Carpal Tunnel Syndrome Research Today is a free monthly online journal that collates and summarizes the latest research about Carpal Tunnel Syndrome, including details on symptoms, causes, trauma, diagnosis, physiotherapy.

Closed rupture of the flexor tendons caused by carpal bone and joint disorders.

Yamazaki H, Kato H, Hata Y, Nakatsuchi Y, Tsuchikane A

From the Department of Orthopaedic Surgery, Shinshu University School of Medicine, Matsumoto City, Nagano, Japan, the Department of Orthopaedic Surgery, National Nagano Hospital, Ueda City, Nagano, Japan and the Department of Orthopaedic Surgery, Showa-inan General Hospital, Komagane City, Nagano, Japan.

We analysed 21 patients with closed rupture of the flexor tendons caused by carpal bone and joint disorders. The tendon that ruptured depended on the location of the bone perforation into the carpal tunnel. Radiocarpal arthrography was performed in 13 patients and capsular perforation was demonstrated by contrast medium leakage into the carpal canal in 11 patients. This proved a useful diagnostic test. The flexor tendon(s) were reconstructed with free tendon graft in 17 patients, cross-over transfer of flexor tendons from adjacent digits in two and buddying to an adjacent flexor tendon in one patient. Postoperative total active range of motion in the fingers after 13 free tendon graft reconstructions averaged 213 degrees (range 170-265 degrees ). The active range of motion of the thumb-interphalangeal joint after free tendon graft reconstruction in three cases improved from 0 degrees to 33 degrees on average (range 10 degrees -40 degrees ).

Published 12 November 2007 in J Hand Surg Eur Vol, 32(6): 649-653.
Full-text of this article is available online (may require subscription).

© 2005-2008 Carpal Tunnel Syndrome Research Today. All Rights Reserved.