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.

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.

An Unreported Cause of Rupture of the Extensor Pollicis Longus Tendon

1996 ◽  
Vol 21 (5) ◽  
pp. 640-641 ◽  
Author(s):  
O. C. S. CASSELL ◽  
P. VIDAL
Keyword(s):  
Internal Fixation ◽  
Clinical Assessment ◽  
Radiological Examination ◽  
Avulsion Fractures ◽  
Extensor Pollicis Longus ◽  
Longus Tendon ◽  
Bony Fragment ◽  
Extensor Carpi Radialis ◽  
Extensor Pollicis Longus Tendon

Avulsion fractures of the index metacarpal at the insertion of extensor carpi radialis longus are rare. We report such a fracture and the resulting complication of division of the extensor pollicus longus tendon, by the avulsed bony fragment. Careful clinical assessment and appropriate radiological examination is needed to diagnose this rare fracture and internal fixation is recommended.

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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