Spontaneous Flexor Tendon Ruptures of the Hand: Case Series and Review of the Literature

Spontaneous rupture of the flexor superficialis tendon of ring finger: a case report and review of literature

“…Recently, a specific review [5] on spontaneous rupture explained that, during a period of 50 years , only 50 cases on non-pathological hand flexor closed rupture were published; 6 cases of FDS rupture are reported, but no one was isolated (always associated with a FDP rupture).…”

Spontaneous rupture of the flexor digitorum superficialis tendon of the index and middle fingers: “The pen sign”

“…Most of the cases involved men between 30 and 60 years old performing repetitive work sometimes associated with trauma [1,14]. Rupture was located in the midpalmar region in the lumbrical or immediately distal to its distal insertion.…”

Closed Rupture of Both Flexor Digitorum Profundus and Superficialis Tendons of the Small Finger in Zone II: Case Report

“…We made a provisional diagnosis of FDS and FDP ruptures at the level of zone III due to the high frequency of spontaneous flexor tendon ruptures at that site. 10 The patient was scheduled for tendon grafting or tendon transfer.…”

“…8 Because normal tendon has strong collagen fiber crosslinks, the insertion, the musculotendinous junction, the muscle substance, or even the muscle origin will almost invariably give way before the tendon itself ruptures. 9 According to a review article by Bois et al, 10 80% of spontaneous flexor tendon ruptures occurred in zone III. In our literature review, only 3 cases of closed tendon substance ruptures of both flexor tendons in zone II were reported.…”