Displaced Dorsal Metaphyseal Cortex Associated With Delayed Extensor Pollicis Longus Tendon Entrapment in a Pediatric Smith's Fracture

2013 ◽  
Vol 22 (02) ◽  
pp. 173-175 ◽  
Author(s):  
Alfred A Mansour ◽  
Jeffry T. Watson ◽  
Jeffrey E. Martus
Keyword(s):  
Extensor Pollicis Longus ◽  
Longus Tendon ◽  
Tendon Entrapment ◽  
Extensor Pollicis Longus Tendon

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.

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.

Rerouting Extensor Pollicis Longus Tendon Transfer

2015 ◽  
Vol 40 (4) ◽  
pp. 822-825 ◽  
Author(s):  
Julie Colantoni Woodside ◽  
Randip R. Bindra
Keyword(s):  
Tendon Transfer ◽  
Extensor Pollicis Longus ◽  
Longus Tendon ◽  
Extensor Pollicis Longus Tendon

Snapping Extensor Pollicis Longus Tendon Subluxation Secondary to Trapeziometacarpal Instability

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Spencer R. Anderson ◽  
Lucas M. Harrison ◽  
Sunishka M. Wimalawansa
Keyword(s):  
Extensor Pollicis Longus ◽  
Longus Tendon ◽  
Extensor Pollicis Longus Tendon

NON-TRAUMATIC SPONTANEOUS RUPTURE OF THE EXTENSOR POLLICIS LONGUS TENDON

Orthopedics ◽  
1993 ◽  
Vol 16 (12) ◽  
pp. 1347-1350
Author(s):  
John E Zvijac ◽  
Chet J Janecki ◽  
Kevin M Supple
Keyword(s):  
Spontaneous Rupture ◽  
Extensor Pollicis Longus ◽  
Longus Tendon ◽  
Extensor Pollicis Longus Tendon

scholarly journals Anatomic Association of the Proximal Fingernail Matrix to the Extensor Pollicis Longus Tendon: A Morphological and Histological Study

2018 ◽  
Vol 7 (12) ◽  
pp. 465 ◽  
Author(s):  
Patricia Palomo-López ◽  
Ricardo Becerro-de-Bengoa-Vallejo ◽  
Daniel López-López ◽  
César Calvo-Lobo ◽  
Manuel Herrera-Lara ◽  
...  
Keyword(s):  
Histological Study ◽  
Extensor Tendon ◽  
Functional Impairments ◽  
Extensor Pollicis Longus ◽  
Longus Tendon ◽  
The Matrix ◽  
Fresh Frozen ◽  
Human Cadavers ◽  
Distal Section ◽  
Extensor Pollicis Longus Tendon

Background: Extensor tendon disorders may cause severe functional impairments, and there is a lack of knowledge about their anatomic associations with the proximal fingernail matrix. Objective: To delineate the association between the distal extensor pollicis longus tendon (EPLT) insertion and the limit of the fingernail matrix in the thumb. Methods: The limit of the fingernail matrix and the distal bony insertion of the EPLT were identified in five thumbs from fresh-frozen human cadavers. An additional five thumbs were fixed and the longitudinal thumb sections were histologically analyzed. Results: The terminal limit of the matrix and fingernail was dorsal and overlapped to the EPL tendon, which was located between the fingernail matrix and the phalanx, and extended dorsally to the distal section of the terminal phalanx in all ten thumb bodies. Conclusion: The fingernail matrix is not directly inserted into the periosteum of the dorsal section of the base to the distal phalanx, because this anatomic relationship is separated by the deep fibers of the EPLT.

Rupture of the Extensor Pollicis Longus Tendon in Undisplaced Colles’ Type of Fracture

HAND ◽  
1982 ◽  
Vol os-14 (1) ◽  
pp. 41-47 ◽  
Author(s):  
B. Helal ◽  
S. C. Chen ◽  
G. Iwegbu
Keyword(s):  
Fracture Site ◽  
Extensor Retinaculum ◽  
Fracture Callus ◽  
Extensor Pollicis Longus ◽  
Longus Tendon ◽  
Colles Fracture ◽  
Type Of Fracture ◽  
Extensor Pollicis Longus Tendon

There is a higher risk that the tendon of extensor pollicis longus will rupture in undisplaced Colles’ type of fracture than in those which are displaced. This difference in incidence is due to the integrity of the extensor retinaculum in undisplaced Colles’ type of fracture causing the tendon to be held tight against the fracture callus in the floor of the tunnel which may result in an attrition rupture. In the displaced Colles’ fracture the extensor retinaculum is torn from the bone and thus permits the tendon to escape from contact with the fracture site.

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