Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 26, 2023; 11(36): 8512-8518
Published online Dec 26, 2023. doi: 10.12998/wjcc.v11.i36.8512
Iatrogenic flexor tendon rupture caused by misdiagnosing sarcoidosis-related flexor tendon contracture as tenosynovitis: A case report
Rui Yan, Zhe Zhang, Long Wu, Zhi-Peng Wu, He-De Yan
Rui Yan, The Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang Province, China
Zhe Zhang, Long Wu, Zhi-Peng Wu, Department of Orthopedics (Division of Hand Surgery), The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou 325026, Zhejiang Province, China
He-De Yan, Department of Hand Surgery, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou 325026, Zhejiang Province, China
Author contributions: Yan R and Zhang Z prepared the initial draft of this manuscript and made subsequent revisions; Wu L and Wu ZP performed the data collection and manuscript review and editing; Yan HD performed the conceptualization and validation of the study and acquired funding of the report; all authors have reviewed and approved the final manuscript.
Supported by Zhejiang Provincial Natural Science Foundation of China, No. LY23H090009; Clinical Research Foundation of the Second Affiliated Hospital Wenzhou Medical University, No. SAHoWMU-CR2018-08-417.
Informed consent statement: The study participant provided written informed consent before study enrollment.
Conflict-of-interest statement: The authors have no conflicts of interest related to this manuscript.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: He-De Yan, MD, PhD, Director, Department of Hand Surgery, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, No. 666 Oushi Road, Dongtou District, Wenzhou 325026, Zhejiang Province, China. yanhede@hotmail.com
Received: August 26, 2023
Peer-review started: August 26, 2023
First decision: November 9, 2023
Revised: November 18, 2023
Accepted: December 7, 2023
Article in press: December 7, 2023
Published online: December 26, 2023
Processing time: 117 Days and 23.4 Hours
Core Tip

Core Tip: Finger contracture due to tenosynovitis is frequently encountered in clinical settings. However, misdiagnosis can occur when rare causes such as sarcoidosis are neglected. Here, we report a case in which such a misdiagnosis led to an iatrogenic injury. The mainstream treatment method for contractures related to sarcoidosis is surgical excision of muscular lesions, with varied outcomes in several case reports. In our case, considering the contracture lesion at the flexor digitorum profundus (FDP) and the initial iatrogenic tendon rupture, cross-lengthening of the flexor digitorum superficialis and FDP was attempted to restore flexion and achieve satisfactory results.