Rupture of Extensor Pollicis Longus Tendon Caused by Scaphoid Nonunion Advanced Collapse Wrist.
Journal
Case reports in orthopedics
ISSN: 2090-6749
Titre abrégé: Case Rep Orthop
Pays: United States
ID NLM: 101591806
Informations de publication
Date de publication:
2020
2020
Historique:
received:
26
05
2020
revised:
27
07
2020
accepted:
30
07
2020
entrez:
28
8
2020
pubmed:
28
8
2020
medline:
28
8
2020
Statut:
epublish
Résumé
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. He could not actively extend the left thumb interphalangeal joint and visited our institution for an examination. Plain X-rays revealed advanced stage SNAC and an enlarged soft tissue shadow owing to dorsal ridge growth. The patient was diagnosed with EPL tendon subcutaneous rupture due to SNAC. During surgery, the EPL tendon was found to be absent, a proximal-type scaphoid nonunion was detected, and bone growth to the dorsal part of the dorsal ridge was observed. Considering that the EPL tendon rupture was associated with the bone growth, we performed scaphoid lunate advanced collapse (SLAC) reconstruction and extensor indicis proprius tendon transfer which needed a revision tendon surgery afterward. To the best of our knowledge, EPL tendon ruptures caused by SLAC or SNAC are considered rare and have not yet been reported.
Identifiants
pubmed: 32850167
doi: 10.1155/2020/8850427
pmc: PMC7439174
doi:
Types de publication
Case Reports
Langues
eng
Pagination
8850427Informations de copyright
Copyright © 2020 Takahito Kojima et al.
Déclaration de conflit d'intérêts
There is no conflict of interest in this submission.
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