Volar Dislocation of the Metacarpophalangeal Joint of the Thumb—A Case Report

1986 ◽  
Vol 11 (1) ◽  
pp. 51-54
Author(s):  
M. MIYAMOTO ◽  
T. HIRAYAMA ◽  
M. UCHIDA
Keyword(s):  
Case Report ◽  
Closed Reduction ◽  
Open Reduction ◽  
Metacarpophalangeal Joint ◽  
Collateral Ligament ◽  
Extensor Pollicis Longus ◽  
Longus Tendon ◽  
Extensor Pollicis Brevis ◽  
Extensor Pollicis Longus Tendon

A patient with a volar dislocation of the metacarpophalangeal joint of the thumb is reported in which closed reduction proved impossible because of the interposition of the dorsal capsule, extensor pollicis longus tendon and extensor pollicis brevis tendon in the metacarpophalangeal joint. The collateral ligament was also ruptured. Therefore open reduction is recommended for similar cases.

ACUTE RUPTURE OF EXTENSOR POLLICIS LONGUS TENDON DUE TO AVULSED FRACTURE OF THE SECOND METACARPAL BASE: A CASE REPORT

Hand Surgery ◽  
2006 ◽  
Vol 11 (01n02) ◽  
pp. 43-45 ◽  
Author(s):  
Kazunari Ishida ◽  
Hiroyuki Fujioka ◽  
Ryoichi Doi
Keyword(s):  
Case Report ◽  
Internal Fixation ◽  
Open Reduction ◽  
Tendon Rupture ◽  
Extensor Pollicis Longus ◽  
Longus Tendon ◽  
Acute Rupture ◽  
End To End ◽  
Extensor Carpi Radialis ◽  
Extensor Pollicis Longus Tendon

Acute tendon rupture of the extensor pollicis longus (EPL) is rare. We present acute EPL tendon rupture associated with avulsed fracture of the second metacarpal at the insertion of extensor carpi radialis longus. Tendon rupture of the EPL was repaired with end-to-end suture and avulsed fracture of the second metacarpal base was treated with open reduction and internal fixation.

Isolated Subluxation of the Extensor Pollicis Longus Tendon

1997 ◽  
Vol 22 (6) ◽  
pp. 790-792 ◽  
Author(s):  
M. CHURCHILL ◽  
N. CITRON
Keyword(s):  
Conservative Treatment ◽  
Metacarpophalangeal Joint ◽  
Extensor Pollicis Longus ◽  
Longus Tendon ◽  
Extensor Pollicis Brevis ◽  
Radial Side ◽  
Centre Of Rotation ◽  
Extensor Pollicis Longus Tendon

Isolated ulnar subluxation of the extensor pollicis longus (EPL) tendon occurs when there is damage to the radial side of the extensor hood on the dorsum of the metacarpophalangeal joint of the thumb. The thumb collapses into a pseudoboutonnière deformity because the EPL tendon subluxes and comes to lie palmar to the centre of rotation of the metacarpophalangeal joint to act as a flexor instead of an extensor. The extensor pollicis brevis tendon which lies in a deeper plane to the EPL is unaffected. We describe four cases and propose conservative treatment as being effective in recent injuries.

scholarly journals Small flake, big problem: an unreported cause of extensor pollicis longus tendon rupture

2010 ◽  
Vol 92 (1) ◽  
pp. e24-e26 ◽  
Author(s):  
CAT Durrant ◽  
G Bantick
Keyword(s):  
Open Reduction ◽  
Tendon Rupture ◽  
Careful Monitoring ◽  
Rare Injury ◽  
Extensor Pollicis Longus ◽  
Longus Tendon ◽  
The Third ◽  
Bony Fragment ◽  
Extensor Carpi Radialis ◽  
Extensor Pollicis Longus Tendon

Fracture of the base of the third metacarpal with associated avulsion of the extensor carpi radialis brevis tendon is a rare injury. We report such a fracture and the unusual resulting complication of division of the extensor pollicis longus tendon by the avulsed bony fragment. Careful monitoring using lateral radiographs is needed to make the diagnosis and displacement of the avulsed fragment warrants open reduction and internal fixation.

Locked Metacarpophalangeal Joint of the Little Finger in Extension Position due to the Incarceration of a Chronic Fracture Fragment: A Case Report

2018 ◽  
Vol 23 (04) ◽  
pp. 601-604 ◽  
Author(s):  
Shunsuke Asakawa ◽  
Takeshi Ogawa
Keyword(s):  
Case Report ◽  
Open Reduction ◽  
Ulnar Collateral Ligament ◽  
Metacarpophalangeal Joint ◽  
Volar Plate ◽  
Collateral Ligament ◽  
Fracture Fragment ◽  
Osteochondral Fracture ◽  
Unique Condition ◽  
Little Finger

We managed a case of locked metacarpophalangeal joint of the little finger in the extension position. Incarceration of a chronic osteochondral fracture fragment led to this unique condition. The fracture fragment partially adhered to the volar plate and ulnar collateral ligament on the joint side, which is supposed to have resulted in manually irreducible locking of the joint. We performed open reduction and achieved release of the locked joint by excising the fracture fragment.

scholarly journals Distal intersection syndrome progressing to extensor pollicis longus tendon rupture: a case report with sonographic findings

2016 ◽  
Vol 20 (3) ◽  
pp. 237-241 ◽  
Author(s):  
Ross Mattox ◽  
Patrick J. Battaglia ◽  
Frank Scali ◽  
Kathy Ottolini ◽  
Norman W. Kettner
Keyword(s):  
Case Report ◽  
Tendon Rupture ◽  
Extensor Pollicis Longus ◽  
Longus Tendon ◽  
Intersection Syndrome ◽  
Extensor Pollicis Longus Tendon

scholarly journals Rupture of the extensor pollicis longus tendon following steroid injection. A case report.

1985 ◽  
Vol 33 (4) ◽  
pp. 1064-1066
Author(s):  
Fumiaki Nagato ◽  
Hirotoshi Yoshida ◽  
Hideaki Kira ◽  
Yuzo Tashiro
Keyword(s):  
Case Report ◽  
Steroid Injection ◽  
Extensor Pollicis Longus ◽  
Longus Tendon ◽  
Extensor Pollicis Longus Tendon

scholarly journals A Case Report of Distal Radial Fracture with Entrapment of the Extensor Pollicis Longus Tendon.

1993 ◽  
Vol 42 (4) ◽  
pp. 1615-1617
Author(s):  
Naotaka Ibi ◽  
Yoshiichi Sasaki ◽  
Ken Arai ◽  
Hiroyuki Yamamoto ◽  
Kazushige Terado ◽  
...  
Keyword(s):  
Case Report ◽  
Distal Radial Fracture ◽  
Radial Fracture ◽  
Extensor Pollicis Longus ◽  
Longus Tendon ◽  
Extensor Pollicis Longus Tendon

A Split-EPB Tendon Sling for Chronic Post-Traumatic Palmar Instability of the Thumb Metacarpophalangeal Joint

2009 ◽  
Vol 34 (3) ◽  
pp. 358-362 ◽  
Author(s):  
G. J. S. LIM ◽  
A. YAM ◽  
S. C. TAY ◽  
F. C. YONG ◽  
L. C. TEOH
Keyword(s):  
Metacarpophalangeal Joint ◽  
Pinch Strength ◽  
Extensor Pollicis Longus ◽  
Hyperextension Injury ◽  
Longus Tendon ◽  
Post Traumatic ◽  
Joint Flexion ◽  
Extensor Pollicis Longus Tendon ◽  
Palmar Instability ◽  
Thumb Metacarpophalangeal Joint

Kessler’s extensor pollicis brevis (EPB) palmar tendon sling is a simple and reliable reconstruction for symptomatic palmar instability of the thumb metacarpophalangeal (MP) joint. However, we encountered subluxation of the extensor pollicis longus tendon and extension lag at the MP joint when the entire tendon was used. We modified the technique, splitting the tendon to preserve its function as an MP joint extensor. Six thumb MP joints with anteroposterior instability secondary to hyperextension injury were reconstructed using the split-EPB technique. At an average of 22 months postoperatively, all patients had stable and pain-free MP joints. Pinch strength improved an average of 5.6 kg. MP joint flexion was decreased an average of 17.5° and two patients had flexion contractures of 5° and 20°, respectively. Extensor pollicis longus subluxation and MP extension lag did not occur, and there were no recurrences.

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