Ulnar Subluxation of the Extensor Pollicis Longus Tendon as a Cause of Congenital Clasped Thumb: A Case Report

2018 ◽  
Vol 23 (03) ◽  
pp. 408-411
Author(s):  
Takuma Wakasugi ◽  
Ritsuro Shirasaka
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Sensory Nerve ◽  
Corrective Surgery ◽  
Extension Deficit ◽  
Active Motion ◽  
Extensor Pollicis Longus ◽  
Ulnar Aspect ◽  
One Year ◽  
Extensor Pollicis Longus Tendon

A 15-year-old male patient presented with difficulty extending his right thumb due to subluxation of the extensor pollicis longus (EPL) tendon. Physical examination showed that active motion of the thumb’s metacarpophalangeal (MP) joint was 76° in flexion and -58° in extension. During active extension, the EPL tendon shifted onto the ulnar aspect of the MP joint, and the extensor pollicis brevis (EPB) tendon shifted onto the central dorsal course of the MP joint. After repositioning by adducting the thumb into the palm to extend the MP joint (dynamic tenodesis effect), active extension of the MP joint increased to -12°. Corrective surgery was performed under local anesthesia and radial sensory nerve block. Following plication of the attenuated dorsal capsule and sagittal band between the EPB and EPL, we confirmed that the patient could flex and extend the thumb smoothly. One year postoperatively, the extension deficit of the MP joint had not recurred.

Symmetrical brachydactyly in a dog

2017 ◽  
Vol 30 (04) ◽  
pp. 306-309
Author(s):  
Ursula Krotscheck ◽  
Anthony Fischetti ◽  
Kim Tong ◽  
Megan Cray
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Congenital Malformations ◽  
General Term ◽  
Abnormal Development ◽  
Unaffected Sibling ◽  
Radiographic Imaging ◽  
One Year

SummaryCongenital malformations of the canine manus and pes are infrequently reported in the veterinary literature. This includes brachydactyly which is a general term used to indicate the shortening of digits due to abnormal development of the phalanges, metacarpals, or metatarsals. This case report describes isolated brachydactyly in a one-year-old male Maremma Sheepdog affecting all of the phalanges, metacarpals, and metatarsals of digits two through five. This condition was confirmed by determining the length of each phalanx, metacarpal, and metatarsal of the affected dog as well as an unaffected littermate. The affected dog’s metacarpal, metatarsal, and phalanx lengths ranged from 50% to 77% of that of the unaffected sibling. Other abnormalities found on physical examination as well as on radiographic imaging are discussed.

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

45,X/46,XY Mosaicism with Male Phenotype: Case Report

2021 ◽  
pp. 1-4
Author(s):  
Angie Carolina Carreño-Martínez ◽  
Victor Clemente Mendoza Rojas ◽  
Julian Arturo Gil Forero ◽  
Victor Hugo Figueroa ◽  
Gustavo Adolfo Contreras-García
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Aortic Coarctation ◽  
Gonadal Dysgenesis ◽  
Ambiguous Genitalia ◽  
Normal Male ◽  
Corrective Surgery ◽  
Male Phenotype ◽  
Treatment Alternatives

Mixed gonadal dysgenesis is the most common chromosomal abnormality with ambiguous genitalia, defined as a 45,X/46,XY mosaicism. It can present with a normal male phenotype, ambiguous genitalia, or features of Turner syndrome. A 14-year-old patient was referred to the genetics clinic due to hypospadia, cryptorchidism, and aortic coarctation. During the physical examination, short stature, webbed neck, and Blashko lines on his back were noted. He had a previous karyotype reported as normal. However, due to an inadequate evolution and a low resolution on the previous test, a higher resolution karyotype was performed, identifying a mosaicism 45,X/46,XY. A multidisciplinary board examined the case, and follow-up with tumor markers was carried out to evaluate the presence of gonadoblastoma, one of the main complications in these patients. Treatment should be transdisciplinary and focused on the particular characteristics of each case. Other treatment alternatives include corrective surgery and hormonal therapy.

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