“…On the other hand, spontaneous rupture of the extensor tendon as EDM is common, especially in patients with rhematoid arthritis, distal radioulnar joint osteoarthritis, ulnar plus variance, and ulnar head dislocation (Bora et al, 1987;Ohshio et al, 1991;Tada et al, 1991;Carr and Burge, 1992;Jebson and Blair, 1992;Gelb, 1995;Zilber and Oberlin, 2004;Tanaka et al, 2006). Protecting the hand dynamics in human, who particularly uses his hand a lot, is only possible with successful reconstruction (Vermeylen and Monballiu, 1991;Robinson et al, 1992).…”

Section: Introductionmentioning

confidence: 96%

See 1 more Smart Citation

The anatomical variations of the extensor tendons to the dorsum of the hand

et al. 2008

View full text Add to dashboard Cite

To lead a quality life, tendon repair must be performed in a trauma causing damage to the extensor tendon of the hand. The aim of this study is to study the structures that can be used as donor tendons. Fifty-four dissected adult hands were examined to study the pattern of the extensor tendons on the dorsum of the hand. The most common distribution patterns of the extensor tendons of the fingers were as follows: a single extensor indicis proprius (EIP) tendon which inserted ulnar to the extensor digitorum (ED)-index; a single ED-index; a single ED-middle; a single ED-ring; an absent ED-little; a double extensor digiti minimi (EDM), and a single ED-ring to the little finger. The frequency of the number of tendons is as follows: a single (87.03%) EIP, a single ED-index (100%), a single (92.6%) ED-middle, a single (75.9%) ED-ring, and an absent (68.5%) or a single (24.1%) ED-little. A double (88.9%) EDM tendons were seen. The thickest type of juncturae tendinum (JT) is found primarily between the ring and little fingers (90%). Suitable excessive tendon and the thickest JT as donor tendon were found in the fourth intermetacarpal space. The present findings, especially the fourth intermetacarpal space, may explain why incisions on the dorsum of the hand should be large and performed with particular care. It is necessary to have a thorough understanding of the arrangements of the multiple extensor muscles and their junctural connections of the hand when tenoplasty or tendon transfer is required.

show abstract

Section: Juncturaementioning

confidence: 91%

Section: Introductionmentioning

confidence: 96%

The anatomical variations of the extensor tendons to the dorsum of the hand

et al. 2008

View full text Add to dashboard Cite

show abstract

“…Ohshio [3] and colleagues have reported five cases of attritional rupture of the extensor tendon due to osteoarthritis of the DRUJ. Carr and Burge [4] described the importance of dislocation of ulnar head as a result of perforation of dorsal capsule.…”

Section: Resultsmentioning

confidence: 99%

“…Extensor tendon rupture in association with osteoarthritis of the distal radioulnar joint (DRUJ) is a very rare entity and sporadically reported [1][2][3][4] although spontaneous extensor tendon rupture is known to occur in patients with rheumatoid arthritis [1,2]. It is generally due to dorsal dislocation of ulnar head caused by rupture of dorsal capsule of DRUJ [3][4][5] resulting in attrition of extensor tendon on pronation and supination movement.…”

Section: Introductionmentioning

confidence: 99%

“…It is generally due to dorsal dislocation of ulnar head caused by rupture of dorsal capsule of DRUJ [3][4][5] resulting in attrition of extensor tendon on pronation and supination movement. We present a case of extensor tendon rupture in a patient with osteoarthritis of distal radioulnar joint with the intention to discuss the mechanism and risk factors of this rare entity.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Extensor Tendon Rupture in Non-Traumatic Osteoarthritis of Distal Radioulnar Joint: Vaughan-Jackson Syndrome – A Rare Case Report from Indian Subcontinent

Lalch¹

2017

Med Case Rep

View full text Add to dashboard Cite

Osteoarthritis of distal radioulnar joint with rupture of extensor tendon of hand is a rare problem seen in elderly. It was first reported by Vaughen and Jackson in 1948 and the syndrome is named after them. The rupture results from attrition of dorsally dislocated ulnar head during pronation and supination movements. This dislocation of ulnar head is due to dehiscence of dorsal capsule of the distal radioulnar joint. "Scallop sign"1 is a radiological sign which are seen in this condition and signifies impending rupture of extensor tendon. Tendon transfer with excision of ulnar head is a viable option. We present a case of attritional rupture of extensor tendon of 4th and 5th fingers in a patient with non-traumatic osteoarthritis of distal radioulnar joint (DRUJ) in an elderly female. To the best of our knowledge no case of attritional rupture of extensor tendon of hand with osteoarthritis of distal radioulnar joint has been reported from Indian subcontinent.

show abstract

The prevalence of the extensor digitorum communis tendon and its insertion variants: A systematic review and meta‐analysis

Yammine

2014

Clinical Anatomy

View full text Add to dashboard Cite

The tendons of the Extensor Digitorum Communis (EDC) are frequently injured in hand trauma. Dislocation and spontaneous rupture can also occur during the course of wrist osteoarthritis and rheumatoid arthritis. The EDC exhibits many variations including splitting of its individual slips to the medial four fingers or their absence. The aim of this systematic review is to assemble evidence about the prevalence of the EDC and its variants on the dorsum of the hand. Twenty-four cadaveric studies met the inclusion criteria, providing data from a total of 2,005 hands. Meta-analysis yielded the following results: (a) for EDC-II (Index), the pooled prevalence estimates (PPEs) were 99.8, 98, 1.8, and 0.2% for the total, single, double, and triple slips, respectively; (b) for EDC-III (Middle), the PPEs were 100, 67.7, 24.2, 6, and 0.42% for the total, single, double, triple, and quadruple slips, respectively; (c) for EDC-IV (Ring), the PPEs were 100, 58.6, 29.1, 7.1, and 1.3% for the total, single, double, triple, and quadruple slips, respectively; (d) for EDC-V (Little), the PPEs were 63.2, 58.5, 10.4, 0.94, and 25% for the total, single, double, triple, and common 4th-5th slips, respectively. There were no significant differences in relation to hand side. Many EDC slip variants demonstrated some interaction with ancestry. A sound knowledge of EDC variants and their prevalences is paramount for assessing and treating hand injuries and disorders.

show abstract

Extensor Tendon Rupture Due to Osteoarthritis of the Distal Radio-Ulnar Joint

Cited by 23 publications

References 2 publications

The anatomical variations of the extensor tendons to the dorsum of the hand

The anatomical variations of the extensor tendons to the dorsum of the hand

Extensor Tendon Rupture in Non-Traumatic Osteoarthritis of Distal Radioulnar Joint: Vaughan-Jackson Syndrome – A Rare Case Report from Indian Subcontinent

The prevalence of the extensor digitorum communis tendon and its insertion variants: A systematic review and meta‐analysis

Contact Info

Product

Resources

About