Abstract
The juncturae tendinum (inter-extensor connections) are structures connecting each of the extensor digitorum communis (EDC) tendons. Nine months before the presentation to us, this 21-year-old man had painful swelling on the dorsum of the right hand after punching. At present, the patient showed an ulnar deviation of the long finger and a limited extension of the ring finger. The scarred junctura tendinum between long and ring fingers inhibited proximal sliding of the EDC tendon of ring finger, and affect the functions of adjacent metacarpophalangeal joint. The scarred junctura tendinum was resected, while the sagittal band was preserved to prevent subluxation of the EDC tendon of long finger. One year after operation, the range of motion of fingers was full.
Similar content being viewed by others
References
von Schroeder HP, Botte MJ, Gellman H (1990) Anatomy of the juncturae tendinum of the hand. J Hand Surg [Am] 15:595–602
Wehbe MA (1992) Junctura anatomy. J Hand Surg [Am] 17:1124–1129
Zilber S, Oberlin C (2004) Anatomical variations of the extensor tendons to the fingers over the dorsum of the hand: a study of 50 hands and a review of the literature. Plast Reconstr Surg 113:214–221. doi:10.1097/01.PRS.0000091163.86851.9C
von Schroeder HP, Botte MJ (2001) Anatomy and functional significance of the long extensors to the fingers and thumb. Clin Orthop Relat Res 383:74–83. doi:10.1097/00003086-200102000-00010
Moore JR, Weiland AJ, Valdata L (1987) Independent index extension after extensor indicis proprius transfer. J Hand Surg [Am] 12:232–236
Saldana MJ, McGuire RA (1986) Chronic painful subluxation of the metacarpal phalangeal joint extensor tendons. J Hand Surg [Am] 11:420–423
Rayan GM, Murray D (1994) Classification and treatment of closed sagittal band injuries. J Hand Surg [Am] 19:590–594. doi:10.1016/0363-5023(94)90261-5
Young CM, Rayan GM (2000) The sagittal band: anatomic and biomechanical study. J Hand Surg [Am] 25:1107–1113. doi:10.1053/jhsu.2000.jhsu025a0019
Herndon JH (1985) Tendon injuries—extensor surfaces. Emerg Med Clin North Am 3:333–340
Sakai A, Suzuki K, Minami Y, Nakamura T (1998) Painful junctura tendinum of the hand extensors. Arch Orthop Trauma Surg 117:392–393. doi:10.1007/s004020050275
Acknowledgments
The author reports no conflict of interest. Supported by outside funding or grant(s) from none. None of the researchers or an affiliated institute has received (or agreed to receive) from a commercial entity something of value (exceeding the equivalent of US$500) related in any way to this manuscript or research.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Song, SW., Rhee, SK., Kim, HM. et al. Extension limitation and deviation of fingers by the scarred junctura tendinum: a case report. Arch Orthop Trauma Surg 129, 833–836 (2009). https://doi.org/10.1007/s00402-008-0744-1
Received:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00402-008-0744-1