A Rare Complication after Arthroscopic Partial Trapeziectomy and Pinning: Rupture of the Flexor Digitorum Profundus of the Index Finger

Jr-Kai Chen, Chung-Liang Li, G. Lin, Yin-Chih Fu, Carl C. Chen, Cheng-Chang Lu
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Abstract

The thumb carpometacarpal (CMC) joint is the most common site for osteoarthritis of the wrist due to its unique biomechanical anatomy. Many motion-preserving surgical treatments have been proposed. Arthroscopic-assisted motionpreserving surgical technique is popular because it produces a small wound and results in a shorter recovery time than other procedures. Migration of implants, instability, dorsal displacement of the CMC joint, radial nerve neuritis and persistent pain are common complications of this kind of surgery, but tendon rupture is rare. We present the case of a 55-year-old male with flexor digitorum profundus rupture of the index finger after arthroscopic partial trapeziectomy and pinning for CMC joint arthritis.
关节镜下部分梯形切除术及钉钉后罕见的并发症:食指指深屈肌断裂
由于其独特的生物力学解剖结构,拇指腕掌关节(CMC)是腕骨关节炎最常见的部位。许多保留运动的手术治疗已被提出。关节镜辅助运动保持手术技术很受欢迎,因为它产生的伤口小,恢复时间比其他手术短。植入物移位、不稳定、CMC关节背侧移位、桡神经炎和持续疼痛是此类手术的常见并发症,但肌腱断裂很少见。我们报告一例55岁男性,在关节镜下部分梯形切除术和钉钉治疗CMC关节关节炎后,食指指深屈肌破裂。
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