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Spontaneous Midsubstance Rupture of the Flexor Digitorum Profundus Tendon of the Long Finger
Journal article   Open access   Peer reviewed

Spontaneous Midsubstance Rupture of the Flexor Digitorum Profundus Tendon of the Long Finger

Rehan Zahid, Uzair Qazi and Scott Farner
Journal of hand surgery global online, Vol.4(5), pp.306-310
09/01/2022
DOI: 10.1016/j.jhsg.2021.12.007
PMCID: PMC9492793
PMID: 36157300
url
https://doi.org/10.1016/j.jhsg.2021.12.007View
Published (Version of record) Open Access

Abstract

Closed flexor tendon injuries can often result from trauma that causes sudden forceful extension of an actively flexed digit. These closed tendon injuries commonly occur as avulsions in flexor zone I. Spontaneous midsubstance flexor tendon ruptures are rare, especially in the absence of an underlying pathology. Diagnosing such injuries accurately is challenging and critical. We present a case of a zone III spontaneous flexor tendon rupture of the long finger after forceful eccentric loading. Surgical exploration was performed, and the level of the rupture was identified during surgery. A side-to-side tendon repair technique was performed using a palmaris longus tendon graft. No underlying pathology to explain the rupture was found in this case. This report emphasizes the importance of considering spontaneous midsubstance ruptures, identifying the level of ruptures, and preoperative planning for such cases. It reviews the possible causes and treatment of spontaneous flexor tendon rupture.
 Case Report

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