Ultrasound assessment of extensor pollicis longus tendon rupture following distal radius fracture: a sonographic and surgical correlation

Ghazal, Louy; Nabi, Mohammed; Little, Christopher; Teh, James

doi:10.15557/jou.2020.0001

Cited by 7 publications

(3 citation statements)

References 18 publications

(19 reference statements)

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“…The rupture of EPL was recognized among fracture cases, mainly between 5 and 8 weeks 56 cases and 3 to 12 months 45 cases; this was similar to other studies showing that EPL rupture occurred most commonly at 6 weeks, 7 weeks, and between 3 and 12 weeks. 4,[6][7][8] On the other hand, EPL rupture following soft tissue cases occurred most commonly at the time of injury and up to a week.…”

Section: Injury Time To Rupturementioning

confidence: 99%

“…1,3 On the other hand, EPL tendon rupture could also happen without a history of trauma, seen in patients with rheumatic disease, following systemic or local steroid injection, repetitive wrist motions, tenosynovitis, synovitis, and in patients with carpometacarpal osteoarthritis. [6][7][8] However, trauma is the most common cause. 9 This systematic review is aimed to determine the etiology of trauma-related extensors pollicis rupture.…”

Section: Introductionmentioning

confidence: 99%

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Etiology of Traumatic Causes of Extensor Pollicis Longus Tendon Rupture: A Systematic Review

Alsaedi,

Alshahir,

Alzahim

et al. 2024

Journal of Hand and Microsurgery

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Introduction The extensor pollicis longus (EPL) is a muscle that follows a complex anatomical course in the hand to allow for thumb extension. Almost all manual activities require the use of the EPL; therefore, when ruptured it can be very disabling for patients. The etiologies behind traumatic EPL rupture were mostly attributed to distal radius fracture in the literature. However, EPL rupture remains uncommon, and other traumatic etiologies exist. Therefore, this systematic review aimed to provide a holistic view of the traumatic etiologies behind the EPL rupture and fill the global lack of knowledge regarding this rare injury. Materials and Methods We searched among Cochrane Central Register of Controlled Trials (CENTRAL) Embase, Medline, and Cochrane Database of systematic review register databases via Ovid, with no restriction on the date, including studies containing data about the etiology of traumatic causes of EPL tendon rupture with available full text, and excluding non-English and animal studies. Results A total of 37 articles with 371 cases constituted the basis of this review. We classified the etiology of the EPL rupture into three groups according to the affected anatomical structure that caused the EPL rupture (fracture-related, soft tissue-related, and mallet thumb). Conclusion Distal radius fractures remain the most common cause of EPL rupture; however, other causes, such as lacerations, blunt trauma, and direct cuts to the EPL tendon, should be considered.

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Section: Injury Time To Rupturementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Etiology of Traumatic Causes of Extensor Pollicis Longus Tendon Rupture: A Systematic Review

Alsaedi,

Alshahir,

Alzahim

et al. 2024

Journal of Hand and Microsurgery

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“…Non-displaced Colles fractures may cause EPL tendon rupture, whereas the stabilizing screw tips in a stabilized Colles fracture may protrude dorsally, with possible impingement of the EPL tendon ( 22 ) .…”

Section: Second and Third Compartmentsmentioning

confidence: 99%

Sonography of tendon pathology in the hand and wrist

Rosskopf¹,

Martinoli²,

Sconfienza³

et al. 2021

J Ultrason

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Traumatic and non-traumatic tendon lesions are common at the wrist and hand. For the diagnosis, therapy management, and long-term prognosis of tendon lesions, a detailed understanding of the complex anatomy and knowledge of typical injury patterns is crucial for both radiologists and clinicians. Improvements in high-resolution ultrasound are producing high quality images of the superficial tendinous and peritendinous structures. Thus, ultrasound is a valuable first-choice tool for visualizing traumatic, inflammatory, and degenerative conditions of the extensor and flexor tendons, particularly with the advantage of possible dynamic examination. The additional use of duplex-Doppler and power Doppler ultrasound imaging is recommended for detection of tenosynovitis in overuse injury, inflammatory disease, infection, and after traumatic conditions. In traumatic tendon injuries, knowing the precise injury zone is important for treatment decision-making. In cases of tendon rupture, the radiologist should report the tear type (i.e., complete or partial-thickness) and assess the degree of tendon retraction and associated avulsion injury, including the degree of fragment displacement. The function of intact flexor tendons may be impaired by thickening, strain, or rupture of corresponding annular pulleys. This review describes in detail the typical ultrasound imaging features of common pathologies of hand and wrist tendons, including annular pulley lesions.

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Diagnostic ultrasound of tendon injuries in the setting of distal radius fractures

et al. 2022

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Ultrasound assessment of extensor pollicis longus tendon rupture following distal radius fracture: a sonographic and surgical correlation

Abstract: Ultrasound assessment of extensor pollicis longus tendon rupture following distal radius fracture: a sonographic and surgical correlation

Cited by 7 publications

References 18 publications

Etiology of Traumatic Causes of Extensor Pollicis Longus Tendon Rupture: A Systematic Review

Etiology of Traumatic Causes of Extensor Pollicis Longus Tendon Rupture: A Systematic Review

Sonography of tendon pathology in the hand and wrist

Diagnostic ultrasound of tendon injuries in the setting of distal radius fractures

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