EXTENSOR POLLICIS LONGUS TENDON RUPTURE AS A RESULT OF SCAPHOLUNATE DISSOCIATION: A CASE REPORT

Hand Surgery ◽  
2005 ◽  
Vol 10 (02n03) ◽  
pp. 307-310 ◽  
Author(s):  
Koji Shigematsu ◽  
Hiroshi Yajima ◽  
Yoshinori Takakura
Keyword(s):  
Tendon Rupture ◽  
Scapholunate Dissociation ◽  
Extensor Pollicis Longus ◽  
The Third ◽  
Extensor Indicis Proprius ◽  
Dorsal Aspect ◽  
Arthroscopic Findings ◽  
Bone Autograft ◽  
Rupture Site ◽  
Extensor Pollicis Longus Tendon

A 39-year-old patient was presented with, to our knowledge, the first ever diagnosed case of extensor pollicis longus (EPL) tendon rupture as a result of scapholunate (S-L) dissociation. Arthroscopic findings showed that the dorsal aspect of the S-L ligament was ruptured and severe synovitis was revealed around the S-L joint. Direct observation revealed synovium at the rupture site of the EPL tendon. After careful resection of this synovium, an aperture in the S-L joint was observed. Thus, it was considered that the synovium in the S-L joint was connected to the rupture site of the EPL tendon, passing through the dorsal capsule of the S-L joint. The ruptured EPL tendon was reconstructed with extensor indicis proprius tendon transfer, and S-L dissociation was treated with a bone-retinaculum-bone autograft taken from the third dorsal compartment region.

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.

Snapping thumb: a rare case of stenosing tenosynovitis of the extensor pollicis longus tendon

2021 ◽  
Vol 14 (6) ◽  
pp. e241306
Author(s):  
Andrea Lund ◽  
Pelle Hanberg ◽  
Anders Ditlev Foldager-Jensen ◽  
Maiken Stilling
Keyword(s):  
Rare Case ◽  
Diagnostic Tools ◽  
Extensor Pollicis Longus ◽  
The Third ◽  
Stenosing Tenosynovitis ◽  
Repetitive Loading ◽  
Extensor Compartment ◽  
Extensor Pollicis Longus Tendon ◽  
Surgical Release

Tenosynovitis of the extensor pollicis longus (EPL) is rarely reported in patients without rheumatoid arthritis but may lead to thumb snapping as a consequence of EPL stenosing tenosynovitis.This case presents painful thumb snapping that developed after a wrist trauma and repetitive loading. Ultrasound and MRI were used as diagnostic tools, before surgical release of the EPL in the third extensor compartment was performed. Neither EPL tenosynovitis nor thumb snapping were found at follow-up.

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

A Modified Dorsal Approach to the Wrist for Arthrodesis of the Non-Rheumatoid Wrist

1996 ◽  
Vol 21 (4) ◽  
pp. 434-436 ◽  
Author(s):  
A. BIYANI ◽  
N. A. EBRAHEIM ◽  
J. LU ◽  
R.A. YEASTING
Keyword(s):  
Dorsal Approach ◽  
Extensor Pollicis Longus ◽  
Longus Tendon ◽  
The Third ◽  
Rheumatoid Wrist ◽  
The Mean ◽  
Good Exposure ◽  
Normal Angle ◽  
Extensor Pollicis Longus Tendon ◽  
Dorsal Tubercle

Fourteen cadaveric wrists were dissected to investigate a modified dorsal approach that involved osteotomy of the small and dorsal tubercles without opening the third compartment. This approach could be safely made with good exposure of the dorsum of the wrist. The mean normal angle formed by the extensor pollicis longus tendon at the level of the dorsal tubercle was 144°. An approach that involves division of the third compartment may lead to effective lengthening of the extensor pollicis longus musculotendinous unit by 8 to 17 mm with corresponding decrease in the tension generated by its contraction. The modified approach permits restoration of the normal alignment of the extensor pollicis longus tendon, and may be useful for performing arthrodesis of the non-rheumatoid wrist in young manual workers.

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