Nonrheumatoid closed rupture of extensor carpi ulnaris tendon

Moran, Seán; Ruby, Leonard K.

doi:10.1016/0363-5023(92)90406-f

Cited by 12 publications

(5 citation statements)

References 4 publications

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“…Four cases of non-rheumatoid closed complete ruptures of the ECU tendon have been described. Moran and Ruby (1992) reported on two cases, one with an associated triangular fibrocartilage complex tear and a distal ulnar osteophyte, and Wang et al (2003) described a single case in an ice hockey player. We have treated four cases, three of which were in professional athletes of which one has been previously published (Xarchas and Le Viet, 2002).…”

Section: Article In Pressmentioning

confidence: 99%

Extensor Carpi Ulnaris Problems at the Wrist–Classification, Surgical Treatment and Results

Allende

Viet

2005

Journal of Hand Surgery

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Twenty-eight extensor carpi ulnaris lesions at the wrist were treated surgically between 1990 and 2002. Fifteen patients had an isolated extensor carpi ulnaris tenosynovitis or tendinopathy, five had extensor carpi ulnaris dislocation, four had an extensor carpi ulnaris subluxation and four had an extensor carpi ulnaris rupture. Seventeen patients first developed their symptoms while playing sports. At a mean follow-up of 23 months, twenty-two patients had returned to their previous activities. Seven of the 27 patients had lost more than 30% of their grip strength and five had restricted wrist motion. Two needed an extensor carpi ulnaris tenolysis. Pure isolated extensor carpi ulnaris lesions are rare and associated ulnar sided lesions (eleven triangular fibrocartilage complex tears and four lunotriquetral ligament tears), as well as possible predisposing factors (seven anomalous tendon slips, four ulnar styloid non-unions and one flat extensor carpi ulnaris tendon groove), were frequent. A classification of extensor carpi ulnaris tendon and subsheath lesions was developed to allow the surgeon to adequately evaluate the different components of these lesions.

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Section: Article In Pressmentioning

confidence: 99%

Extensor Carpi Ulnaris Problems at the Wrist–Classification, Surgical Treatment and Results

Allende

Viet

2005

Journal of Hand Surgery

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“…Moran and Ruby [ 3 ] described a closed rupture of the ECU with different mechanisms of injury. Several case reports of avulsion fractures of other wrist extensors have been described by DeLee [ 4 ], Jessa and Hodge [ 5 ], Sadr and Lalehzarian [ 6 ], Treble and Arif [ 7 ], Takami et al[ 8 ], Crichlow and Hoskinson [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…They reported fixation using K-wires and wire loops with satisfactory patient outcomes [ 2 ]. Several case reports detail closed ruptures [ 3 ]. Several cases of avulsion fractures of radial wrist extensors at their insertion are also reported in the literature [ 4 - 6 ].…”

Section: Introductionmentioning

confidence: 99%

Bilateral Avulsion Fractures of Extensor Carpi Ulnaris: A Case Report

Vemparala,

Narayanan

2024

jocr

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Introduction: Avulsion fractures of the extensor carpi ulnaris (ECU) from its insertion are rare injuries that are rarely reported in the literature. Most of the case reports detailed closed ruptures. We present avulsion fractures of the bilateral ECU from the base of the 5th metacarpal. Not much of the literature has been published in this regard. Case Report: A 33 year old male presented with pain around both wrists and hands following a fall from a bike. Following evaluation and radiological investigation, he was found to have a volar Barton fracture with an undisplaced avulsed 5th metacarpal base fracture on the right side and a displaced avulsed fracture of the left 5th metacarpal base. Internal fixation of the volar Barton fracture and mini open fixation of the left 5th metacarpal were done with a wire. The wires were removed at 6 weeks and rehabilitation started. At 3 months, the patient returned to activity with full wrist and hand function. Conclusion: Bilateral avulsion fractures of the ECU from its insertion are a rare injury. Displaced fractures might benefit from surgical intervention. Early diagnosis and treatment are essential for a good functional outcome. Key words: Avulsion fracture, extensor carpi ulnaris, 5th metacarpal base.

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“…The patient's pain was relieved by suture of the tendon and repair of both the extensor carpi ulnaris tendon sheath and extensor retinaculum. Moran and Ruby 13 reported on two otherwise healthy patients who had closed extensor carpi ulnaris tendon rupture. One patient had an associated triangular fibrocartilage complex tear and a distal ulnar osteophyte found at surgery; the second patient had no associated lesions or osteophytes.…”

Section: Discussionmentioning

confidence: 99%