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CC BY-NC-ND 4.0 · Indian J Plast Surg 2023; 56(03): 270-272
DOI: 10.1055/s-0043-1764156
Case Report

A Rare Case of Extensor Digitorum Communis Rupture Due to Pancarpal Arthritis

Salman Shiraz
1   Christine M. Kleinert Institute for Hand and Microsurgery, University of Louisville, 225 Abraham Flexner Way, Suite 850, Louisville, Kentucky, United States
,
Laxminarayan Bhandari
1   Christine M. Kleinert Institute for Hand and Microsurgery, University of Louisville, 225 Abraham Flexner Way, Suite 850, Louisville, Kentucky, United States
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Abstract

We report the case of a 71-year-old man who presented to our clinic with extensor digitorum communis (EDC) tendon rupture associated with pancarpal arthritis. He presented with a history of prolonged chainsaw usage. Later that day upon waking up, he noticed an inability to extend his small and ring fingers. On examination, the EDC of the ring and small fingers showed zero power. Radiographs of the wrist joint showed pancarpal arthritis with a dorsally displaced lunate along with distal radio-ulnar joint (DRUJ) osteoarthritis (OA). During surgery, a sharp posterior lunate prominence was noticed to be the cause of the attrition and rupture of EDC. The DRUJ surface was relatively smooth. Proximal row carpectomy and transfer of extensor indicis proprius (EIP) to EDC reverse end-to-side were done. Postoperatively, the patient gained full extension. There are no other similar cases reported in the literature.

Keywords

tendon - wrist arthritis - lunate


Publication History

Article published online:
28 February 2023

© 2023. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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