Abstract
The authors present an unusual case of a two-phase rupture of the superficial and profundus flexor tendons of the second finger of a hand in a patient with an undiagnosed Kienböck disease. This kind of lesions may be progressive and extend to adjacent tendons in a relatively rapid succession; therefore, they should be treated urgently. The intervention must provide for the removal of the cause of mechanical unbalance or friction before acting on the tendon, thus a radiographic study of the wrist is essential to plan the treatment of any closed rupture of a flexor tendon.