Entrapment of Extensor Pollicis Longus Tendon after Volar Plating of a Smith Type Pediatric Distal Forearm Fracture

2016 ◽  
Vol 21 (02) ◽  
pp. 253-256 ◽  
Author(s):  
Torsten Franz
Keyword(s):  
Distal Radius ◽  
Open Reduction ◽  
Forearm Fracture ◽  
Distal Forearm ◽  
Volar Plating ◽  
Distal Forearm Fracture ◽  
Extensor Pollicis Longus ◽  
Longus Tendon ◽  
Tendon Entrapment ◽  
Extensor Pollicis Longus Tendon

Extensor pollicis longus tendon entrapment is a rare complication of volarly displaced pediatric distal radius fractures. The few pediatric case reports have described tendon entrapment associated with conservative fracture treatment, or have been recognized at subsequent revision surgery after failure to achieve closed fracture reduction. A case of extensor pollicis longus tendon entrapment after open reduction and volar plate fixation of a pediatric distal forearm fracture is reported. This complication may also occur secondarily after open reduction and volar plating of the distal radius.

Supernumerary extensor pollicis longus tendon masking an extensor pollicis longus rupture following non-surgical treatment of a distal radius fracture

2021 ◽  
Vol 14 (7) ◽  
pp. e242509
Author(s):  
Bradley D Wiekrykas ◽  
Mark K Solarz ◽  
Hesham M Abdelfattah ◽  
Joseph J Thoder
Keyword(s):  
Surgical Treatment ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Metacarpophalangeal Joint ◽  
Radius Fracture ◽  
Extensor Pollicis Longus ◽  
Longus Tendon ◽  
Tendon Entrapment ◽  
Non Surgical Treatment ◽  
Extensor Pollicis Longus Tendon

Extensor pollicis longus tendon pathology is a recognised complication following non-surgical treatment of non-displaced distal radius fractures. Tendon entrapment typically presents with pain, but preservation of thumb retropulsion during complete rupture results in loss of active thumb retropulsion and tenodesis effect. We present the case of a 52-year-old woman who developed extensor pollicis longus tendon entrapment with full active thumb extension following a non-displaced distal radius fracture. During her elective third dorsal compartment release, the extensor pollicis longus tendon was found to be completely ruptured and a rare supernumerary extensor pollicis longus tendon was found emerging from the fourth dorsal compartment. Gentle traction of this tendon resulted in thumb interphalangeal joint extension and simultaneous index finger metacarpophalangeal joint extension. An extensor indicis proprius to extensor pollicis longus tendon transfer was performed. At her final 6-month follow-up, she had painless full active thumb motion comparable to her contralateral side.

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.

scholarly journals Rupture of Extensor Pollicis Longus Tendon after Fracture of Distal Radius

2005 ◽  
Vol 54 (1) ◽  
pp. 143-146
Author(s):  
Manabu Taguchi ◽  
Hidechika Nakashima ◽  
Kenichiro Teramoto ◽  
Kanae Harada ◽  
Takushi Nagai ◽  
...  
Keyword(s):  
Distal Radius ◽  
Extensor Pollicis Longus ◽  
Longus Tendon ◽  
Extensor Pollicis Longus Tendon ◽  
Fracture Of Distal Radius

A survey of extensor pollicis longus tendon injury at the time of distal radius fractures

Injury ◽  
2017 ◽  
Vol 48 (4) ◽  
pp. 925-929 ◽  
Author(s):  
Kiyohito Naito ◽  
Yoichi Sugiyama ◽  
Thitinut Dilokhuttakarn ◽  
Mayuko Kinoshita ◽  
Kenji Goto ◽  
...  
Keyword(s):  
Distal Radius ◽  
Tendon Injury ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Extensor Pollicis Longus ◽  
Longus Tendon ◽  
Extensor Pollicis Longus Tendon
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