Spontaneous Rupture of the Extensor Pollicis Longus Tendon in a Tailor.
10.4055/cios.2011.3.2.167
- Author:
Jun Cheol CHOI
1
;
Woo Sung KIM
;
Hwa Yeop NA
;
Young Sang LEE
;
Woo Suk SONG
;
Dae Hyeon KIM
;
Tae Hoon PARK
Author Information
1. Department of Orthopedic Surgery, Bundang Jesaeng General Hospital, Daejin Medical Center, Seongnam, Korea. w00wa@dmc.or.kr
- Publication Type:Case Report
- Keywords:
Extensor pollicis longus;
Tendon rupture;
Spontaneous
- MeSH:
Adult;
Cumulative Trauma Disorders/*complications;
Humans;
Male;
Occupational Diseases/*complications;
Rupture/etiology/surgery;
Tendon Injuries/*etiology/*surgery
- From:Clinics in Orthopedic Surgery
2011;3(2):167-169
- CountryRepublic of Korea
- Language:English
-
Abstract:
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. The authors encountered a case of a spontaneous rupture of the EPL tendon. The patient had no predisposing factors including trauma or steroid injection. Although the patient had a positive rheumatoid factor, he did not demonstrate other clinical or radiological findings of rheumatoid arthritis. During surgery, the EPL tendon was found to be ruptured at the extensor retinaculum (third compartment). Reconstruction of the extensor tendon using the palmaris longus tendon was performed. At the 18-month follow-up, the patient showed satisfactory extension of the thumb and 40degrees extension and flexion at the wrist.
