EXTENSOR CARPI RADIALIS LONGUS AVULSION: A LITERATURE REVIEW AND CASE REPORT

Hand Surgery ◽  
2008 ◽  
Vol 13 (03) ◽  
pp. 187-192 ◽  
Author(s):  
D. Clark ◽  
R. Amirfeyz ◽  
P. McCann ◽  
R. Bhatia
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Internal Fixation ◽  
Open Reduction ◽  
Early Mobilisation ◽  
Rare Injury ◽  
Wrist Extensor ◽  
Wire Fixation ◽  
Wrist Function ◽  
Extensor Carpi Radialis

Extensor Carpi Radialis Longus (ECRL) avulsion is a rare injury which follows resisted wrist hyperflexion. Treatment of this condition with open reduction and internal fixation is not previously described in the literature, and treatment with plaster immobilisation or k-wire fixation requires a prolonged period of immobilisation. We believe that open reduction and internal fixation of these fractures with early mobilisation will result in the best possible wrist function. We describe a sign to raise the index of suspicion for this injury: a palpable bone lump on the dorsum of the hand in the presence of wrist extensor pain or weakness after wrist hyperflexion injury is a sign of wrist extensor avulsion.

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.

scholarly journals Second Metacarpal Base Avulsion Fracture Due to the Extensor Carpi Radialis Longus Tendon: A Case Report

2021 ◽  
Author(s):  
Tanvi Rao ◽  
Jonathan Victor
Keyword(s):  
Case Report ◽  
Positive Result ◽  
Internal Fixation ◽  
Open Reduction ◽  
Avulsion Fracture ◽  
Common Mode ◽  
Longus Tendon ◽  
Extensor Carpi Radialis

Fracture avulsion injuries of the extensors of the wrist are not common. The most common mode of injury is forced flexion of the hand and wrist with Extensor Carpi Radialis Longus (ECRL) contraction at the same time. These fractures are generally managed by Open Reduction and Internal Fixation (ORIF) along with repair of the ECRL tendon. This modality of management is associated with less chance of complications, makes the joint more stable and has an overall positive result.

AVULSION FRACTURE OF THE EXTENSOR CARPI RADIALIS LONGUS TENDON: CASE REPORT AND LITERATURE REVIEW

Hand Surgery ◽  
2012 ◽  
Vol 17 (02) ◽  
pp. 247-249 ◽  
Author(s):  
Srinivasan Shyamsundar
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Avulsion Fracture ◽  
Index Finger ◽  
English Literature ◽  
Proximal Fragment ◽  
Early Mobilisation ◽  
Review Of Literature ◽  
Avulsion Injury ◽  
Extensor Carpi Radialis

Isolated avulsion fracture of the index finger metacarpal is rare. There have been only a few noted in the English literature. A review of literature shows that these injuries occur as a result of avulsion of the tendon of extensor carpi radialis longus. In our report we present a case of such an avulsion injury where the proximal fragment was pulled about 2 cm down. The patient was treated conservatively with early mobilisation.

scholarly journals Elbow dislocation with bicondylar humeral fracture in an adult: a unique type of injury

2019 ◽  
Vol 5 (2) ◽  
pp. 78-80
Author(s):  
Mohit Kumar Arora ◽  
Ela Madaan ◽  
Sandeep Kumar
Keyword(s):  
Case Report ◽  
Internal Fixation ◽  
Elbow Joint ◽  
Open Reduction ◽  
Age Groups ◽  
Elbow Dislocation ◽  
Medial Epicondyle ◽  
Lateral Condyle ◽  
Rare Injury ◽  
Unique Type

Simultaneous fracture of lateral condyle and medial epicondyle of humerus along with elbow dislocation is very rare injury in adults. Only a few cases have been reported in literature in pediatric age groups. The authors describe a case report of fracture of lateral condyle and medial epicondyle of humerus along with elbow dislocation in a young adult. The patient sustained injury in the form of fall from bike. Clinically the patient had swelling and deformity of the elbow joint. There were contusions present in the skin around the elbow joint. There was no distal neuro-vascular deficit. Appropriate radiological investigations were done. The elbow joint was then reduced and found to be unstable. Hence, patient was taken up for surgery in the form of open reduction and internal fixation. The functional outcome of the surgery is presented in the case report. Open reduction and internal fixation are the treatment of choices in these types of cases.

scholarly journals Management of Isolated Capitate Nonunion: A Case Series and Literature Review

2018 ◽  
Vol 07 (05) ◽  
pp. 419-423 ◽  
Author(s):  
Rishabh Jethanandani ◽  
Schneider Rancy ◽  
Keith Corpus ◽  
Jeffrey Yao ◽  
Scott Wolfe
Keyword(s):  
Literature Review ◽  
Internal Fixation ◽  
Bone Grafting ◽  
Relevant Literature ◽  
Case Series ◽  
Rare Condition ◽  
Vascular Supply ◽  
Autogenous Bone ◽  
Rare Injury ◽  
Autogenous Bone Grafting

Background Isolated capitate nonunion is rare. No consensus on the appropriate treatment for this condition exists. Case Description We reported two cases of capitate fracture nonunion presenting several months after untreated high-impact wrist trauma. Treatment was delayed as both patients' nonunions were missed on conventional radiographs. Both were ultimately diagnosed with advanced imaging and successfully treated with internal fixation and autogenous bone grafting. The relevant literature pertaining to capitate nonunion was reviewed. Literature Review Immobilization and internal fixation with bone grafting for capitate nonunion have been described in the literature. Loss of vascular supply and progression to avascular necrosis is a concern after capitate nonunion. Clinical Relevance We present two cases and review the literature on the diagnosis and treatment of this rare injury to guide management. Internal fixation with autogenous bone grafting could play a role in management for this rare condition.

scholarly journals Delayed Peroneal Neuropathy After Bosworth Fracture Dislocation of the Ankle

2021 ◽  
Vol 111 (4) ◽  
Author(s):  
Sung Hoon Choi ◽  
Jeong Min Hur ◽  
Kyu-Tae Hwang
Keyword(s):  
Soft Tissue ◽  
Internal Fixation ◽  
Closed Reduction ◽  
Open Reduction ◽  
Fracture Dislocation ◽  
Tibial Tubercle ◽  
Proximal Fragment ◽  
Rare Injury ◽  
Soft Tissue Swelling ◽  
Severe Soft Tissue

The Bosworth ankle fracture-dislocation is a rare injury and is often irreducible because of an entrapped proximal fragment of the fibula behind the posterior tibial tubercle. Repeated closed reduction or delayed open reduction may result in several complications. Thus, early open reduction and internal fixation enable a better outcome by minimizing soft-tissue damage. We report on a 27-year-old man who underwent open reduction and internal fixation after multiple attempts at failed closed reduction, complicated by severe soft-tissue swelling, rhabdomyolysis, and delayed peroneal nerve palsy around the ankle.

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