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Skeletal Radiology

, Volume 38, Issue 1, pp 81–84 | Cite as

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

  • G. AnsedeEmail author
  • J. Healy
  • J. Lee
Case Report

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.

Keywords

Tendon rupture Wrist radiographs Ultrasonography Bone fractures 

References

  1. 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.CrossRefGoogle Scholar
  2. 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.CrossRefGoogle Scholar
  3. 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.CrossRefGoogle Scholar
  4. 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.CrossRefGoogle Scholar
  5. 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.CrossRefGoogle Scholar
  6. 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].CrossRefGoogle Scholar
  7. 7.
    Lee JC, Healy JC. Normal sonographic anatomy of the wrist and hand. RadioGraphics 2005; 25: 1577–1590.CrossRefGoogle Scholar
  8. 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.CrossRefGoogle Scholar
  9. 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.PubMedGoogle Scholar

Copyright information

© ISS 2008

Authors and Affiliations

  1. 1.Radiology (X Ray) DepartmentChelsea & Westminster HospitalLondonUK

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