Postfracture extensor pollicis longus tenosynovitis and tendon rupture: a scientific study and personal series.
Rupture of the extensor pollicis longus (EPL) tendon after a distal radius fracture is an uncommon event; the incidence is 3%,according to a review of treatment of 200 consecutive patients with Colles fractures. Diagnosis is based on persistent dorsal wrist pain and a positive retroflexion sign. Recommended treatments in the prerupture setting include a third dorsal compartment release with or without an extensor retinacular patch graft. Also recommended are a palmaris longus graft in the acute rupture setting and a transfer from the extensor indicis proprius to the EPL tendon in the subacute or chronic setting. Results of all treatments seem to be clinically satisfactory.
Skoff
Hillel D
HD
Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D011885:Radius Fractures / Q000150:complications*; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D012421:Rupture; D013708:Tendon Injuries / Q000209:etiology*; D013717:Tenosynovitis / Q000209:etiology*; D013933:Thumb / Q000503:physiopathology