Extensor pollicis longus tenosynovitis mimicking de quervain’s disease because of its course through the first extensor compartment: a report of 2 cases

Abe, Yukio; Tsue, Kazunari; Nagai, Ei; Katsube, Kousuke; Miyoshi, Tetsuya

doi:10.1016/j.jhsa.2003.11.012

Cited by 18 publications

(11 citation statements)

References 10 publications

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“…Compared with common variations of the extensor tendon, the EPL tendon is a consistent structure with rare anomalies, duplications, or anomalies in its course. Only rare case reports have been published about anomalies in the course of the tendon passing radial to Lister's tubercle [23,24]. As we mentioned in introduction, Lister's tubercle should provide smooth surface for EPL tendon gliding since the tension of the EPL tendon is concentrated on the pulley system, including Lister's tubercle with thumb motion.…”

Section: Discussionmentioning

confidence: 99%

Extensor pollicis longus tendon rupture caused by a displaced dorsal “beak” fragment of Lister’s tubercle in distal radius fractures

Lee

Bang

Choi

et al. 2019

Handchir Mikrochir plast Chir

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Introduction Ruptures of the extensor pollicis longus (EPL) tendon are a well-known complication of distal radius fractures (DRF). There are a lot of suspected mechanisms, including mechanical friction, vascular impairment, injury associated with reduction, and local adhesion. However, there have been limited reports about a closed rupture of the EPL tendon associated with a relatively large, displaced dorsal “beak” fracture fragment. We report about the management outcomes and clinical significance of closed ruptures of the EPL tendon caused by a displaced dorsal fracture fragment of beak-like appearance in DRF. Patients/Material and Methods Our study included 7 cases of a complete closed rupture of the EPL tendon after open reduction internal fixation. All cases showed a similar pattern involving a relatively large dorsal beak fragment originating from Lister’s tubercle, and we treated them with a palmar locking plate within 7 days from the initial fracture without separate dorsal fragment management. All patients were diagnosed with a delayed EPL tendon rupture. Results The study included 5 female and 2 male patients. Mean patient age was 59 years. In all cases we explored the extensor compartment III to verify the exact cause of the EPL rupture. Six patients underwent an extensor indicis transfer and one patient underwent tendon grafting.Mean fragment width and length were 7.0 mm and 13.3 mm, respectively. The fragments were dorsally elevated (mean, 2.4 mm) and distally displaced (mean, 3.5 mm). At the last follow-up, the mean DASH score was 4.4. Mean thumb MP joint flexion and extension were 4 degrees and 62 degrees, respectively. Conclusion We support the possibility of EPL tendon rupture caused by displaced sharp Lister’s tubercle fracture fragments.

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Section: Discussionmentioning

confidence: 99%

Extensor pollicis longus tendon rupture caused by a displaced dorsal “beak” fragment of Lister’s tubercle in distal radius fractures

Lee

Bang

Choi

et al. 2019

Handchir Mikrochir plast Chir

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“…Indeed, a variant course of a single EPL tendon outside of the third compartment is extremely rare and only four reports [1,[4][5][6] were found in the English literature. These four reports mostly describe passage of the EPL radial to Lister's tubercle and within the first compartment.…”

Section: Discussionmentioning

confidence: 99%

“…The EPL tendon (white arrow) passed radially to Lister's tubercle adjacent to the extensor carpi radialis tendon (second compartment); a third compartment was not observed Surg Radiol Anat made during surgery for stenosing tenosynovitis. For example, Abe et al [1] described two cases of single EPL tendon running radial to Lister's tubercle into the fist extensor compartment. Also, Rubin et al [5] reported a single EPL tendon in the first compartment with initial symptoms resembling intersection syndrome, but the condition was subsequently diagnosed as de Quervain's disease.…”

Section: Discussionmentioning

confidence: 99%

Variant course of extensor pollicis longus tendon in the second wrist extensor compartment

2015

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Among the muscles involved in thumb movement, the extensor pollicis longus (EPL) tendon of the hand is considered the most consistent structure with the least variation among individuals. There have been a few reports regarding different types of supernumerary tendons; however, an abnormal course of the EPL tendon is extremely rare. We describe a case of a variant course of a single EPL tendon appearing in the second extensor compartment of the wrist. This case was observed incidentally during wrist surgery, and demonstrates a unique variation of tendon course, which has not been reported previously. The knowledge of this anatomic variation is helpful in surgical planning and for making accurate diagnoses.

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“…-Tendinitis del extensor pollicis longus: si este tendón discurre por fuera de su corredera habitual, su tenosinovitis puede prestarse a confusión 20 .…”

Section: Diagnóstico Diferencialunclassified

Tendinopatía de De Quervain (1). Revisión de conceptos

Barreiro¹

2009

Rev Iberoam Cir Mano

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Objetivo: Existen algunos tópicos comúnmente aceptados sobre los conceptos básicos de la tendinopatía de de Quervain que conviene revisar de cuando en cuando, especialmente con respecto a la etiopatogenia, para así poder evaluar el estado actual de nuestros conocimientos sobre esta patología. (de verdadero nombre Friedrich, que él mismo cambió por el de Fritz, con el que sería conocido en la literatura médica 2 ), publicó cinco casos de afectación del extensor pollicis brevis (EPB) y del abductor pollicis longus (APL) en el primer compartimento extensor de la muñeca, llamándole tendovaginitis crónica seca para diferenciarla de las formas inflamatorias y sépticas.Algunos autores de lengua inglesa 3-5 afirman que el mismo cuado clínico había sido previamente descrito dos años antes en la 13ª edición de la Anatomy de Henry Gray. Desde luego no pudo haber sido descrito por el propio Gray, que había fallecido 34 años antes de esta edición, en 1861. Pero, en cualquier caso, desde la publicación del citado artículo europeo, esta entidad patológica se conoce con el epónimo del cirujano suizo, discípulo de Kocher, como Tendinopatía de De Quervain.La afectación de las vainas puede deberse a una inflamación aguda (tendinitis) o, más frecuentemente, a su irritación crónica (tendinosis), por lo que, en rigor, el cuadro que engloba ambas formas debería ser denominado tendinopatía del primer compartimento extensor de la muñeca, o, si se prefiere, Tendinopatía de De Quervain (TDQ). OBJETIVOExisten algunos tópicos comúnmente aceptados sobre los conceptos básicos de la TDQ que conviene revisar de cuando en cuando, especialmente con respecto a la etiopatogenia.

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Extensor pollicis longus tenosynovitis mimicking de quervain’s disease because of its course through the first extensor compartment: a report of 2 cases

Cited by 18 publications

References 10 publications

Extensor pollicis longus tendon rupture caused by a displaced dorsal “beak” fragment of Lister’s tubercle in distal radius fractures

Extensor pollicis longus tendon rupture caused by a displaced dorsal “beak” fragment of Lister’s tubercle in distal radius fractures

Variant course of extensor pollicis longus tendon in the second wrist extensor compartment

Tendinopatía de De Quervain (1). Revisión de conceptos

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