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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2000, Number 2

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An Med Asoc Med Hosp ABC 2000; 45 (2)

Rupture of extensor tendons in fingers in rheumatoid arthritis

Fernández VJM, Procell VCR, Fernández PLJ

Language: Spanish
References: 22
Page: 82-86
PDF size: 389.17 Kb.


ABSTRACT

The tendons and all joints in the hand and wrist are affected in rheumatoid arthritis, compromising the daily activities of patients. The tendons most frequently affected are the extensor digiti minimi, and the extensor digitorum of the fifth ring and middle fingers. The extensor indicis is the less affected. We studied 70 patients with rheumatoid arthritis from 1971 to 1999 at the ABC Hospital; 13 patients had rupture of extensor tendons. In every case the patients were treated surgically with tenosynovectomy, synovectomy and resection of the distal end of the ulna. Eight cases were treated with latero-lateral suture of the proximal and distal ends of the extensor digiti minimi to the extensor digitorum of the ring and, 4 cases with suture of the proximal and distal ends of the extensor of the fifth and ring fingers to the extensor digitorum comunis of the middle finger and reinforced with the extensor indicis proprius, and one case with graft of the palmaris brevis tendon to the extensor digitorum of the middle, ring and fifth digits. All patients had good results.


REFERENCES

  1. Abernethy PJ, Dennyson WG. Decompression of the extensor tendons at the wrist in the rheumatoid arthritis. J Bone Joint Surg 1969; 61B: 64-68.

  2. Backdahl M. The caput ulnae syndrome in rheumatoid arthritis. A study of morphology, abnormal anatomy and clinical picture. Acta Rheumatol Scand 1963; 5 (suppl): 1-75.

  3. Backhouse KM. Rheumatoid tenosynovial involvement in the hand. Hand 1969; 1: 7.

  4. Backhouse KM. Extensor expansion of the rheumatoid hand. Ann Rheum Dis 1972; 31: 112.

  5. Bora FW Jr, Osterman AL, Thomas VJ et al. The treatment of ruptures of multiple extensor tendons at wrist level by a free tendon graft in the rheumatoid patient. J Hand Surg 1987; 12A: 1038-1040.

  6. Brewerton DA. Pathological anatomy of rheumatoid arthritis. Sem Arthritis Rheum 1967; 5: 327-363.

  7. Brown FE, Brown M-L. Long-term results after tenosynovectomy to treat the rheumatoid hand. J Hand Surg 1988; 13A: 704-708.

  8. Darrach W, Dwight K. Derangement of the inferior radioulnar articulation. Proceedings of the New York Academy of Medicine. Med Rec 1915; 87; 708.

  9. Ehrlich GR, Peterson LT, Sokoloff L et al. Pathogenesis of rupture of extensor tendons at the wrist in rheumatoid arthritis. Arthritis Rheum 1959; 2: 332-346.

  10. Flatt A. The care of the arthritic hand. 5th ed. San Louis, MI: Quality Medical Publishing, 1997: 218-267.

  11. Mannerfelt L. Surgical treatment of the rheumatoid wrist and aspects of the natural course when untreated. Clin Rheum Dis 1984; 10: 549-570.

  12. Millender LH, Nalebuff EA, Holdsworth DE. Posterior interosseous nerve syndrome secondary to rheumatoid synovitis. J Bone Joint Surg 1973; 55A: 753-757.

  13. Moore JR, Weiland AJ, Valdata L. Tendon ruptures in the rheumatoid hand: Analysis of treatment and functional results in 60 patients. J Hand Surg 1987; 12A: 9-14.

  14. Mountney J, Blundell CM, McArthur P, Stanley D. Free tendon interposition grafting for the repair of ruptured extensor tendons in the rheumatoid hand. J Hand Surg 23 (5): 665-669.

  15. Neurath MF, Stofft E. Ultrastructural causes of rupture of hand tendons in patients with rheumatoid arthritis. A transmission and scanning electron microscopic study. Scand J Plast Reconstr Surg Hand Surg 1993; 27: 59-65.

  16. Potter TA, Kuhns JG. Rheumatoid tenosynovitis. Diagnosis and treatment. J Bone Joint Surg 1958; 40A: 1230-1235.

  17. Smith-Peterson MN, Aufranc OE, Larson CB. Useful surgical procedures for rheumatoid arthritis involving joints of the upper extremity. Arch Surg 1943; 46: 764-770.

  18. Straub LR, Wilson EH. Spontaneous rupture of extensor tendons in the hand associated with rheumatoid arthritis. J Bone Joint Surg 1956; 38A: 1208-1217.

  19. Swanson AB. The ulnar head syndrome and its treatment by implant resection arthroplasty. J Bone Joint Surg 1972; 54A: 906.

  20. Vaughan-Jackson OJ. Attrition ruptures of tendons in the rheumatoid hand. J Bone Joint Surg 1958; 40A: 1431.

  21. Vaughan-Jackson OJ. Rupture of extensor tendons by attrition at the inferior radioulnar joint. Report of two cases. J Bone Joint Surg 1948; 30B: 528-530.

  22. Vesely DG: The distal radio-ulnar joint. Clin Orthop 1967; 51: 75-91.




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