{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:44:02Z","timestamp":1787755442157,"version":"build-2784847793"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 54-year-old woman with rheumatoid arthritis presented with a flexor pollicis longus (FPL) rupture at the level of the metacarpophalangeal joint secondary to attritional damage from metacarpophalangeal (MCP) degenerative changes and exostoses from the radial sesamoid. She underwent direct tendon repair with debridement of the MCP joint and radial sesamoidectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Rheumatoid arthritis can potentially lead to rupture of the FPL tendon in locations distal to the carpus, namely at the level of the MCP joint. Contrary to other reports, a quality outcome may be obtained with direct repair and may not necessarily require tendon transfer, fusion, or grafting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.22.00747","type":"journal-article","created":{"date-parts":[[2023,5,7]],"date-time":"2023-05-07T02:00:09Z","timestamp":1683424809000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Rupture of the Flexor Pollicis Longus Tendon from the Metacarpophalangeal Sesamoid and Joint in a Rheumatoid Patient"],"prefix":"10.2106","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5831-7081","authenticated-orcid":false,"given":"Nathan C.","family":"Winek","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Allegheny Health Network, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Wroblewski","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Allegheny Health Network, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8108-8053","authenticated-orcid":false,"given":"Victor E.","family":"Greco","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Allegheny Health Network, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8508-4295","authenticated-orcid":false,"given":"Bradley","family":"Palmer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Allegheny Health Network, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,4]]},"reference":[{"issue":"3","key":"bib1-20240731","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1302\/0301-620X.30B3.528","article-title":"Rupture of extensor tendons by attrition at the inferior radio-ulnar joint","volume":"30","author":"Vaughan-Jackson","year":"1948","journal-title":"J Bone Joint Surg Br."},{"issue":"2","key":"bib2-20240731","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1302\/0301-620X.51B2.270","article-title":"Attrition ruptures of flexor tendons in rheumatoid arthritis caused by bony spurs in the carpal tunnel. A clinical and radiological study","volume":"51","author":"Mannerfelt","year":"1969","journal-title":"J Bone Joint Surg Br."},{"issue":"6","key":"bib3-20240731","doi-asserted-by":"crossref","first-page":"860","DOI":"10.1016\/0363-5023(88)90260-2","article-title":"Flexor tendon ruptures in patients with rheumatoid arthritis","volume":"13","author":"Ertel","year":"1988","journal-title":"J Hand Surg."},{"issue":"1","key":"bib4-20240731","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/S0363-5023(87)80151-X","article-title":"Tendon ruptures in the rheumatoid hand: analysis of treatment and functional results in 60 patients","volume":"12","author":"Moore","year":"1987","journal-title":"J Hand Surg."},{"issue":"6","key":"bib5-20240731","doi-asserted-by":"crossref","first-page":"990","DOI":"10.1016\/0363-5023(93)90388-J","article-title":"Flexor pollicis longus rupture in rheumatoid arthritis secondary to attrition on a sesamoid","volume":"18","author":"Walker","year":"1993","journal-title":"J Hand Surg."},{"issue":"4","key":"bib6-20240731","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1177\/1753193408089569","article-title":"Re: attrition rupture of the flexor pollicis longus in rheumatoid arthritis on an interphalangeal sesamoid bone","volume":"33","author":"Valbuena","year":"2008","journal-title":"J Hand Surg Eur Vol."},{"issue":"3","key":"bib7-20240731","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1016\/S0266-7681(97)80407-X","article-title":"Spontaneous rupture of the flex or pollicis longus tendon on a sesamoid bone","volume":"22","author":"Webb","year":"1997","journal-title":"J Hand Surg Br."},{"issue":"6","key":"bib8-20240731","doi-asserted-by":"crossref","first-page":"869","DOI":"10.3109\/14397595.2016.1153444","article-title":"Subcutaneous flexor tendon rupture in patients with rheumatoid arthritis","volume":"26","author":"Funahashi","year":"2016","journal-title":"Mod Rheumatol."},{"issue":"6","key":"bib9-20240731","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1001\/jama.1961.03040060005002","article-title":"Surgical treatment of the rheumatoid hand","volume":"175","author":"Henderson","year":"1961","journal-title":"JAMA."},{"issue":"2","key":"bib10-20240731","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1016\/j.ahc.2005.04.007","article-title":"Flexor tendons and the Mannerfelt rupture","volume":"10","author":"Tang","year":"2005","journal-title":"Atlas of the Hand Clinics."},{"issue":"1","key":"bib11-20240731","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.jhsa.2007.09.002","article-title":"Synovial hypoxia as a cause of tendon rupture in rheumatoid arthritis","volume":"33","author":"Sivakumar","year":"2008","journal-title":"J Hand Surg."},{"key":"bib12-20240731","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1097\/00003086-198201000-00046","article-title":"The vascularity of the flexor pollicis longus tendon","volume":"162","author":"Hergenroeder","year":"1982","journal-title":"Clin Orthop Relat Res."},{"issue":"23","key":"bib13-20240731","doi-asserted-by":"crossref","first-page":"e1029","DOI":"10.5435\/JAAOS-D-18-00683","article-title":"Thumb metacarpophalangeal joint arthritis","volume":"27","author":"Earp","year":"2019","journal-title":"J Am Acad Orthop Surg."},{"issue":"2","key":"bib14-20240731","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1053\/jssh.2001.23906","article-title":"The rheumatoid thumb","volume":"1","author":"Terrono","year":"2001","journal-title":"J Am Soc Surg Hand."},{"issue":"1","key":"bib15-20240731","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/S0749-0712(21)00697-1","article-title":"Reconstruction of the rheumatoid thumb","volume":"8","author":"Toledano","year":"1992","journal-title":"Hand Clin."},{"issue":"3","key":"bib16-20240731","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1016\/S0749-0712(21)00343-7","article-title":"Rheumatoid flexor tenosynovitis and rupture","volume":"12","author":"Ferlic","year":"1996","journal-title":"Hand Clin."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.22.00747","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:42:56Z","timestamp":1787751776000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.22.00747"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2023,4]]},"references-count":16,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.22.00747","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4]]}}}