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MR Vol.14 No.3 indexに戻る
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MODERN RHEUMATOLOGY
Vol.14 No.3 |
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Spontaneous spaghetti flexor tendon ruptures
in the rheumatoid wrist |
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| Hiroyuki Hashizume1 , Keiichiro Nishida1, Kazuo
Fujiwara1 and Hajime Inoue1 |
| (1) Department of Orthopaedic Surgery, Science
of Functional Recovery and Reconstruction, Okayama University Graduate
School of Medicine and Dentistry, 2-5-1 Shikata-cho, Okayama, 700-8558,
Japan |
Received: 11 September 2003
Accepted: 04 March 2004 |
| Abstract |
A 54-year-old woman who had been treated for
rheumatoid arthritis for 12 years developed spontaneous multiple
flexor tendon ruptures during a 5-month period. Radiography revealed
volar subluxation of the lunate bone. Surgery was performed 5 months
after the first onset of tendon rupture. All eight flexors, except
the flexor pollicis longus tendons, had ruptured, and the damage
resembled spaghetti. Four flexor digitorum profundus tendons were
reconstructed by bridge graft using their respective sublimis tendons.
Wrist joint fusion and tenolysis were performed 3 months after the
first operation. Each finger achieved a good range of motion 2 years
and 6 months after the second operation.
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| Key words |
| Multiple flexor tendon rupture - Rheumatoid
arthritis (RA) - Surgical outcome - Wrist |
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