Spontaneous "spaghetti" flexor tendon ruptures in the rheumatoid wrist

Hiroyuki Hashizume, Keiichiro Nishida, Kazuo Fujiwara, Hajime Inoue

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)


A 54-year-old woman who had been treated for rheumatoid arthritis for 12 years developed spontaneous multiple flexor tendon ruptures during a 5-month period. Radiography revealed volar subluxation of the lunate bone. Surgery was performed 5 months after the first onset of tendon rupture. All eight flexors, except the flexor pollicis longus tendons, had ruptured, and the damage resembled spaghetti. Four flexor digitorum profundus tendons were reconstructed by bridge graft using their respective sublimis tendons. Wrist joint fusion and tenolysis were performed 3 months after the first operation. Each finger achieved a good range of motion 2 years and 6 months after be second operation.

Original languageEnglish
Pages (from-to)257-259
Number of pages3
JournalModern Rheumatology
Issue number3
Publication statusPublished - Jan 1 2004


  • Multiple flexor tendon rupture
  • Rheumatoid arthritis (RA)
  • Surgical outcome
  • Wrist

ASJC Scopus subject areas

  • Rheumatology


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