Spontaneous Rupture of the Extensor Pollicis Longus Tendon in a Tailor

Choi, Jun Cheol; Kim, Woo Sung; Na, Hwa Yeop; Lee, Young Sang; Song, Woo Suk; Kim, Dae Hyeon; Park, Tae Hoon

doi:10.4055/cios.2011.3.2.167

Cited by 30 publications

(23 citation statements)

References 9 publications

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“…Studies have suggested that EPL rupture following distal radius fracture is more common in women [6,14,16,22,24,25]. In the Roth study mentioned above, three of three cases of EPL rupture following distal radius fracture occurred in women.…”

Section: Discussionmentioning

confidence: 97%

“…One cadaveric study suggested that a direct crush injury to the EPL can occur by contact between the Lister tubercle and the base of the third metacarpal bone in a simulated fall onto an outstretched hand [9]. Additionally, case reports of occupation and sports-associated spontaneous EPL rupture exist [6,11,16].…”

Section: Discussionmentioning

confidence: 99%

“…Rupture of the EPL tendon is uncommon, but when reported, a predisposing factor such as distal radius fracture [12], blunt trauma [4], repetitive and excessive abnormal motion [6,16], inflammatory disease [24], and systemic or local steroid injection [4] can generally be identified. In this study, we presented eight cases in which none of these classical precipitating factors could be identified.…”

Section: Discussionmentioning

confidence: 99%

“…Nondisplaced fracture of the distal radius is a well-established risk factor with an incidence of EPL rupture of 0.2-5 % [22]. Other predisposing factors that have been reported in the literature include chronic inflammatory conditions such as rheumatoid arthritis [2,4,8,14,20,24], systemic or local steroid injections, and repetitive or excessive abnormal motion of the wrist [6,16]. Several factors are thought to contribute to EPL rupture in these clinical settings.…”

Section: Introductionmentioning

confidence: 99%

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Revisiting Spontaneous Rupture of the Extensor Pollicis Longus Tendon: Eight Cases without Identifiable Predisposing Factor

Fufa

Hsu

et al. 2015

Hand (New York, N,Y.)

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Introduction Rupture of the extensor pollicis longus (EPL) tendon has been reported in the setting of distal radius fracture, chronic inflammatory arthritis, following steroid injection, and with excessive or repetitive activities. Truly, spontaneous EPL rupture, without an identifiable predisposing factor, has rarely been reported. Methods We present a retrospective case series of eight patients with spontaneous EPL rupture who were treated in our institution. Results The majority of the cases were female (75 %, n=6), and the nondominant (75 %, n=6) hand was most commonly involved. No identifiable predisposing factor could be identified in four patients. While four patients reported a history of a fall, radiographs failed to demonstrate skeletal abnormality in all four cases. No additional pathology could be identified at the time of surgery. Patients were treated using tendon transfer (n=7) or interpositional graft (n=1). There has been no case of clinical recurrence in the mean of 74.8 months (range 23-140 months) follow-up period. ConclusionThe EPL tendon is at risk for spontaneous rupture even in the absence of identifiable predisposing risk factor. Rather than pure mechanical irritation, vascular and metabolic factors may also play a substantial role in the etiology of this uncommon diagnosis.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Revisiting Spontaneous Rupture of the Extensor Pollicis Longus Tendon: Eight Cases without Identifiable Predisposing Factor

Fufa

Hsu

et al. 2015

Hand (New York, N,Y.)

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“…fractures, prolonged nonunion of the scaphoid, dorsal subluxation of the distal ulna after trauma, and Madelung's deformity [1][2][3][4] . Moreover, the nutrition impairment theory is the main theory describing the cause of spontaneous tendon ruptures, and increased pressure on Lister's tubercle has been reported to lead to ischemia and subsequent spontaneous rupture of the EPL tendon 5 .…”

Section: Sang Ki Lee Et Al Idiopathic Rupture Of the Extensor Pollimentioning

confidence: 99%

Idiopathic Rupture of the Extensor Pollicis Longus Tendon due to Carpometacarpal Joint Arthritis of the Thumb: A Case Report

Lee

Kim

Choy

2018

Arch Hand Microsurg

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The most common cause of extensor pollicis longus (EPL) tendon rupture is a distal radius fracture; however, spontaneous EPL tendon rupture also shows a high frequency of occurrence, which cannot be ignored. A retrospective study of 27 EPL ruptures suggested that trauma or iatrogenic causes account for more than half of the cases, but spontaneous rupture is also considered an important etiological factor 1 . The etiology of spontaneous EPL tendon rupture includes systemic or local steroid injections, tenosynovitis, synovitis, rheumatoid arthritis, and repetitive wrist motions 2 .This report presents a case of idiopathic EPL tendon rupture in a patient who was a daily laborer with repetitive wrist motion. No cases of EPL rupture caused by mechanical attrition due to an osteophyte caused by progression of carpometacarpal (CMC) arthritis, rather than the generally known etiology involving repetitive wrist motions, have been reported yet. Herein, we provide the case report and a review of the literature. A spontaneous rupture of the extensor pollicis longus (EPL) tendon is associated with rheumatoid arthritis, fractures of the wrist, systemic or local steroids, and repetitive and excessive abnormal motion of the wrist joint. Various causes of spontaneous rupture of the EPL tendon have been reported, but EPL rupture due to carpometacarpal (CMC) arthritis has not been reported. We had a case of an idiopathic rupture of the EPL tendon due to CMC joint arthritis of the thumb. The patient had no predisposing factors including trauma or steroid injection. The ruptured tendon was operated. During the surgery, both ends of the ruptured EPL tendon were found around the dorsum of the first CMC joint, and an osteophyte was observed in the dorsal aspect of the first CMC joint. The osteophyte was removed and an extensor indicis proprius tendon transfer was performed. Three monthss post-surgery, the patient was satisfied.

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Prophylactic Surgical Procedures in Plastic Surgery

Dilek

Aydın

2021

Prophylactic Surgery

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Spontaneous Rupture of the Extensor Pollicis Longus Tendon in a Tailor

Cited by 30 publications

References 9 publications

Revisiting Spontaneous Rupture of the Extensor Pollicis Longus Tendon: Eight Cases without Identifiable Predisposing Factor

Revisiting Spontaneous Rupture of the Extensor Pollicis Longus Tendon: Eight Cases without Identifiable Predisposing Factor

Idiopathic Rupture of the Extensor Pollicis Longus Tendon due to Carpometacarpal Joint Arthritis of the Thumb: A Case Report

Prophylactic Surgical Procedures in Plastic Surgery

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