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Extensor tendons of finger anomalies

MedGen UID:
348302
•Concept ID:
C1861237
•
Congenital Abnormality
Synonyms: Hapnes Boman Skeie syndrome; Tendons, extensor, of fingers, anomalous insertion of
 
Monarch Initiative: MONDO:0008540
OMIM®: 187390
Orphanet: ORPHA3294

Definition

Extensor tendons of finger anomalies is a rare, genetic, congenital limb malformation characterized by bilateral anomalous attachment of the extensor tendons of the four ulnar fingers. Attachment occurrs to the medial and lateral aspects of the middle phalanges leading to constant flexion in the midphalangeal joints and inability to extend the fingers. There have been no further descriptions in the literature since 1980. [from ORDO]

Clinical features

From HPO
Abnormal finger morphology
MedGen UID:
436247
•Concept ID:
C2674737
•
Finding
An anomaly of a finger.
See: Feature record | Search on this feature

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVExtensor tendons of finger anomalies
Follow this link to review classifications for Extensor tendons of finger anomalies in Orphanet.

Professional guidelines

PubMed

Treatment of chronic extensor tendons lesions of the fingers.
Bellemère P
Chir Main 2015 Sep;34(4):155-81. Epub 2015 Jul 14 doi: 10.1016/j.main.2015.05.001. PMID: 26184651
Camptodactyly as a spectrum of congenital deficiencies: a treatment algorithm based on clinical examination.
Foucher G, Loréa P, Khouri RK, Medina J, Pivato G
Plast Reconstr Surg 2006 May;117(6):1897-905. doi: 10.1097/01.prs.0000218977.46520.55. PMID: 16651963

Recent clinical studies

Etiology

Spontaneous Resolution of Congenital Insufficiency of the Extensor Tendon Central Slip.
Soldado F, Nguyen TQ, Rojas-Neira J, Rodriguez-Ostuni D, Cherqaoui A, Díaz-Gallardo P
J Pediatr Orthop 2024 Oct 1;44(9):567-571. Epub 2024 Jul 11 doi: 10.1097/BPO.0000000000002764. PMID: 38989657
Avulsion Injuries of the Hand and Wrist.
Weintraub MD, Hansford BG, Stilwill SE, Allen H, Leake RL, Hanrahan CJ, Chan BY, Soltanolkotabi M, Kobes P, Mills MK
Radiographics 2020 Jan-Feb;40(1):163-180. doi: 10.1148/rg.2020190085. PMID: 31917655
Thumb boutonnière deformity without rheumatoid arthritis or trauma.
Hara T, Yoneda H, Kurimoto S, Yamamoto M, Iwatsuki K, Hirata H
J Hand Surg Eur Vol 2018 Mar;43(3):324-330. Epub 2017 May 2 doi: 10.1177/1753193417704610. PMID: 28462679
Successful conservative treatment outcomes and clinical characteristics of congenital hypoplasia of the extensor tendon central slip.
Hidaka N, Uemura T, Nakamura H
J Hand Surg Eur Vol 2017 Mar;42(3):295-300. Epub 2016 Nov 12 doi: 10.1177/1753193416676410. PMID: 27821496
Pollicisation of the index finger without interosseous muscle or extensor tendon repositioning in isolated thumb hypoplasia/aplasia.
Al-Qattan MM
J Hand Surg Eur Vol 2012 Mar;37(3):258-62. Epub 2011 Nov 7 doi: 10.1177/1753193411426808. PMID: 22064729

Diagnosis

Avulsion Injuries of the Hand and Wrist.
Weintraub MD, Hansford BG, Stilwill SE, Allen H, Leake RL, Hanrahan CJ, Chan BY, Soltanolkotabi M, Kobes P, Mills MK
Radiographics 2020 Jan-Feb;40(1):163-180. doi: 10.1148/rg.2020190085. PMID: 31917655
High-resolution 3-T MRI of the fingers: review of anatomy and common tendon and ligament injuries.
Gupta P, Lenchik L, Wuertzer SD, Pacholke DA
AJR Am J Roentgenol 2015 Mar;204(3):W314-23. doi: 10.2214/AJR.14.12776. PMID: 25714317
The prevalence of the extensor indicis tendon and its variants: a systematic review and meta-analysis.
Yammine K
Surg Radiol Anat 2015 Apr;37(3):247-54. Epub 2014 Aug 6 doi: 10.1007/s00276-014-1352-0. PMID: 25096501
MR imaging of tendon lesions of the hand and wrist.
Bencardino JT
Magn Reson Imaging Clin N Am 2004 May;12(2):333-47, vii. doi: 10.1016/j.mric.2004.02.010. PMID: 15172389
MR imaging of ligament and tendon injuries of the fingers.
Clavero JA, Alomar X, Monill JM, Esplugas M, Golanó P, Mendoza M, Salvador A
Radiographics 2002 Mar-Apr;22(2):237-56. doi: 10.1148/radiographics.22.2.g02mr11237. PMID: 11896215

Therapy

Brucellosis as a primary cause of tenosynovitis of the extensor muscle of the arm.
Tekin R, Ceylan Tekin F, Ceylan Tekin R, Cevik R
Infez Med 2015 Sep;23(3):257-60. PMID: 26397296
Reliability testing of tendon disease using two different scanning methods in patients with rheumatoid arthritis.
Bruyn GA, Möller I, Garrido J, Bong D, d'Agostino MA, Iagnocco A, Karim Z, Terslev L, Swen N, Balint P, Baudoin P, van Reesema DS, Pineda C, Wakefield RJ, Naredo E
Rheumatology (Oxford) 2012 Sep;51(9):1655-61. Epub 2012 May 23 doi: 10.1093/rheumatology/kes103. PMID: 22627728
Anomalous extensor tendons to the long finger: a cadaveric study of incidence.
Klena JC, Riehl JT, Beck JD
J Hand Surg Am 2012 May;37(5):938-41. Epub 2012 Apr 4 doi: 10.1016/j.jhsa.2012.02.014. PMID: 22480503
The dorsal approach to silicone implant arthroplasty of the proximal interphalangeal joint.
Bickel KD
J Hand Surg Am 2007 Jul-Aug;32(6):909-13. doi: 10.1016/j.jhsa.2007.04.013. PMID: 17606076
Surgical treatment of the boutonnière deformity.
Towfigh H, Gruber P
Oper Orthop Traumatol 2005 Feb;17(1):66-78. doi: 10.1007/s00064-005-1122-6. PMID: 16007379

Prognosis

Spontaneous Resolution of Congenital Insufficiency of the Extensor Tendon Central Slip.
Soldado F, Nguyen TQ, Rojas-Neira J, Rodriguez-Ostuni D, Cherqaoui A, Díaz-Gallardo P
J Pediatr Orthop 2024 Oct 1;44(9):567-571. Epub 2024 Jul 11 doi: 10.1097/BPO.0000000000002764. PMID: 38989657
Solitary extensor tendon in the third compartment has a companion: variant course of extensor pollicis brevis in third extensor compartment.
Rangarajan A, Bhaskara KG
Surg Radiol Anat 2023 Apr;45(4):491-493. Epub 2023 Feb 23 doi: 10.1007/s00276-023-03110-1. PMID: 36821053
The prevalence of the extensor digitorum communis tendon and its insertion variants: a systematic review and meta-analysis.
Yammine K
Clin Anat 2014 Nov;27(8):1284-90. Epub 2014 Jun 23 doi: 10.1002/ca.22429. PMID: 24953717
Anomalous extensor tendons to the long finger: a cadaveric study of incidence.
Klena JC, Riehl JT, Beck JD
J Hand Surg Am 2012 May;37(5):938-41. Epub 2012 Apr 4 doi: 10.1016/j.jhsa.2012.02.014. PMID: 22480503
Analysis of finger extensor mechanism strains.
Hurlbut PT, Adams BD
J Hand Surg Am 1995 Sep;20(5):832-40. doi: 10.1016/S0363-5023(05)80439-3. PMID: 8522752

Clinical prediction guides

Anatomical variations of the extensor tendons of the fetal thumb.
Öztürk K, Dursun A, Kastamoni Y, Albay S
Surg Radiol Anat 2021 May;43(5):755-762. Epub 2020 Nov 10 doi: 10.1007/s00276-020-02611-7. PMID: 33170332
Variation of Extrinsic Tendons of the Thumb in Type IIIA Hypoplastic Thumbs.
Bessho Y, Takagi T, Seki A, Takayama S
J Hand Surg Am 2020 Jun;45(6):556.e1-556.e4. Epub 2020 Jan 6 doi: 10.1016/j.jhsa.2019.11.004. PMID: 31917045
Pediatric Thumb Flexion Deformities.
Shreve M, Chu A
Bull Hosp Jt Dis (2013) 2016 Mar;74(1):97-108. PMID: 26977555
Analysis of finger extensor mechanism strains.
Hurlbut PT, Adams BD
J Hand Surg Am 1995 Sep;20(5):832-40. doi: 10.1016/S0363-5023(05)80439-3. PMID: 8522752
The anatomy and treatment of camptodactyly of the small finger.
McFarlane RM, Classen DA, Porte AM, Botz JS
J Hand Surg Am 1992 Jan;17(1):35-44. doi: 10.1016/0363-5023(92)90110-b. PMID: 1538110

Recent systematic reviews

The prevalence of the extensor digiti minimi tendon of the hand and its variants in humans: a systematic review and meta-analysis.
Yammine K
Anat Sci Int 2015 Jan;90(1):40-6. Epub 2014 Sep 13 doi: 10.1007/s12565-014-0253-y. PMID: 25217141
The prevalence of the extensor indicis tendon and its variants: a systematic review and meta-analysis.
Yammine K
Surg Radiol Anat 2015 Apr;37(3):247-54. Epub 2014 Aug 6 doi: 10.1007/s00276-014-1352-0. PMID: 25096501
The prevalence of the extensor digitorum communis tendon and its insertion variants: a systematic review and meta-analysis.
Yammine K
Clin Anat 2014 Nov;27(8):1284-90. Epub 2014 Jun 23 doi: 10.1002/ca.22429. PMID: 24953717
Ultrasound and magnetic resonance imaging in the evaluation of psoriatic dactylitis: status and perspectives.
Bakewell CJ, Olivieri I, Aydin SZ, Dejaco C, Ikeda K, Gutierrez M, Terslev L, Thiele R, D'Agostino MA, Kaeley GS; OMERACT Ultrasound Task Force
J Rheumatol 2013 Dec;40(12):1951-7. Epub 2013 Nov 1 doi: 10.3899/jrheum.130643. PMID: 24187105

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