Spontaneous Idiopathic Bilateral Sagittal Band Rupture: A Case Report.

J Orthop Case Rep

Department of Orthopedic Surgery, Salmaniya Medical Complex, Manama, Bahrain.

Published: March 2024

AI Article Synopsis

  • Extensor tendon subluxation or dislocation from sagittal band rupture can cause symptoms like snapping, pain, and swelling in the fingers, often due to trauma, but can also arise from other conditions.
  • A case study details a 29-year-old female with pain and swelling in her dominant hand, ultimately diagnosed with bilateral dislocation of the extensor tendons at her finger joints.
  • The diagnosis was confirmed using dynamic ultrasound, indicating that there were no other underlying causes of the injury.

Article Abstract

Introduction: Extensor tendon subluxation or dislocation resulting from sagittal band rupture can be associated with snapping, catching, locking, pain, and swelling of the finger. Several etiologies were reported in the literature, with frequent mention of a traumatic rupture caused by a direct blow at the level of the metacarpophalangeal joint (MCPJ). The other causes of sagittal band injuries are degenerative disease, congenital infection, and rheumatoid arthritis. To our knowledge, we report the first case of spontaneous idiopathic bilateral sagittal band rupture.

Case Report: We, herein, present the case of a seronegative 29-year-old female who presented with pain and swelling in the dominant hand for 4 days.

Conclusion: Upon examination, she was found to have bilateral dislocation of the extensor tendons at the level of the (MCPJ) of the third and fourth digits. Any underlying cause was excluded, and the diagnosis was confirmed with a dynamic ultrasound study.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10976532PMC
http://dx.doi.org/10.13107/jocr.2024.v14.i03.4302DOI Listing

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