Reconstruction strategies after rupture of the extensor pollicis longus tendon: A systematic review

Ganon, S.; Bellity, Jonathan; Zbili, David; Boccara, David

doi:10.1016/j.hansur.2020.07.005

Cited by 6 publications

(2 citation statements)

References 16 publications

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“…If an EDC II tendon rupture is found at the time of surgery, reconstruction may be performed as described in this case. Alternatively, if the EIP has not already been released distally, other EPL reconstruction options described in the literature are either grafting using palmaris longus, toe extensors, and fasciolata or tendon transfers using the extensor carpi radialis brevis, extensor carpi radialis longus, or the brachioradialis [ 7 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

Concomitant Extensor Pollicis Longus and Extensor Digitorum Longus Tendon Rupture may Complicate Surgical Reconstruction following Volar Plate Fixation of the Distal Radius: A Case Report

Paul¹,

Persitz²,

Chan³

et al. 2023

JOCR

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Introduction: Hardware prominence is one of the major established complications following volar plating of distal radius fractures. In particular, dorsal prominence of screws is the leading risk factor associated with post-surgical extensor pollicis longus (EPL) tendon rupture. Although there are many descriptions of attritional EPL ruptures in the literature, concomitant presentation of attritional EPL and extensor digitorum communis (EDC) ruptures following volar plating of distal radius fractures are minimal. Case Report: We present a case of concomitant rupture of the EPL and occult rupture of the EDC to the index finger following volar plating of the distal radius. This was discovered intraoperatively and complicated the proposed tendon transfer reconstruction. Conclusion: Locked volar plate fixation has become the preferred technique for surgical management of distal radius fractures. The complication of multiple extensor tendon ruptures is rare but nevertheless may be encountered. We discuss strategies for diagnosis, treatment, and prevention. Surgeons should be aware of and prepared to proceed with alternative reconstructive procedures if this complication is discovered. Keywords: Distal radius fracture, tendon transfer, extensor pollicis longus, extensor indicis proprius, extensor digitorum communis, tendon rupture.

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Section: Discussionmentioning

confidence: 99%

Concomitant Extensor Pollicis Longus and Extensor Digitorum Longus Tendon Rupture may Complicate Surgical Reconstruction following Volar Plate Fixation of the Distal Radius: A Case Report

Paul¹,

Persitz²,

Chan³

et al. 2023

JOCR

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show abstract

“…The most common treatment is extensor indicis proprius (EIP) to EPL tendon transfer. However, other tendon transfers (extensor carpi radialis brevis (ECRB) and brachioradialis (Ganon et al., 2020) have also been described, together with Z turndown and intercalary tendon graft (Lo et al., 2021; Magnell et al, 1988). Primary repair of the ruptured EPL tendon is usually not possible.…”

Section: Clinical Casementioning

confidence: 99%

European Board of Hand Surgery (EBHS) Examination Questions

2023

J Hand Surg Eur Vol

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Réanimation de l’extension du pouce par transfert de l’extensor indici proprius chez les enfants atteints de pouce flexus adductus congénital

Kinani¹,

Hamel²,

Lancien³

et al. 2022

Annales de Chirurgie Plastique Esthétique

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Reconstruction strategies after rupture of the extensor pollicis longus tendon: A systematic review

Cited by 6 publications

References 16 publications

Concomitant Extensor Pollicis Longus and Extensor Digitorum Longus Tendon Rupture may Complicate Surgical Reconstruction following Volar Plate Fixation of the Distal Radius: A Case Report

Concomitant Extensor Pollicis Longus and Extensor Digitorum Longus Tendon Rupture may Complicate Surgical Reconstruction following Volar Plate Fixation of the Distal Radius: A Case Report

European Board of Hand Surgery (EBHS) Examination Questions

Réanimation de l’extension du pouce par transfert de l’extensor indici proprius chez les enfants atteints de pouce flexus adductus congénital

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