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

2004 ◽  
Vol 53 (4) ◽  
pp. 800-805
Author(s):  
Hideki Ishii ◽  
Akihiko Asami ◽  
Motoki Sonohata ◽  
Nobuhiko Maruno ◽  
Takao Hotokebuchi ◽  
...  
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Radius Fracture ◽  
Extensor Pollicis Longus ◽  
Longus Tendon ◽  
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.

Ultrasound changes in the extensor pollicis longus and flexor pollicis longus tendons following open reduction and internal fixation of displaced intra-articular fractures of the distal radius

2012 ◽  
Vol 38 (2) ◽  
pp. 129-132 ◽  
Author(s):  
K. L. Owers ◽  
P. P. Grieve ◽  
S. Mee ◽  
N. S. Chew ◽  
G. Ansede ◽  
...  
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Radius Fracture ◽  
Flexor Pollicis Longus ◽  
Extensor Pollicis Longus ◽  
Longus Tendon ◽  
Articular Fractures ◽  
Pin Fixation ◽  
Active Mobilization ◽  
Extensor Pollicis Longus Tendon

A previous ultrasound study showed inflammation around the extensor pollicis longus tendon and surrounding structures at 6 weeks after manipulation, with or without pin fixation, and immobilization for distal radius fracture. Ultrasound examination after plating of distal radius fracture followed by early active mobilization of the wrist showed a short-lived inflammatory response, evident at 2 weeks but not at 6 weeks, around the extensor pollicis longus tendon (26 wrists examined) and flexor pollicis longus tendon (18 wrists examined). Early active mobilization of the wrist appears to limit the duration of inflammation around these tendons.

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