%0 Case Reports
%T Extensor tendon rupture and preoperative mri confirmations of suture anchor prolapse: a case report and literature review.
%A Alhaskawi A
%A Zhou H
%A Dong Y
%A Ezzi SHA
%A Zou X
%A Weijie Z
%A Yi F
%A Abdalbary SA
%A Lu H
%J BMC Musculoskelet Disord
%V 25
%N 1
%D 2024 May 4
%M 38704523
%F 2.562
%R 10.1186/s12891-024-07476-0
%X <B>BACKGROUND: </B>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.<BR><B>METHODS: </B>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.<BR><B>CONCLUSIONS: </B>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.