Rupture of the Flexor Carpi Radialis Tendon Associated with Scapho-Trapezial Osteoarthritis

Irwin, L. R.; Outhwaite, Julie-Anne; Burge, P. D.

doi:10.1016/0266-7681(92)90126-m

Cited by 22 publications

(22 citation statements)

References 13 publications

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“…The post-injection complication of tendon rupture is rare enough to be limited to case reports [2][3][4]. The etiology of FCR tendon rupture may also include tendon attrition from the scaphoid-trapezium-trapezoid (STT) joint [5]. Rupture of a digital flexor tendon leads to complaints related to loss of tendon function [2,3].…”

Section: Introductionmentioning

confidence: 99%

Pseudotendon Formation Causing Painful Tethering of Ruptured Flexor Carpi Radialis Tendons

Henry

2016

J Hand Microsurg

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Six patients (five male, one female) between 51 and 64 years of age sustained ruptures of the right dominant flexor carpi radialis (FCR) tendon. Prior to rupture, within the past 3 months to 1 year, each had received one or two corticosteroid injections of the FCR tendon sheath for stenosing tenosynovitis. Three of six patients demonstrated radiographic findings but none had clinical symptoms of osteoarthritis at the scaphoid-trapezium-trapezoid joint. The pain and disability declared by these patients appeared out of proportion to the relatively innocuous nature of a ruptured FCR tendon, with an average pre-operative Disabilities of the Arm, Shoulder, and Hand (DASH) score of 32. In all patients there was a palpable, tender mass of retracted, ruptured FCR tendon around 6 cm proximal to the wrist crease as well as a palpable cord of pseudotendon formed within the residual sheath. Pain along the course of the pseudotendon was consistently provoked by wrist extension and gripping. The patients were initially treated non-surgically with stretching, manual therapy, ultrasound, and oral medications for 2-4 months. None obtained sufficient relief, and the patients requested more definitive care. The painful tethering of the ruptured FCR was solved by complete excision of both pseudotendon and the retracted tendon stump, resulting in complete relief of symptoms with an average post-operative DASH score of 3. Pre-operative and post-operative DASH scores were analyzed with the paired Student's t-test, using a p-value of 0.05, and found to have a statistically significant difference.

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Section: Introductionmentioning

confidence: 99%

Pseudotendon Formation Causing Painful Tethering of Ruptured Flexor Carpi Radialis Tendons

Henry

2016

J Hand Microsurg

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“…Nontraumatic tendon or muscle ruptures occur occasionally, but most of them have an underlying pathology such as wrist arthritis or a history of local steroid injection. [1][2][3] Patients with rheumatoid arthritis are at high risk of tendon rupture because of repeated inflammation and steroid consumption. [14][15][16] This patient had no significant risk factors such as local steroid injection in the muscle or other systemic diseases.…”

Section: Discussionmentioning

confidence: 99%

“…Most reported flexor carpi radialis injuries are tendon ruptures associated with radius fracture, wrist arthritis, or a history of local steroid injection. [1][2][3][4] Acute muscle tears occur most commonly near the musculotendinous junction, followed by the epimysium area, and less commonly in the muscle belly. 5,6 We present an unusual case with a nontraumatic tear of the muscle belly of the flexor carpi radialis after regular swimming exercise.…”

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confidence: 99%

Sonographic appearance of nontraumatic tear of flexor carpi radialis muscle—a case report

Hsiao

Wang

2012

J of Clinical Ultrasound

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We present an unusual case of a man with a nontraumatic tear of the flexor carpi radialis muscle after a regular swimming exercise, without known precipitation factors. The muscle tear was diagnosed by ultrasonography, which showed a cystic mass with increased peripheral vascularity, and was confirmed by magnetic resonance imaging. After conservative treatment, follow-up ultrasonography showed resolution of the hematoma. The patient was able to continue swimming without pain or limitation of function.

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“…Examination may reveal a visible tendon defect, tenderness upon palpation and surgical exploration reveal fibrous neotendon or a gap visualised by radiological imaging. 8,9 Polatsch et al and Parellada et al (personal communication) has recently demonstrated tendon rupture on Magnetic Resonance Imaging (MRI). 14,15 The ruptured tendon may be easily visualised with inspection however in larger forearms normal anatomy may not be so clearly defined.…”

Section: Case Reportmentioning

confidence: 94%

“…We found only 15 cases reported in the literature. 1,2,5,7,9,[12][13][14][15][16][17] Isolated cases of FCR rupture are commonly associated with Scapho-Trapezium-Trapezoid (STT) osteoarthritis.…”

Section: Introductionmentioning

confidence: 99%

Flexor carpi radialis rupture reined in!

et al. 2007

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Rupture of the Flexor Carpi Radialis Tendon Associated with Scapho-Trapezial Osteoarthritis

Abstract: A case of rupture of the flexor carpi radialis tendon in association with scapho-trapezial osteoarthritis is reported. The symptoms of pain and swelling contrast with the loss of function which characterizes rupture of other tendons in the hand and wrist.

Cited by 22 publications

References 13 publications

Pseudotendon Formation Causing Painful Tethering of Ruptured Flexor Carpi Radialis Tendons

Pseudotendon Formation Causing Painful Tethering of Ruptured Flexor Carpi Radialis Tendons

Sonographic appearance of nontraumatic tear of flexor carpi radialis muscle—a case report

Flexor carpi radialis rupture reined in!

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