Index finger extensor tendon injury

Case contributed by Dr Maulik S Patel

Presentation

Cut injury by floor tile to the dorsum of the left hand a few days back. Local suturing was done. Complaining of index finger drop.

Patient Data

Age: 30 years
Gender: Female
Ultrasound

There is complete cut injury involving both tendons ( extensor digitorum and extensor indices proprius ). Proximal torn ends are at intercarpal joint level. Distal torn ends are near the base of the metacarpus. The gap between torn ends is about 26 mm. There are tiny echogenic foci ( up to 1 mm ) at defect region-? Foreign body particles.

Pre-oprative photo shows primary suturing. Intra-oprative photos show pre and post repair tendons.

Case Discussion

A young female presented with a recent history of cut injury to the dorsum of the left hand followed by loss of index finger extension. She was referred for an ultrasound to check tendon integrity. Ultrasound shows the complete tear of index finger extensor tendons at the site of injury.  Surgery confirmed ultrasound findings and tendons were repaired.

Clinical photos courtesy of operating surgeon Dr. Vitrag D. Shah.

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Case information

rID: 59880
Published: 28th Apr 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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