Extensor carpi radialis longus avulsion: a literature review and case report.
Extensor Carpi Radialis Longus (ECRL) avulsion is a rare injury which follows resisted wrist hyperflexion. Treatment of this condition with open reduction and internal fixation is not previously described in the literature, and treatment with plaster immobilisation or k-wire fixation requires a prolonged period of immobilisation. We believe that open reduction and internal fixation of these fractures with early mobilisation will result in the best possible wrist function. We describe a sign to raise the index of suspicion for this injury: a palpable bone lump on the dorsum of the hand in the presence of wrist extensor pain or weakness after wrist hyperflexion injury is a sign of wrist extensor avulsion.
Department of Trauma and Orthopaedics, Bristol Royal Infirmary, Bristol, BS2 8HW, UK. clarkdamian@hotmail.com
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Clark
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Amirfeyz
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McCann
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Bhatia
D000328:Adult; D001863:Bone Screws; D006801:Humans; D008297:Male; D013708:Tendon Injuries / Q000175:diagnosis* / Q000601:surgery*; D014954:Wrist Injuries / Q000175:diagnosis* / Q000601:surgery*