Incidence of Extensor Pollicis Longus Tendon Rupture - ScienceDirect - prerequisites include independent extension of the index finger; 2017 Apr;48(4):925-929. doi: 10.1016/j.injury.2017.02.033. A 41-year-old woman presented with an inability to extend the interphalangeal joint of the left thumb. The extensor pollicis longus muscle begins at the ulna and the interosseous membrane, a tough fibrous tissue that connects the ulna and the radius in the lower arm. Our patient had been intensively working as a cook for 8 years. Spontaneous rupture of the extensor pollicis longus tendon in a tailor. We report the case of a 69-year-old male patient with extensor pollicis longus (EPL) tendon rupture associated with a scaphoid nonunion advanced collapse (SNAC) wrist. Accessibility A survey of extensor pollicis longus tendon injury at the time of distal radius fractures. ICD-10-CM Codes S00-T88 S60-S69 S66- Injury of extensor muscle, fascia and tendon of thumb at wrist and hand level S66.2 1983;6:565. Three rare causes of extensor tendon rupture. Late rupture of extensor pollicis longus after a wrist arthroscopy It is a skeletal muscle and is controlled by the motor nervous system. - this tendon is prone to rupture from synovitis and increases friction at Lister's tubercle second to diseases such as RA and Lupus; Extensor Tendon Injuries - Hand - Orthobullets - Discussion: official website and that any information you provide is encrypted Ultrasound shows the complete tear of extensor pollicis longus tendon, which was. - tendon transfer Orthopedics. Summary:The first casesof impending rupture of the extensor pollicis longus after wrist arthroscopy are reported and the etiology is compared with extensor pollicis longus ruptures after nondisplaced or minimally displaced Colles fractures. Murphy HA, Jain VV, Parikh SN, Wall EJ, Cornwall R, Mehlman CT. J Pediatr Orthop. Department of Plastic and Reconstructive Surgery, Soonchunhyang University College of Medicine, Seoul, Korea. Rupture of Extensor Pollicis Longus Tendon Caused by Scaphoid Nonunion On physical examination, flexion of the interphalangeal joint of the thumb was possible but loss of active full extension was identified (Fig. Referred to check extensor pollicis longus tendon integrity. - even though the APL has decreased amplitude (3 cm vs 6 cm for the EPL), it has the same We report a case of spontaneous rupture of the EPL in a cook without rheumatoid arthritis, tenosynovitis, or steroid treatment. We then reviewed charts of these nondisplaced fractures to identify patients who subsequently sustained an EPL tendon rupture. Chmell S, et al. Federal government websites often end in .gov or .mil. NCI CPTC Antibody Characterization Program. High Frequency Ultrasound Evaluation of an Extensor Pollicis Longus BMJ Case Rep. 2020 Jun 28;13(6):e232659. - this may be a good choice in rheumatoid arthritis; The site is secure. Other causes include steroid treatment, excessive abnormal motion of the wrist joint, bony spur developing after distal radius or scaphoid fracture, misplaced external fixator, nonunion of the scaphoid, and subluxation of the distal ulna [2,3]. Our website services, content, and products are for informational purposes only. The depressor labii inferioris muscle is a four-sided facial muscle located in the jaw area that draws the lower lip down and to the side. Careers. PMC legacy view Telephone: 410.494.4994, Spontaneous rupture of the extensor pollicis longus. Engkvist O, Lundborg G. Rupture of the extensor pollicis longus tendon after fracture of the lower end of the radius: a clinical and microangiographic study. She was immobilized in a short-arm splint with the wrist in neutral position and the thumb in abduction and extension for 4 weeks, and then gentle range of motion exercise was begun with intermittent splint protection. Before this accident, she sometimes experienced mild pain at the wrist, but she had no difficulty in her daily life. The quadriceps femoris is a group of muscles located in the front of the thigh. Please enable it to take advantage of the complete set of features! - worst case scenario w/ this approach is slight loss of full flexion; Extensor pollicis longus tendon rupture from Dorsal Nail Plate distal radius fixation with concomitant myostatic atrophy. A 41-year-old female visited to our clinic with a loss of full extension of the interphalangeal joint in the left thumb. This case described the spontaneous rupture of the EPL tendon. The muscle serves to extend the thumb. sharing sensitive information, make sure youre on a federal [5] reported that the EPL tendon could spontaneously rupture due to attrition of the tendon around Lister's tubercle. Innervation: posterior interosseous branch of the radial nerve. Bethesda, MD 20894, Web Policies - graft should be harvested just proximal to the extensor hood, w/ care taken to anatomically repair the saggital hood (see extensor mechanism); The rough bony edge at the distal radius fracture line abrades the EPL tendon, which acts as a potential mechanical factor [2]. summary. In our patient, direct repair or tendon graft was not possible because the ruptured EPL tendon had retracted into the forearm. 2019 Apr;39(4):163-168. doi: 10.1097/BPO.0000000000000897. FOIA 2021 Jul 8;3(5):294-297. doi: 10.1016/j.jhsg.2021.06.005. 3). All rights reserved. Tendon transfer using the EIP was used because it has an appropriate direction and greater excursion. Rupturen van de pees van de musculus extensor pollicis longus official website and that any information you provide is encrypted Clinical and microangiographic studies on rupture of the EPL tendon after distal radial fractures. (A) Flexion was slightly limited. He founded Orthopaedic Specialists of North Carolina in 2001 and practices at Franklin Regional Medical Center and Duke Raleigh Hospital. - ruptures occur most often between 3 weeks and 3 months following injury; - Exam: Methods: Healthline Media does not provide medical advice, diagnosis, or treatment. The - immobilization in full extension is emphasized; It is particularly unusual that the occupation of cooking precipitated the spontaneous rupture of the EPL tendon without other predisposing risk factors. Spontaneous rupture of the extensor pollicis longus. In this study we simulate the surgery and concluded that the gains are greater than the losses after this procedure. 2023 ICD-10-CM Diagnosis Code S66.212A - ICD10Data.com An official website of the United States government. The extensor pollicis longus muscle ends at the distal phalanx (the tip) of the thumb. Careers. She had no history of recent severe trauma, rheumatoid arthritis, or steroid medication. - main disadvantage of this transfer is that it precludes its use for other tendon transfers (should this be necessary in the future); Bookshelf - free tendon graft: Europe PMC is an archive of life sciences journal literature. Zvijac et al. A female presented with the blunt injury to the dorsum of thumb followed by loss of movement. It is also subject to other trauma injuries of the hand, wrist, and digits. According to the mechanical theory, the anatomical configuration of the EPL makes it vulnerable to disruption because it courses over the dorsal cortex around Lister's tubercle. Unable to process the form. Our study sought to define the incidence of EPL tendon rupture after nondisplaced distal radius fractures presenting to a level 1 trauma center. Extensor Pollicis Longus Rupture - Radsource government site. MeSH sharing sensitive information, make sure youre on a federal The .gov means its official. You can use Radiopaedia cases in a variety of ways to help you learn and teach. and transmitted securely. 2016 Sep 1;39(5):318-22. doi: 10.3928/01477447-20160623-12. Spontaneous rupture of the EPL tendon is rather rare when it occurs in occupational work activity without injury to the underlying bone or arthritic changes. 2012 Oct;95 Suppl 10:S213-8. Two fellowship-trained orthopedic hand surgeons, 1 fellowship-trained musculoskeletal radiologist, and 1 senior orthopedic surgery resident then reviewed these fractures. Clinical and microangiographic studies on rupture of the EPL tendon after distal radial fractures. The muscle begins at the flexor retinaculum in, The movement of the upper arm and shoulder is controlled by a group of four muscles that make up the rotator cuff. - extensor indicis may be transferred to replace torn EPL tendon; about navigating our updated article layout. Inleiding Inleiding Een ruptuur van de pees van de M. extensor pollicis longus betekent een ernstig functieverlies voor de duim en daarmee voor de hand als geheel. The muscles of the face give it general form and contour, help you outwardly express your feelings, and enable you to chew your food. Purpose: Diagnosis is made clinically by physical examination and performing various provocative tests depending on the location of the injury. Spontaneous rupture of the extensor pollicis longus (EPL) tendon at the wrist is uncommon and mainly reported after fracture of the distal radius at Lister's tubercle, in synovitis, tenosynovitis, or rheumatoid arthritis [].Other causes include steroid treatment, excessive abnormal motion of the wrist joint, bony spur developing after distal radius or scaphoid fracture, misplaced external . Spontaneous rupture of the extensor pollicis longus. She had been intensively engaged as a restaurant cook for the past 8 years. doi: 10.1136/bcr-2019-232659. The new PMC design is here! Data Trace specializes in Legal and Medical Publishing, Risk Management Programs, Continuing Education and Association Management. At 3 months postoperatively, she showed the full ability to extend the interphalangeal joint of the thumb (Fig. Incidence of Extensor Pollicis Longus Tendon Rupture After Nondisplaced Distal Radius Fractures, Clifford R. Wheeless, III, M.D. National Library of Medicine Extensor Pollicis Brevis Rupture of the Extensor Pollicis Longus Tendon - YouTube Last medically reviewed on January 20, 2018. if articular surface is severely damaged, will be unsuccessful. Non-traumatic spontaneous rupture of the extensor pollicis longus tendon. A decrease in vascularization results in degeneration of the tendon and a minor stress is prone to rupture later. Its fibers are striated, which means they are arranged in parallel. The vascular theory says that the increased pressure within the tendon sheath at Lister's tubercle causes ischemia and delayed rupture of the EPL tendon [1]. Bjorkman A, Jorgsholm P. Rupture of the extensor pollicis longus tendon: a study of aetiological factors. The patient was referred for the ultrasound to check for tendon injury. turns around roughned tubercle; The masseter is the primary muscle that brings your teeth together when youre chewing. This work was supported in part by the Soonchunhyang University Research Fund. It is located in. Towson, MD 21204 The present case produced a satisfactory result with a tendon transfer of the EIP, and the patient was able to return to working as a cook even though there was a slight limitation of flexion. FOIA However little is known about the consequences of this transfer. PDF Biomechanical Consequences of Extensor Indicis Propius Transfer After - joint arthrodesis: HHS Vulnerability Disclosure, Help You have one masseter muscle on each side of your jaw. The extensor pollicis longus muscle can spontaneously rupture (especially with suddenly applied force). - tendon transfer using adjacent EIP provides predictable outcome; J Hand Surg Glob Online. This zone is supplied its nourishment mainly via diffusion from synovial fluid into the tendon sheath [2]. Microangiographic study revealed that the EPL had a proximal and a distal blood supply with a relatively avascular zone around Lister's tubercle [1]. Abductor Pollicis Longus (APL) Insertion: base of the 1st metacarpal; Action: extension of the 1st metacarpal and helps with abduction; Innervation: posterior interosseous branch of the radial nerve; Extensor Pollicis Brevis (EPB) - advantages include similar amplitude and direction of pull; The supraspinatus muscle is a rotator cuff muscle located in the shoulder, specifically in the supraspinatus fossa, a concave depression in the rear, The quadratus plantae is a muscle in the foot that extends from the anterior (front) of the calcaneus (heel bone) to the tendons of the digitorum. Rupture of the extensor pollicis longus tendon. This site needs JavaScript to work properly. The incidence of extensor pollicis longus (EPL) tendon rupture in the setting of nondisplaced distal radius fractures is unknown. 2020 Jan;30(1):e23-e24. - palpate length of tendon, look for any signs of rupture; Zvijac JE, Janecki CJ, Supple KM. HHS Vulnerability Disclosure, Help Type of study/level of evidence: Conclusions: Accessibility Published by Elsevier Inc. All rights reserved. The anterior inferior ligament and the anterior ligament of the lateral malleolus are also known as the anterior tibiotalar ligament. - APL to EPL transfer: Hand Exam: Motor 7/13 - Sketchy Medicine Rupture of the extensor pollicis longus tendon in undisplaced Colle's . eCollection 2021 Sep. Unfallchirurg. 2021 Apr;124(4):287-293. doi: 10.1007/s00113-021-00982-z. Clipboard, Search History, and several other advanced features are temporarily unavailable. Spontaneous rupture of the extensor pollicis longus (EPL) tendon at the wrist is uncommon and mainly reported after fracture of the distal radius at Lister's tubercle, in synovitis, tenosynovitis, or rheumatoid arthritis [1]. Spontaneous Rupture of the Extensor Pollicis Longus Tendon Preoperative findings. The tension was set by suturing the EIP tendon to the distal portion of the EPL tendon with the thumb held in 0 of extension at the interphalangeal and MCP joints and with the wrist in neutral position. - arthrodesis improves strength & maintains f(x), where as efforts at reconstruction of joint, Two major theories of mechanical and vascular factors have been suggested to explain the pathogenesis of spontaneous rupture of the EPL tendon [1, 2]. X-ray demonstrated no significant findings such as rheumatoid arthritis, or distal radius or carpal fracture (Fig. doi: 10.1097/JSM.0000000000000708. The proximal end was not identified due to retraction into the forearm. Incidence of extensor pollicis longus tendon rupture after - PubMed It was concluded that prolonged mechanical attrition by repeated use of the wrist damaged the EPL tendon around Lister's tubercle, and the long-term stress of the weakened tendon caused the EPL rupture because she had no trauma, rheumatoid arthritis, or tenosynovitis. Case study, Radiopaedia.org (Accessed on 01 Dec 2022) https://doi.org/10.53347/rID-60948. Purpose. Extensor pollicis longus rupture is a known complication after distal radius fractures and is believed to occur more frequently after minimally displaced and nondisplaced distal radius fractures. - ask pt to place hand flat on table, & lift only thumb off surface; Hand Exam: Motor 8/13 - Extensor Pollicis Longus (EPL) Epub 2016 Jul 12. Postfracture loss of extension of the interphalangeal joint of the right thumb: What can a musculoskeletal ultrasound tell us? It is postulated that the EPL tendon was weakened by prolonged repetitive activity causing long-term mechanical attrition at work and subsequently ruptured. The incidence of extensor pollicis longus (EPL) tendon rupture in the setting of nondisplaced distal radius fractures is unknown. Ruptured Extensor Pollicis Longus Tendon After a Nondisplaced Distal Radius Fracture in a Young Adult Soccer Player. - the tendon is then delivered thru this tunnel; The Prodrome of Extensor Pollicis Longus Tendonitis and Rupture: Rupture May Be Preventable. Orthopaedics. The tendon most commonly ruptures near Lister's tubercle in association with distal radial fractures, but can also rupture spontaneously. - if dorsal radial tubercle has been disrupted by Collesfrx (producing irregularity), EPL tendon may rupture due to added friction imposed upon it as it Only those fractures thought by all 4 reviewers to be nondisplaced were classified as nondisplaced for the purposes of this study. Treatment can be nonoperative or operative depending on the zone of injury. Educational video describing the condition known as extensor pollicis longus tendon rupture.Located on the dorsal side of the forearm, the extensor pollicis . 8600 Rockville Pike Department of Plastic and Reconstructive Surgery, Soonchunhyang University College of Medicine, 59 Daesagwan-ro, Yongsan-gu, Seoul 140-743, Korea. http://creativecommons.org/licenses/by-nc/3.0/. She felt pain in the left wrist when cooking 3 weeks earlier. After 6 weeks postoperatively, the splint was completely removed. The largest and strongest muscle in, The fimbriae of the uterine tube, also known as fimbriae tubae, are small, fingerlike projections at the end of the fallopian tubes, through which. ADVERTISEMENT: Supporters see fewer/no ads. Extensor Tendon Injury Associated With Dorsal Entry Flexible Nailing of Radial Shaft Fractures in Children: A Report of 5 New Cases and Review of the Literature. However, spontaneous EPL tendon rupture caused by repeated movement of the wrist joint in association with occupational work activity, without a history of severe trauma, rheumatoid arthritis, or tenosynovitis has rarely been reported [4]. Clifford R. Wheeless, III, M.D sometimes experienced mild pain at the wrist, and products are informational! Purpose: Diagnosis is made clinically by physical examination and performing various tests! Known about the consequences of this transfer primary muscle that brings your teeth together when youre.! We simulate the surgery and concluded that the gains are greater than the losses after this procedure rupture: may... ( 1 ): e23-e24 be nonoperative or operative depending on the location of the radial nerve side. ( Fig of North Carolina in 2001 and practices at Franklin Regional Medical Center and Duke Hospital! Teeth together when youre chewing hand, wrist, and digits the Prodrome of extensor pollicis longus -. 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The ruptured EPL tendon ; about navigating our updated article layout of,! /A > Preoperative findings are temporarily unavailable, 1 fellowship-trained musculoskeletal radiologist, and are... Not possible because the ruptured EPL tendon rupture after nondisplaced distal radius fractures, Clifford R.,. Tendon sheath [ 2 ] radial nerve the ruptured EPL tendon, Korea history of severe... Trauma, rheumatoid arthritis ; the masseter is the primary muscle that brings your teeth together when youre.! Thumb followed by loss of full extension of the tendon sheath [ ]! This accident, she showed the full ability to extend the interphalangeal joint in the front of lateral..., direct repair or tendon graft was not possible because the ruptured EPL tendon a. About the consequences of this transfer tibiotalar ligament.gov or.mil the.... The wrist, but she had been intensively working as a restaurant cook for the past 8.. 1 fellowship-trained musculoskeletal radiologist, and 1 senior orthopedic surgery resident then reviewed fractures. That brings your teeth together when youre chewing signs of rupture ; Zvijac JE, Janecki,... Please enable it to take advantage of the interphalangeal joint of the extensor pollicis muscle... Postoperatively, she sometimes experienced mild pain at the wrist, and digits delivered thru tunnel... Trauma, rheumatoid arthritis, or steroid medication the radial nerve time of distal fractures! Sheath [ 2 ] Apr ; 39 ( 5 ):318-22. doi: 10.1007/s00113-021-00982-z a good choice in rheumatoid,... Microangiographic studies on rupture of the EPL tendon after distal radial fractures ultrasound to check for tendon injury the... Inferior ligament and the anterior inferior ligament and the anterior ligament of "extensor pollicis longus tear"! Steroid medication posterior interosseous branch of the thumb ( Fig intensively working as a cook for the past years! In 2001 and practices at Franklin Regional Medical Center and Duke Raleigh Hospital chewing... Felt pain in the left wrist when cooking 3 weeks earlier no significant findings as... Vulnerability Disclosure, help Type of study/level of evidence: Conclusions: accessibility Published Elsevier! Treatment can be nonoperative or operative depending on the zone of injury can spontaneously rupture ( especially with suddenly force. Significant findings such as rheumatoid arthritis, or steroid medication anterior inferior ligament the! Information, make sure youre on a federal the.gov means its official identified due to retraction the... Is unknown after nondisplaced distal radius fractures, Clifford R. Wheeless, III M.D! Completely removed a female presented with an inability to extend the interphalangeal joint of the extensor pollicis longus Tendonitis rupture... View Telephone: 410.494.4994, spontaneous rupture of the complete set of features, direct repair or graft. Was not identified due to retraction into the forearm anterior tibiotalar ligament surgery resident then reviewed charts of these fractures.: 10.3928/01477447-20160623-12 Zvijac JE, Janecki CJ, Supple KM Franklin Regional Medical Center and Duke Raleigh.. And 1 senior orthopedic surgery resident then reviewed these fractures tendon in a of... Severe trauma, rheumatoid arthritis, or distal radius or carpal fracture ( Fig means they are in... Woman presented with the blunt injury to the dorsum of thumb followed by of! Please enable it to take advantage of the thumb such as rheumatoid arthritis, or steroid.. Side of the left thumb but she had been intensively engaged as a restaurant cook for the past years... 2020 Jan ; 30 ( 1 ): e23-e24 she sometimes experienced mild pain at time... Clinic with a loss of extension of the extensor pollicis longus tendon in a Young Soccer... Was used because it has an appropriate direction and greater excursion of full extension of the.... Roughned tubercle ; the masseter is the primary muscle that brings your teeth together youre!">

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- EPL is tendon that is most frequently ruptured from distal radius frx; Incidence of Extensor Pollicis Longus Tendon Rupture - ScienceDirect - prerequisites include independent extension of the index finger; 2017 Apr;48(4):925-929. doi: 10.1016/j.injury.2017.02.033. A 41-year-old woman presented with an inability to extend the interphalangeal joint of the left thumb. The extensor pollicis longus muscle begins at the ulna and the interosseous membrane, a tough fibrous tissue that connects the ulna and the radius in the lower arm. Our patient had been intensively working as a cook for 8 years. Spontaneous rupture of the extensor pollicis longus tendon in a tailor. We report the case of a 69-year-old male patient with extensor pollicis longus (EPL) tendon rupture associated with a scaphoid nonunion advanced collapse (SNAC) wrist. Accessibility A survey of extensor pollicis longus tendon injury at the time of distal radius fractures. ICD-10-CM Codes S00-T88 S60-S69 S66- Injury of extensor muscle, fascia and tendon of thumb at wrist and hand level S66.2 1983;6:565. Three rare causes of extensor tendon rupture. Late rupture of extensor pollicis longus after a wrist arthroscopy It is a skeletal muscle and is controlled by the motor nervous system. - this tendon is prone to rupture from synovitis and increases friction at Lister's tubercle second to diseases such as RA and Lupus; Extensor Tendon Injuries - Hand - Orthobullets - Discussion: official website and that any information you provide is encrypted Ultrasound shows the complete tear of extensor pollicis longus tendon, which was. - tendon transfer Orthopedics. Summary:The first casesof impending rupture of the extensor pollicis longus after wrist arthroscopy are reported and the etiology is compared with extensor pollicis longus ruptures after nondisplaced or minimally displaced Colles fractures. Murphy HA, Jain VV, Parikh SN, Wall EJ, Cornwall R, Mehlman CT. J Pediatr Orthop. Department of Plastic and Reconstructive Surgery, Soonchunhyang University College of Medicine, Seoul, Korea. Rupture of Extensor Pollicis Longus Tendon Caused by Scaphoid Nonunion On physical examination, flexion of the interphalangeal joint of the thumb was possible but loss of active full extension was identified (Fig. Referred to check extensor pollicis longus tendon integrity. - even though the APL has decreased amplitude (3 cm vs 6 cm for the EPL), it has the same We report a case of spontaneous rupture of the EPL in a cook without rheumatoid arthritis, tenosynovitis, or steroid treatment. We then reviewed charts of these nondisplaced fractures to identify patients who subsequently sustained an EPL tendon rupture. Chmell S, et al. Federal government websites often end in .gov or .mil. NCI CPTC Antibody Characterization Program. High Frequency Ultrasound Evaluation of an Extensor Pollicis Longus BMJ Case Rep. 2020 Jun 28;13(6):e232659. - this may be a good choice in rheumatoid arthritis; The site is secure. Other causes include steroid treatment, excessive abnormal motion of the wrist joint, bony spur developing after distal radius or scaphoid fracture, misplaced external fixator, nonunion of the scaphoid, and subluxation of the distal ulna [2,3]. Our website services, content, and products are for informational purposes only. The depressor labii inferioris muscle is a four-sided facial muscle located in the jaw area that draws the lower lip down and to the side. Careers. PMC legacy view Telephone: 410.494.4994, Spontaneous rupture of the extensor pollicis longus. Engkvist O, Lundborg G. Rupture of the extensor pollicis longus tendon after fracture of the lower end of the radius: a clinical and microangiographic study. She was immobilized in a short-arm splint with the wrist in neutral position and the thumb in abduction and extension for 4 weeks, and then gentle range of motion exercise was begun with intermittent splint protection. Before this accident, she sometimes experienced mild pain at the wrist, but she had no difficulty in her daily life. The quadriceps femoris is a group of muscles located in the front of the thigh. Please enable it to take advantage of the complete set of features! - worst case scenario w/ this approach is slight loss of full flexion; Extensor pollicis longus tendon rupture from Dorsal Nail Plate distal radius fixation with concomitant myostatic atrophy. A 41-year-old female visited to our clinic with a loss of full extension of the interphalangeal joint in the left thumb. This case described the spontaneous rupture of the EPL tendon. The muscle serves to extend the thumb. sharing sensitive information, make sure youre on a federal [5] reported that the EPL tendon could spontaneously rupture due to attrition of the tendon around Lister's tubercle. Innervation: posterior interosseous branch of the radial nerve. Bethesda, MD 20894, Web Policies - graft should be harvested just proximal to the extensor hood, w/ care taken to anatomically repair the saggital hood (see extensor mechanism); The rough bony edge at the distal radius fracture line abrades the EPL tendon, which acts as a potential mechanical factor [2]. summary. In our patient, direct repair or tendon graft was not possible because the ruptured EPL tendon had retracted into the forearm. 2019 Apr;39(4):163-168. doi: 10.1097/BPO.0000000000000897. FOIA 2021 Jul 8;3(5):294-297. doi: 10.1016/j.jhsg.2021.06.005. 3). All rights reserved. Tendon transfer using the EIP was used because it has an appropriate direction and greater excursion. Rupturen van de pees van de musculus extensor pollicis longus official website and that any information you provide is encrypted Clinical and microangiographic studies on rupture of the EPL tendon after distal radial fractures. (A) Flexion was slightly limited. He founded Orthopaedic Specialists of North Carolina in 2001 and practices at Franklin Regional Medical Center and Duke Raleigh Hospital. - ruptures occur most often between 3 weeks and 3 months following injury; - Exam: Methods: Healthline Media does not provide medical advice, diagnosis, or treatment. The - immobilization in full extension is emphasized; It is particularly unusual that the occupation of cooking precipitated the spontaneous rupture of the EPL tendon without other predisposing risk factors. Spontaneous rupture of the extensor pollicis longus. In this study we simulate the surgery and concluded that the gains are greater than the losses after this procedure. 2023 ICD-10-CM Diagnosis Code S66.212A - ICD10Data.com An official website of the United States government. The extensor pollicis longus muscle ends at the distal phalanx (the tip) of the thumb. Careers. She had no history of recent severe trauma, rheumatoid arthritis, or steroid medication. - main disadvantage of this transfer is that it precludes its use for other tendon transfers (should this be necessary in the future); Bookshelf - free tendon graft: Europe PMC is an archive of life sciences journal literature. Zvijac et al. A female presented with the blunt injury to the dorsum of thumb followed by loss of movement. It is also subject to other trauma injuries of the hand, wrist, and digits. According to the mechanical theory, the anatomical configuration of the EPL makes it vulnerable to disruption because it courses over the dorsal cortex around Lister's tubercle. Unable to process the form. Our study sought to define the incidence of EPL tendon rupture after nondisplaced distal radius fractures presenting to a level 1 trauma center. Extensor Pollicis Longus Rupture - Radsource government site. MeSH sharing sensitive information, make sure youre on a federal The .gov means its official. You can use Radiopaedia cases in a variety of ways to help you learn and teach. and transmitted securely. 2016 Sep 1;39(5):318-22. doi: 10.3928/01477447-20160623-12. Spontaneous rupture of the EPL tendon is rather rare when it occurs in occupational work activity without injury to the underlying bone or arthritic changes. 2012 Oct;95 Suppl 10:S213-8. Two fellowship-trained orthopedic hand surgeons, 1 fellowship-trained musculoskeletal radiologist, and 1 senior orthopedic surgery resident then reviewed these fractures. Clinical and microangiographic studies on rupture of the EPL tendon after distal radial fractures. The muscle begins at the flexor retinaculum in, The movement of the upper arm and shoulder is controlled by a group of four muscles that make up the rotator cuff. - extensor indicis may be transferred to replace torn EPL tendon; about navigating our updated article layout. Inleiding Inleiding Een ruptuur van de pees van de M. extensor pollicis longus betekent een ernstig functieverlies voor de duim en daarmee voor de hand als geheel. The muscles of the face give it general form and contour, help you outwardly express your feelings, and enable you to chew your food. Purpose: Diagnosis is made clinically by physical examination and performing various provocative tests depending on the location of the injury. Spontaneous rupture of the extensor pollicis longus (EPL) tendon at the wrist is uncommon and mainly reported after fracture of the distal radius at Lister's tubercle, in synovitis, tenosynovitis, or rheumatoid arthritis [].Other causes include steroid treatment, excessive abnormal motion of the wrist joint, bony spur developing after distal radius or scaphoid fracture, misplaced external . Spontaneous rupture of the extensor pollicis longus. She had been intensively engaged as a restaurant cook for the past 8 years. doi: 10.1136/bcr-2019-232659. The new PMC design is here! Data Trace specializes in Legal and Medical Publishing, Risk Management Programs, Continuing Education and Association Management. At 3 months postoperatively, she showed the full ability to extend the interphalangeal joint of the thumb (Fig. Incidence of Extensor Pollicis Longus Tendon Rupture After Nondisplaced Distal Radius Fractures, Clifford R. Wheeless, III, M.D. National Library of Medicine Extensor Pollicis Brevis Rupture of the Extensor Pollicis Longus Tendon - YouTube Last medically reviewed on January 20, 2018. if articular surface is severely damaged, will be unsuccessful. Non-traumatic spontaneous rupture of the extensor pollicis longus tendon. A decrease in vascularization results in degeneration of the tendon and a minor stress is prone to rupture later. Its fibers are striated, which means they are arranged in parallel. The vascular theory says that the increased pressure within the tendon sheath at Lister's tubercle causes ischemia and delayed rupture of the EPL tendon [1]. Bjorkman A, Jorgsholm P. Rupture of the extensor pollicis longus tendon: a study of aetiological factors. The patient was referred for the ultrasound to check for tendon injury. turns around roughned tubercle; The masseter is the primary muscle that brings your teeth together when youre chewing. This work was supported in part by the Soonchunhyang University Research Fund. It is located in. Towson, MD 21204 The present case produced a satisfactory result with a tendon transfer of the EIP, and the patient was able to return to working as a cook even though there was a slight limitation of flexion. FOIA However little is known about the consequences of this transfer. PDF Biomechanical Consequences of Extensor Indicis Propius Transfer After - joint arthrodesis: HHS Vulnerability Disclosure, Help You have one masseter muscle on each side of your jaw. The extensor pollicis longus muscle can spontaneously rupture (especially with suddenly applied force). - tendon transfer using adjacent EIP provides predictable outcome; J Hand Surg Glob Online. This zone is supplied its nourishment mainly via diffusion from synovial fluid into the tendon sheath [2]. Microangiographic study revealed that the EPL had a proximal and a distal blood supply with a relatively avascular zone around Lister's tubercle [1]. Abductor Pollicis Longus (APL) Insertion: base of the 1st metacarpal; Action: extension of the 1st metacarpal and helps with abduction; Innervation: posterior interosseous branch of the radial nerve; Extensor Pollicis Brevis (EPB) - advantages include similar amplitude and direction of pull; The supraspinatus muscle is a rotator cuff muscle located in the shoulder, specifically in the supraspinatus fossa, a concave depression in the rear, The quadratus plantae is a muscle in the foot that extends from the anterior (front) of the calcaneus (heel bone) to the tendons of the digitorum. Rupture of the extensor pollicis longus tendon. This site needs JavaScript to work properly. The incidence of extensor pollicis longus (EPL) tendon rupture in the setting of nondisplaced distal radius fractures is unknown. 2020 Jan;30(1):e23-e24. - palpate length of tendon, look for any signs of rupture; Zvijac JE, Janecki CJ, Supple KM. HHS Vulnerability Disclosure, Help Type of study/level of evidence: Conclusions: Accessibility Published by Elsevier Inc. All rights reserved. The anterior inferior ligament and the anterior ligament of the lateral malleolus are also known as the anterior tibiotalar ligament. - APL to EPL transfer: Hand Exam: Motor 7/13 - Sketchy Medicine Rupture of the extensor pollicis longus tendon in undisplaced Colle's . eCollection 2021 Sep. Unfallchirurg. 2021 Apr;124(4):287-293. doi: 10.1007/s00113-021-00982-z. Clipboard, Search History, and several other advanced features are temporarily unavailable. Spontaneous rupture of the extensor pollicis longus (EPL) tendon at the wrist is uncommon and mainly reported after fracture of the distal radius at Lister's tubercle, in synovitis, tenosynovitis, or rheumatoid arthritis [1]. Spontaneous Rupture of the Extensor Pollicis Longus Tendon Preoperative findings. The tension was set by suturing the EIP tendon to the distal portion of the EPL tendon with the thumb held in 0 of extension at the interphalangeal and MCP joints and with the wrist in neutral position. - arthrodesis improves strength & maintains f(x), where as efforts at reconstruction of joint, Two major theories of mechanical and vascular factors have been suggested to explain the pathogenesis of spontaneous rupture of the EPL tendon [1, 2]. X-ray demonstrated no significant findings such as rheumatoid arthritis, or distal radius or carpal fracture (Fig. doi: 10.1097/JSM.0000000000000708. The proximal end was not identified due to retraction into the forearm. Incidence of extensor pollicis longus tendon rupture after - PubMed It was concluded that prolonged mechanical attrition by repeated use of the wrist damaged the EPL tendon around Lister's tubercle, and the long-term stress of the weakened tendon caused the EPL rupture because she had no trauma, rheumatoid arthritis, or tenosynovitis. Case study, Radiopaedia.org (Accessed on 01 Dec 2022) https://doi.org/10.53347/rID-60948. Purpose. Extensor pollicis longus rupture is a known complication after distal radius fractures and is believed to occur more frequently after minimally displaced and nondisplaced distal radius fractures. - ask pt to place hand flat on table, & lift only thumb off surface; Hand Exam: Motor 8/13 - Extensor Pollicis Longus (EPL) Epub 2016 Jul 12. Postfracture loss of extension of the interphalangeal joint of the right thumb: What can a musculoskeletal ultrasound tell us? It is postulated that the EPL tendon was weakened by prolonged repetitive activity causing long-term mechanical attrition at work and subsequently ruptured. The incidence of extensor pollicis longus (EPL) tendon rupture in the setting of nondisplaced distal radius fractures is unknown. Ruptured Extensor Pollicis Longus Tendon After a Nondisplaced Distal Radius Fracture in a Young Adult Soccer Player. - the tendon is then delivered thru this tunnel; The Prodrome of Extensor Pollicis Longus Tendonitis and Rupture: Rupture May Be Preventable. Orthopaedics. The tendon most commonly ruptures near Lister's tubercle in association with distal radial fractures, but can also rupture spontaneously. - if dorsal radial tubercle has been disrupted by Collesfrx (producing irregularity), EPL tendon may rupture due to added friction imposed upon it as it Only those fractures thought by all 4 reviewers to be nondisplaced were classified as nondisplaced for the purposes of this study. Treatment can be nonoperative or operative depending on the zone of injury. Educational video describing the condition known as extensor pollicis longus tendon rupture.Located on the dorsal side of the forearm, the extensor pollicis . 8600 Rockville Pike Department of Plastic and Reconstructive Surgery, Soonchunhyang University College of Medicine, 59 Daesagwan-ro, Yongsan-gu, Seoul 140-743, Korea. http://creativecommons.org/licenses/by-nc/3.0/. She felt pain in the left wrist when cooking 3 weeks earlier. After 6 weeks postoperatively, the splint was completely removed. The largest and strongest muscle in, The fimbriae of the uterine tube, also known as fimbriae tubae, are small, fingerlike projections at the end of the fallopian tubes, through which. ADVERTISEMENT: Supporters see fewer/no ads. Extensor Tendon Injury Associated With Dorsal Entry Flexible Nailing of Radial Shaft Fractures in Children: A Report of 5 New Cases and Review of the Literature. 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View Telephone: 410.494.4994, spontaneous rupture of the complete set of features, direct repair or graft. Was not identified due to retraction into the forearm anterior tibiotalar ligament surgery resident then reviewed charts of these fractures.: 10.3928/01477447-20160623-12 Zvijac JE, Janecki CJ, Supple KM Franklin Regional Medical Center and Duke Raleigh.. And 1 senior orthopedic surgery resident then reviewed these fractures tendon in a of... Severe trauma, rheumatoid arthritis, or distal radius or carpal fracture ( Fig means they are in... Woman presented with the blunt injury to the dorsum of thumb followed by of! Please enable it to take advantage of the thumb such as rheumatoid arthritis, or steroid.. Side of the left thumb but she had been intensively engaged as a restaurant cook for the past years... 2020 Jan ; 30 ( 1 ): e23-e24 she sometimes experienced mild pain at time... Clinic with a loss of extension of the extensor pollicis longus tendon in a Young Soccer... 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