Incidence of Extensor Pollicis Longus Tendon Rupture After Nondisplaced Distal Radius Fractures

Roth, Kevin M.; Blazar, Philip E.; Earp, Brandon E.; Han, Roger; Leung, Albert

doi:10.1016/j.jhsa.2012.02.006

Cited by 99 publications

(59 citation statements)

References 11 publications

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“…Other authors reporting extensor tendon irritation and ruptures have cited similar reasons [32][33][34][35]. It is worth noting that extensor tendon injury has also been reported in 5 % of undisplaced distal radius fractures, most likely due to extensor irritation over dorsal callus formation [36]. The cases we have seen with extensor ruptures in this study both had prominent pegs at the level of the dorsal cortex.…”

Section: Discussionsupporting

confidence: 76%

Functional Outcome and Complications at 2.5 Years Following Volar Locking Plate Fixation of Distal Radius Fractures

et al. 2016

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Distal radius fractures are increasingly treated by internal fixation, but there have been relatively few studies relating to functional outcome at 12 months or more. The aim of this study was to ascertain the patient reported function of the wrist at a minimum of 12 months following fixation of a distal radius fracture, the time taken to return to work, and the complication rate. We conducted a retrospective review of 187 consecutive patients treated by a specialist hand and wrist trauma team at a tertiary referral unit over a 5 year period. Mean age was 57.3 years (range 16-93). Median time to surgery was 4 days (interquartile range 2-9). Median follow up was 31 months (interquartile range 23-41 months). The median PRWE score was 3; (range 0-83). There was no difference in outcome in patients who had surgery delayed by greater than 2 weeks (p>0.05). The median time to return to work was 5 weeks (interquartile range 1-8 weeks). There were 15 complications (8 %) including 3 tendon injuries. We have demonstrated an early return to work in patients who were employed, a low complication rate, and highly favourable functional outcomes at a mean of 30 months postoperatively. We recommend the use of the DVR plate and involvement of a dedicated hand and wrist trauma team for treatment of unstable fractures of the distal radius.

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Section: Discussionsupporting

confidence: 76%

Functional Outcome and Complications at 2.5 Years Following Volar Locking Plate Fixation of Distal Radius Fractures

et al. 2016

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“…If EPL tendon is cleanly cut, it can be repaired by direct suture. But the majority of patients with spontaneous closed rupture or division of EPL present some time later, associated with Colles's fracture [1], rheumatoid arthritis [2], sports related injury [3], and posterior interosseous nerve injury [4]. In such cases direct tendon repair is not feasible and a tendon transfer is usually recommended…”

Section: Introductionmentioning

confidence: 99%

Long-Term Functional Evaluation on Tendon Transfer to Restore Extension of the Thumb using Extensor Carpi Radialis Brevis

Yü¹

2015

Int J Surg Res Pract

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Purpose:To investigate the long-term functional and clinical outcomes of a tendon transfer to restore extension of the thumb using extensor carpi radialis brevis Methods and materials: From Jun 2005 to Sep 2012, 8 patients with rupture or division of extensor pollicis longus (6 males, 2 females; aged 16-52 years, mean age 30 years) underwent a tendon transfer using the extensor carpi radialis brevis to restore extension of the thumb. All patients were assessed by Geldmacher score system, mobility, pinch and grip strength of thumb comparing to the non-operated hand over an average of 36 months (range, 24-84 months) after the operation. Table 1: Results after ECRB transfer for restoration EPL function evaluated by the Geldmacher score system Abduction of thumb ∆Lift-off Loss of ROM (IP+MP) Opposition distance Total

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“…Roth et al reported patients with EPL tendon rupture after non displaced distal radius fractures. 7 Benson et al concluded that injury to the third extensor compartment by direct drill bit or prominent screw tips or bone fragments or dorsal gapping as a potential causes of the extensor pollicis longus tendon injury while distal radius volar plate fixation and recommended using shorter screw lengths or leaving the implicated plate holes unfilled and open assessment of the third extensor compartment through small dorsal incision if required. 8 Other rare causes of post traumatic EPL rupture include avulsion fracture of the 2nd or 3rd metacarpal, scapholunate dissociation.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Rupture of Epl and Ecrb Tendons in a Washerwoman: An Unusual Phenomenon

2014

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Spontaneous rupture of the extensor pollicis longus (EPL) tendon is rare, and spontaneous non-traumatic rupture of both extensor pollicis longus (EPL) and extensor carpi radialis brevis (ECRB) tendons is not reported in literature. Rupture of EPL is usually associated with rheumatoid arthritis, systemic or local steroid injections, fractures of the wrist and repetitive and excessive abnormal motion of the wrist joint. We describe a case of spontaneous rupture of the EPL and ECRB tendons in a female patient, washerwoman by occupation, with no predisposing factor. Exploration of the tendons along with end to end tendon repair was done with excellent results. We describe the possible mechanism of the injury and result after one year follow up.

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Incidence of Extensor Pollicis Longus Tendon Rupture After Nondisplaced Distal Radius Fractures

Cited by 99 publications

References 11 publications

Functional Outcome and Complications at 2.5 Years Following Volar Locking Plate Fixation of Distal Radius Fractures

Functional Outcome and Complications at 2.5 Years Following Volar Locking Plate Fixation of Distal Radius Fractures

Long-Term Functional Evaluation on Tendon Transfer to Restore Extension of the Thumb using Extensor Carpi Radialis Brevis

Spontaneous Rupture of Epl and Ecrb Tendons in a Washerwoman: An Unusual Phenomenon

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