Wrist drop in progressive systemic sclerosis (scleroderma): complete rupture of the extensor tendon mechanism

Rosenbaum, Lewis; Swartz, William M.; Rodnan, Gerald P.; Medsger, Thomas A.

doi:10.1002/art.1780280522

Cited by 13 publications

(4 citation statements)

References 7 publications

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“…We noticed rupture of both hand extensor tendons of the fourth and fifth fingers in this patient. Similarly, tendon rupture was reported in the fourth and fifth fingers in previous case reports [ 10 , 11 ]. Here, we supposed that extensor tendon rupture mostly appeared in the fourth and fifth fingers because of the local anatomical structure.…”

Section: Discussionsupporting

confidence: 73%

Spontaneous tendon rupture in a patient with systemic sclerosis: a case report

Liu

Shen

Jiang

et al. 2022

BMC Musculoskelet Disord

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Background Systemic sclerosis (SSc) is an incurable autoimmune disease characterized by progressive skin fibrosis and organ failure. Tenosynovitis is a common musculoskeletal manifestation, but tendon rupture has seldom reported in SSc. Case presentation We present a rare case of a 49-year-old female with SSc who has suffered from bilateral tendon rupture of the fourth and fifth digits with positive antinuclear antibody (ANA) and anti-centromere B antibody, but negative rheumatoid factor in serum. In the extensor tendons of the patient’s hands, inflammation, edema, hypertrophy and tendon interruption were detected with ultrasound and magnetic resonance imaging(MRI). Tendon transfer repair surgery was performed and 10 mg/week methotrexate was then used in this patient. Her hand function was improved well with methotrexate and rehabilitation treatment postoperatively. Conclusions Early detection of tenosynovitis is necessary to prevent tendon rupture in SSc patients. Ultrasound and Magnetic Resonance Imaging appear to be useful examinations for evaluating tendon pathology for early detection.

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Section: Discussionsupporting

confidence: 73%

Spontaneous tendon rupture in a patient with systemic sclerosis: a case report

Liu

Shen

Jiang

et al. 2022

BMC Musculoskelet Disord

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“…Au poignet, les indications sont rares : une arthroplastie modelante de la radio-ulnaire distale pour une raideur en supination [59], l'ablation de calcinose entraînant une compression du nerf ulnaire dans la loge de Guyon [64,65] ou au canal carpien [59], le traitement chirurgical de maladie de Kienbö ck [66] ou de pseudarthroses de fracture du radius [67] sont surtout des situations ''anecdotiques''. Il en est de mê me de la chute en flexion du poignet lié e à une rupture des extenseurs [68]. …”

Section: Chirurgie Des Articulationsunclassified

Prise en charge des ulcères digitaux de la sclérodermie systémique

et al. 2008

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“…Scleroderma may rarely produce tenosynovitis and tendon rupture. 23 Systemic lupus erythematosus may be responsible for tendon rupture. 23 Amyloid deposition may be found in wrist tendons and may be responsible for carpal tunnel syndrome.…”

Section: Inflammatory and Metabolic Diseasesmentioning

confidence: 99%

“…23 Systemic lupus erythematosus may be responsible for tendon rupture. 23 Amyloid deposition may be found in wrist tendons and may be responsible for carpal tunnel syndrome. 24 Diabetes and gout may be associated with flexor tenosynovitis.…”

Section: Inflammatory and Metabolic Diseasesmentioning

confidence: 99%

Sonography in wrist tendon pathology

Daenen

Houben

et al. 2004

J of Clinical Ultrasound

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Wrist tendons may be affected by a variety of pathologic conditions, including those caused by trauma and overuse, inflammatory and metabolic disorders, or infection. Sonography is a very sensitive means of detecting tendinous pathology because of its spatial resolution and its comparative and dynamic capabilities. Its wide availability makes it the preferred first-line imaging modality in the case of wrist pain. This article reviews the pathologic conditions that may involve the wrist and their sonographic appearances.

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Wrist drop in progressive systemic sclerosis (scleroderma): complete rupture of the extensor tendon mechanism

Cited by 13 publications

References 7 publications

Spontaneous tendon rupture in a patient with systemic sclerosis: a case report

Spontaneous tendon rupture in a patient with systemic sclerosis: a case report

Prise en charge des ulcères digitaux de la sclérodermie systémique

Sonography in wrist tendon pathology

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