PDF(Pubmed)
Abstract：
BACKGROUND: While suture anchors are widely used in medical procedures for their advantages, they can sometimes lead to complications, including anchor prolapse. This article presents a unique case of suture anchor prolapse at the base of the distal phalanx of the little finger after extensor tendon rupture reconstruction surgery.
METHODS: A 35-year-old male, underwent extensor tendon rupture reconstruction using a non-absorbable suture anchor. After seven years the patient visited our outpatients complaining of stiffness, pain, and protrusion at the surgical site. Initial X-ray imaging suggested suggesting either a fracture of the distal phalanx or tendon adhesion but lacked a definitive diagnosis. Subsequent magnetic resonance imaging (MRI) revealed bone connectivity between the middle and distal phalanges with irregular signal shadow and unclear boundaries while maintaining a regular finger shape. MRI proved superior in diagnosing prolapsed suture anchors, marking the first reported case of its kind. Surgical intervention confirmed MRI findings.
CONCLUSIONS: Suture anchor complications, such as prolapse, are a concern in medical practice. This case underscores the significance of MRI for accurate diagnosis and the importance of tailored surgical management in addressing this uncommon complication.
METHODS: A 35-year-old male, underwent extensor tendon rupture reconstruction using a non-absorbable suture anchor. After seven years the patient visited our outpatients complaining of stiffness, pain, and protrusion at the surgical site. Initial X-ray imaging suggested suggesting either a fracture of the distal phalanx or tendon adhesion but lacked a definitive diagnosis. Subsequent magnetic resonance imaging (MRI) revealed bone connectivity between the middle and distal phalanges with irregular signal shadow and unclear boundaries while maintaining a regular finger shape. MRI proved superior in diagnosing prolapsed suture anchors, marking the first reported case of its kind. Surgical intervention confirmed MRI findings.
CONCLUSIONS: Suture anchor complications, such as prolapse, are a concern in medical practice. This case underscores the significance of MRI for accurate diagnosis and the importance of tailored surgical management in addressing this uncommon complication.
摘要：
背景：虽然缝合锚钉因其优点而被广泛用于医疗程序中，它们有时会导致并发症，包括锚脱垂。本文介绍了伸肌腱断裂重建手术后小指远端指骨底部缝合锚脱出的独特病例。
方法：35岁男性，使用不可吸收的缝合锚钉进行伸肌腱断裂重建。七年后，病人去看了我们的门诊病人，抱怨僵硬，疼痛,手术部位突出。最初的X射线成像提示远端指骨骨折或肌腱粘连，但缺乏明确的诊断。随后的磁共振成像（MRI）显示，中部和远端指骨之间的骨连接具有不规则的信号阴影和不清晰的边界，同时保持规则的手指形状。MRI在诊断缝合锚脱出方面被证明是优越的，标志着首例此类病例的报告。手术干预证实了MRI发现。
结论：缝合锚钉并发症，比如脱垂，是医疗实践中的一个问题。此病例强调了MRI对准确诊断的重要性以及针对这种罕见并发症进行量身定制的手术管理的重要性。
方法：35岁男性，使用不可吸收的缝合锚钉进行伸肌腱断裂重建。七年后，病人去看了我们的门诊病人，抱怨僵硬，疼痛,手术部位突出。最初的X射线成像提示远端指骨骨折或肌腱粘连，但缺乏明确的诊断。随后的磁共振成像（MRI）显示，中部和远端指骨之间的骨连接具有不规则的信号阴影和不清晰的边界，同时保持规则的手指形状。MRI在诊断缝合锚脱出方面被证明是优越的，标志着首例此类病例的报告。手术干预证实了MRI发现。
结论：缝合锚钉并发症，比如脱垂，是医疗实践中的一个问题。此病例强调了MRI对准确诊断的重要性以及针对这种罕见并发症进行量身定制的手术管理的重要性。
