Spontaneous Rupture of the Second and Third Extensor Digitorum Longus Tendons Caused by Osteophyte of the Tarsometatarsal Joint: A Case Report

Sam Kook Park; Chul Hyun Park

doi:10.14193/jkfas.2016.20.1.46

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Park and Park: Spontaneous Rupture of the Second and Third Extensor Digitorum Longus Tendons Caused by Osteophyte of the Tarsometatarsal Joint: A Case Report

Case Report

J Korean Foot Ankle Soc 2016;20(1):46-49.

Published online: 10 March 2016

DOI: https://doi.org/10.14193/jkfas.2016.20.1.46

Spontaneous Rupture of the Second and Third Extensor Digitorum Longus Tendons Caused by Osteophyte of the Tarsometatarsal Joint: A Case Report

Sam Kook Park, Chul Hyun Park^*

Department of Orthopedic Surgery, Gyeongsan Joongang Hospital, Gyeongsan, Daegu, Korea

^*Department of Orthopaedic Surgery, Yeungnam University College of Medicine, Daegu, Korea

Corresponding Author: Chul Hyun Park Department of Orthopaedic Surgery, Yeungnam University Hospital, 170 Hyeonchung-ro, Nam-gu, Daegu 42415, Korea Tel: 82-53-620-3640, Fax: 82-53-628-4020, E-mail: chpark77@naver.com

Received 29 October 2015 Revised 26 December 2015 Accepted 2 February 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Spontaneous rupture of the extensor tendon has been reported in association with predisposing inflammatory conditions including rheumatoid arthritis, diabetes, trauma, tophaceous gout, and steroid injection. The authors experienced a case of spontaneous rupture of the extensor digitorum longus tendons caused by an osteophyte of the tarsometatarsal joint in a patient with rheumatoid arthritis. The authors stress that aggressive treatment including surgery could be considered for prevention of spontaneous tendon rupture in a patient with predisposing conditions despite an asymptomatic spur.

Keywords: Rheumatoid arthritis, Flatfoot, Osteophyte, Extensor tendon rupture

References

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Figure 1.

Preoperative photograph shows the patient unable to actively extend the second and third toe.

Figure 2.

Preoperative anteroposterior (A) and lateral (B, C) radiographs show flatfoot deformity in both feet, and space narrowing of tarsometatarsal and naviculocuneiform joints with an osteophyte of tarsometatarsal joint in left foot.

Figure 3.

Preoperative ultrasonographs show an osteophyte of tarsometatarsal joint (A) and rupture of second and third extensor digitorum longus tendons (B).

Figure 4.

Intraoperative photographs show an osteophyte of tarsometatarsal joint (A), removal of an osteophyte (B), ruptured second and third extensor digitorum longus tendons (C), and repaired tendons using Pulvertaft technique (D).

Figure 5.

(A, B) Photographs taken at one year after surgery show active range of motion of operated toes.

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