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Extensor pollicis longus tendon rupture following avulsion fracture of the third metacarpal

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Abstract

Extensor pollicis longus (EPL) tendon rupture is a recognised complication of distal radial fractures and their fixation with dorsal radial plates and pins. A number of other conditions including internal fixation of wrist fractures and inflammatory arthropathies have also been reported as aetiological factors of EPL tendon rupture. We report a case of extensor pollicis longus tendon rupture following avulsion fracture of the third metacarpal and review the radiographic and sonographic features.

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References

  1. Björkman A, Jörgsholm P. Rupture of the extensor pollicis longus tendon: a study of aetiological factors. Scand J Plast Reconstr Surg Hand Surg 2004; 38(1): 32–35.

    Article  Google Scholar 

  2. Benson EC, DeCarvalho A, Mikola EA, et al. Two potential causes of EPL rupture after distal radius volar plate fixation. Clin Orthop Relat Res 2006; 451: 218–222.

    Article  Google Scholar 

  3. Hung JY, Wang SJ, Wu SS. Spontaneous rupture of extensor pollicis longus tendon with tophaceous gout infiltration. Arch Orthop Trauma Surg 2005; 125(4): 281–284.

    Article  Google Scholar 

  4. Ishida K, Fujioka H, Doi R. Acute rupture of extensor pollicis longus tendon due to avulsed fracture of the second metacarpal base: a case report. Hand Surg 2006; 11(1–2): 43–45.

    Article  Google Scholar 

  5. Shigematsu K, Yajima H, Takakura Y. Extensor pollicis longus tendon rupture as a result of scapholunate dissociation: a case report. Hand Surg 2005; 10(2–3): 307–310.

    Article  Google Scholar 

  6. Santiago FR, Plazas PG, Fernández JM. Sonography findings in tears of the extensor pollicis longus tendon and correlation with CT, MRI and surgical findings. Eur J Radiol 2008; 66: 112–116. Jun 13 [Epub ahead of print].

    Article  Google Scholar 

  7. Lee JC, Healy JC. Normal sonographic anatomy of the wrist and hand. RadioGraphics 2005; 25: 1577–1590.

    Article  Google Scholar 

  8. De Maeseneer M, Marcelis S, Osteaux M, et al. Sonography of a rupture of the tendon of the extensor pollicis longus muscle: initial clinical experience and correlation with findings at cadaveric dissection. AJR Am J Roentgenol 2005; 184(1): 175–179.

    Article  Google Scholar 

  9. Skoff HD. Postfracture extensor pollicis longus tenosynovitis and tendon rupture: a scientific study and personal series. Am J Orthop 2003; 32(5): 245–247.

    PubMed  Google Scholar 

Download references

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Authors and Affiliations

  1. Radiology (X Ray) Department, Chelsea & Westminster Hospital, 369 Fulham Road, London, SW10 9NH, UK

    G. Ansede, J. Healy & J. Lee

Authors
  1. G. Ansede
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  2. J. Healy
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  3. J. Lee
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Correspondence to G. Ansede.

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Ansede, G., Healy, J. & Lee, J. Extensor pollicis longus tendon rupture following avulsion fracture of the third metacarpal. Skeletal Radiol 38, 81–84 (2009). https://doi.org/10.1007/s00256-008-0576-7

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  • DOI: https://doi.org/10.1007/s00256-008-0576-7

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