Extensor tendon rupture and preoperative mri confirmations of suture anchor prolapse: a case report and literature review

被引:0
作者
Alhaskawi, Ahmad [1 ]
Zhou, Haiying [1 ]
Dong, Yanzhao [1 ]
Ezzi, Sohaib Hasan Abdullah [2 ]
Zou, Xiaodi [3 ]
Weijie, Zhou [4 ]
Yi, Fangyu [5 ]
Abdalbary, Sahar Ahmed [6 ]
Lu, Hui [1 ]
机构
[1] Zhejiang Univ, Affiliated Hosp 1, Dept Orthoped, 79 Qingchun Rd, Hangzhou 310003, Zhejiang, Peoples R China
[2] Cent South Univ, Dept Orthoped, Xiangya Hosp 3, Tongzipo Rd, Changsha 410083, Hunan, Peoples R China
[3] Zhejiang Chinese Med Univ, Affiliated Hosp 2, Hangzhou 310003, Zhejiang, Peoples R China
[4] Joint Serv Assurance Force 903 Hosp, Dept Orthopaed, Airport Rd, Hangzhou 310053, Zhejiang, Peoples R China
[5] Zhejiang Chinese Med Univ, Sch Clin Med 1, 548 Binwen Rd, Hangzhou 310053, Zhejiang, Peoples R China
[6] Nahda Univ Beni Suef, Fac Phys Therapy, Dept Orthoped Phys Therapy, Bani Suwayf, Egypt
关键词
Suture anchor prolapse; Distal phalanx fracture; Tendon adhesion; Bone anchor; Mallet finger; Hand; BIOABSORBABLE FIXATION; FINGER INJURIES; ZONE-II; REPAIR; WRIST; SURGERY; PULLOUT;
D O I
10.1186/s12891-024-07476-0
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background While suture anchors are widely used in medical procedures for their advantages, they can sometimes lead to complications, including anchor prolapse. This article presents a unique case of suture anchor prolapse at the base of the distal phalanx of the little finger after extensor tendon rupture reconstruction surgery.Case presentation A 35-year-old male, underwent extensor tendon rupture reconstruction using a non-absorbable suture anchor. After seven years the patient visited our outpatients complaining of stiffness, pain, and protrusion at the surgical site. Initial X-ray imaging suggested suggesting either a fracture of the distal phalanx or tendon adhesion but lacked a definitive diagnosis. Subsequent magnetic resonance imaging (MRI) revealed bone connectivity between the middle and distal phalanges with irregular signal shadow and unclear boundaries while maintaining a regular finger shape. MRI proved superior in diagnosing prolapsed suture anchors, marking the first reported case of its kind. Surgical intervention confirmed MRI findings.Conclusions Suture anchor complications, such as prolapse, are a concern in medical practice. This case underscores the significance of MRI for accurate diagnosis and the importance of tailored surgical management in addressing this uncommon complication.
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页数:6
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