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CASE REPORT
Year : 2020  |  Volume : 4  |  Issue : 4  |  Page : 223-227

Surgical solution and clinical outcome for an initially undertreated vaughan-jackson syndrome


1 ABC Medical Center; Spanish Hospital of Mexico, Orthopaedic Surgery Department, Mexico City, Mexico
2 Spanish Hospital of Mexico, Orthopaedic Surgery Department, Mexico City, Mexico

Correspondence Address:
Dr. Efraín Farias-Cisneros
ABC Medical Center - Campus Santa Fe. Av. Carlos Graef Fernandez 154. Torre Central, Office 104-105, Santa Fe. Cuajimalpa 05300, CDMX
Mexico
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmsr.jmsr_52_20

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Vaughan-Jackson syndrome was described as a progressive rupture of the hand's extensor tendons due to tendon attrition at the wrist. It is frequently associated with osteoarthritis and rheumatoid arthritis. We present a 75-year-old male patient with a painless limitation of the extension of the little finger of the left hand. Initially, he presented a palmar displacement of the left carpus while lifting a heavy object. Vaughan-Jackson syndrome was diagnosed. At first, an end-to-side repair of the affected tendons was performed. Four months later, the patient returned with spontaneous extension lag of the left little and ring fingers. A second surgery was performed with the transfer and reconstruction of extensor tendons with a favorable outcome. Vaughan-Jackson syndrome causes functional impairment and detriment to the quality of life; thus, it is imperative to make an accurate and early diagnosis. Surgical treatment must be done in a timely and appropriate manner. We aim to report the outcome of a patient with an initially undertreated Vaughan-Jackson syndrome, highlighting the necessity of comprehensive treatment of the underlying pathophysiology, to obtain a desirable outcome.


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