Dislocation of
extensor tendons is the most frequently seen complaint for suffers of
rheumatoid arthritis. Here, we present a rare clinical case of multiple finger
extensor tendon dislocations in systemic lupus erythematosus (SLE).
Upon physical
examination, active extension of middle, ring and little fingers were
impossible at the MP joint. A trigger phenomenon was generated when these extensors
were reduced in passive extension. The procedure was performed under local
anesthesia.
A satisfactory
clinical outcome was achieved with sagittal band reconstruction and
reinforcement for the site using juncturae tendinum. Surgical intervention
under the local anesthesia allowed for extensive gathering of information about
repair site strength and dynamic stability.
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