Closed rupture of abductor pollicis longus and extensor pollicis brevis associated with fracture of the distal radius

Al-Najjim, Munnan; Fenton, Carl; Scott, Thomas D.

doi:10.1177/1753193411424703

Cited by 5 publications

(2 citation statements)

References 4 publications

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“…This association has yet to be studied with regard to EPL rupture, but it may be worth exploration considering idiopathic cases such as the ones presented here. Furthermore, rupture of both the abductor pollicis longus and extensor pollicis brevis has been reported following distal radius fracture and conservative management of de Quervain's disease [1,26]. Given the related anatomy and risk factors, it is possible that these two processes (de Quervain's disease and spontaneous EPL rupture) share a common pathological pathway.…”

Section: Discussionmentioning

confidence: 99%

Revisiting Spontaneous Rupture of the Extensor Pollicis Longus Tendon: Eight Cases without Identifiable Predisposing Factor

Fufa

Hsu

et al. 2015

Hand (New York, N,Y.)

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Introduction Rupture of the extensor pollicis longus (EPL) tendon has been reported in the setting of distal radius fracture, chronic inflammatory arthritis, following steroid injection, and with excessive or repetitive activities. Truly, spontaneous EPL rupture, without an identifiable predisposing factor, has rarely been reported. Methods We present a retrospective case series of eight patients with spontaneous EPL rupture who were treated in our institution. Results The majority of the cases were female (75 %, n=6), and the nondominant (75 %, n=6) hand was most commonly involved. No identifiable predisposing factor could be identified in four patients. While four patients reported a history of a fall, radiographs failed to demonstrate skeletal abnormality in all four cases. No additional pathology could be identified at the time of surgery. Patients were treated using tendon transfer (n=7) or interpositional graft (n=1). There has been no case of clinical recurrence in the mean of 74.8 months (range 23-140 months) follow-up period. ConclusionThe EPL tendon is at risk for spontaneous rupture even in the absence of identifiable predisposing risk factor. Rather than pure mechanical irritation, vascular and metabolic factors may also play a substantial role in the etiology of this uncommon diagnosis.

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Section: Discussionmentioning

confidence: 99%

Revisiting Spontaneous Rupture of the Extensor Pollicis Longus Tendon: Eight Cases without Identifiable Predisposing Factor

Fufa

Hsu

et al. 2015

Hand (New York, N,Y.)

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show abstract

“…Interestingly, in the latter case the tendon damage was due to attrition at a prominent bony spur, but not metalwork. There was also one report on spontaneous rupture of the tendons in the first extensor compartment (Al-Najim et al, 2012).…”

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confidence: 99%

Entrapment of the extensor indicis proprius tendon in the callus after a distal radial fracture

Piotuch

Puchalski

Żyluk

2014

J Hand Surg Eur Vol

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Implantatbedingte Veränderungen

Kluge¹

2015

Ultraschalldiagnostik Der Hand

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Closed rupture of abductor pollicis longus and extensor pollicis brevis associated with fracture of the distal radius

Cited by 5 publications

References 4 publications

Revisiting Spontaneous Rupture of the Extensor Pollicis Longus Tendon: Eight Cases without Identifiable Predisposing Factor

Revisiting Spontaneous Rupture of the Extensor Pollicis Longus Tendon: Eight Cases without Identifiable Predisposing Factor

Entrapment of the extensor indicis proprius tendon in the callus after a distal radial fracture

Implantatbedingte Veränderungen

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