Harun Kütahya KÜTAHYA, Mehmet A ACAR, Ali GÜLEÇ, Yunus GÜZEL, Mustafa N KARALEZLİ, Serdar TOKER

Closed Extensor Indicis Proprius Tendon Rupture Presenting Mass Clinic on Dorsal Side of the Wrist

28 yaşında erkek işçi sol el bileğinde kitle şikayeti ile kliniğimize başvurdu. Hasta 1 ay önce elini hiperfleksiyon pozisyonunda alçı karıştırma makinesine sıkıştırmış ve 1 hafta önce de şişlik şikayeti başlamış. MRG'de tenosinıvit gözlendi. 4. ekstensör kompartmanın cerrahi eksplorasyonunda geniş organize hematom ve ekstensör indicis proprius tendonunun muskulotendinöz bölgeden koptuğu görüldü. İşaret parmağı kommon ekstensör tendonunun sağlam olduğu görüldü. Kopuk olan ekstensör tendonun distal ucu yan-yana cerrahi dikiş tekniği kullanılarak sağlam olan kommon ekstensör tendona tenodez yapıldı. Ameliyat sonrası 2. ayda işaret parmağında tam ekstansiyon mevcuttu

Anahtar Kelimeler:

Kapalı tendon rüptürü, ekstensör indicis proprius, muskulokutenöz bölge

Closed Extensor Indicis Proprius Tendon Rupture Presenting Mass Clinic on Dorsal Side of the Wrist

A 28 years old male constructor referred to our clinic for a mass on the dorsal side of the left wrist. He has constricted his hand to the plaster cast machine in hyperflexion posture one month ago and swelling complaint has begun one week ago. MRI revealed tenosynovitis. A wide organized hematoma was appeared in the 4th extensor compartment in the surgical exploration of the patient and it was observed that extensor indicis proprius tendon has detached from the musculotendineous region. Common extensor tendon of the second finger was intact. Tenodesis to the distal end of the ruptured tendon to the intact common extensor tendon by side to side surgical suture technique was performed. There were complete extension in the 2nd finger at the 2nd month after the surgery.

Keywords:

Closed tendon rupture, extensor indicis proprius, musculotendineous region,

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