{Reference Type}: Case Reports {Title}: Extensor tendon rupture and preoperative mri confirmations of suture anchor prolapse: a case report and literature review. {Author}: Alhaskawi A;Zhou H;Dong Y;Ezzi SHA;Zou X;Weijie Z;Yi F;Abdalbary SA;Lu H; {Journal}: BMC Musculoskelet Disord {Volume}: 25 {Issue}: 1 {Year}: 2024 May 4 {Factor}: 2.562 {DOI}: 10.1186/s12891-024-07476-0 {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.