Management of Spontaneous 4th and 5th Digit Extensor Rupture in Rheumatoid Arthritis Using Tendon Transfer and Distal Ulna Debridement: A Case Report

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Authors: Omar Mourafiq, Khalil BELKHIAT, Hicham SALAHI, Omar Mergad
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Abstract

Extensor tendon rupture is a disabling complication of rheumatoid arthritis (RA). We report a 57-year-old woman with RA and progressive loss of extension of the fourth and fifth fingers due to complete tendon rupture confirmed by MRI. Tendon transfer to the third extensor and distal ulna debridement restored function, underscoring the value of timely surgical management in these challenging cases.

Fields of Study & Subjects

Orthopedic Surgery and Rehabilitation Rheumatoid Arthritis Research and Therapies Congenital limb and hand anomalies

Publication details

Journal / source
Scholars Journal of Medical Case Reports
Volume
14
Issue
01
Pages
75–78
Publication date
10 January 2026