Journal of Musculoskeletal Trauma

Radiologic Analysis of Distal Radius Fracture Accompanying Spontaneous Extensor Pollicis Longus Rupture: Jun Ku Lee, In Tae Hong, Young Woo Kwon, Gyu Chol Jang, Soo Hong Han; J Korean Fract Soc 2017;30(2):63-68. Published online April 30, 2017; DOI: https://doi.org/10.12671/jkfs.2017.30.2.63

Abstract PDF: PURPOSE
The spontaneous extensor pollicis longus (EPL) tendon rupture is a well-documented complication of non-displaced or minimally displaced distal radius fracture. Authors analyzed the radiographs of patients treated for closed EPL rupture after distal radius fracture.
MATERIALS AND METHODS
Twenty-eight patients (21 females, 7 males; average age of 58 years) with tendon transfer for spontaneous rupture of EPL after distal radius fracture were included. Wrist radiographs were taken at the first visit with EPL rupture. On the lateral view, posterior cortical displacement, distance from highest point in Lister's tubercle to fracture line, and height of the Lister's tubercle were measured. The distance from the lunate facet to the fracture line was measured on anteroposterior view. Radiologic change at the time of EPL rupture around the Lister's tubercle was evaluated by comparing it with the contra lateral wrist radiograph. Radial beak fracture pattern was also identified.
RESULTS
The interval between the injury and the spontaneous EPL rupture varied from 2 to 20 weeks, with an average of 6.7 weeks. There were 25 cases of non-displacement, 3 cases of mean 2.0 mm cortical displacement. The average distance from the lunate facet to the fracture line was 9.1 mm (3-12.1 mm), from the highest point in Lister's tubercle to the fracture line was 3.0 mm toward proximal radius (1.7-4.9 mm). The average height of the Lister's tubercle was 3.4 mm in the injured wrist and 3.1 mm in the opposite wrist. Radial beak fracture pattern was shown at 11 cases.
CONCLUSION
All cases presented no or minimal displaced fracture, and the fracture line was in the vicinity of the Lister's tubercle. Those kinds of fractures can highlight the possibility of spontaneous EPL rupture, depites its rarity.

122 View
1 Download

Rupture of the Extensor Pollicis Longus Tendon at the Proximal Screw of Volar Plate Fixation for Distal Radius Fracture: A Case Report: Dong Ju Shin, Seung Oh Nam, Hun Sik Cho; J Korean Fract Soc 2013;26(4):338-342. Published online October 31, 2013; DOI: https://doi.org/10.12671/jkfs.2013.26.4.338

Abstract PDF: As volar plate fixation of distal radius fracture becomes more common, reports of ruptured extensor pollicis longus tendon by a protruding distal screw tip are also increasing steadily. Authors have experienced a rare case of ruptured extensor pollicis longus tendon at the prominent proximal screw of fixed volar plate for distal radius fracture, and we report it herein with a review of the literature.

80 View
0 Download

Extensor Pollicis Longus Rupture after Distal Radius Fracture: Nam Young Cho, Chang Young Seo, Myung Sun Kim, Ha Sung Kim, Keun Bae Lee; J Korean Fract Soc 2012;25(1):52-57. Published online January 31, 2012; DOI: https://doi.org/10.12671/jkfs.2012.25.1.52

PURPOSE
To evaluate the cause and surgical outcome of extensor pollicis longus rupture after distal radius fractures.
MATERIALS AND METHODS
Nineteen cases in which the patients underwent surgical treatment for rupture of the extensor pollicis longus after distal radius fractures were followed for more than one year. Among the nineteen cases, fourteen extensor pollicis longus ruptures occurred after conservative treatment, four occurred after closed reduction with K-wire fixation, and one occurred after open reduction and internal fixation with a plate. All cases were treated by extensor indicis proprius transfer.
RESULTS
Extensor pollicis longus ruptures were caused by K-wire irritation in two, by a protruding screw tip in one, and by a callus in one. In the conservative treatment group, tendon ruptures were diagnosed at an average of 3.1 months (0.7~17). Tendon ruptures were detected in the surgical treatment group at an average of 12.8 months (1~48). All the patients showed favorable recovery of the extension capability of the thumb at the final follow-up.
CONCLUSION
The main cause of extensor pollicis longus rupture after distal radius fracture was ischemic damage. Therefore, during the surgery, the length and direction of screws and K-wires should be fixed carefully to avoid such damage. Distal radius fracture also requires careful observation of the extensor pollicis longus during follow-up. Furthermore, extensor indicis proprius transfer is considered to be an effective method for extensor pollicis longus rupture.

Citations

Citations to this article as recorded by

Radiologic Analysis of Distal Radius Fracture Accompanying Spontaneous Extensor Pollicis Longus Rupture
Jun-Ku Lee, In-Tae Hong, Young-Woo Kwon, Gyu-Chol Jang, Soo-Hong Han
Journal of the Korean Fracture Society.2017; 30(2): 63. CrossRef
Assessment of penetration of dorsal screws after fixation of the distal radius using ultrasound: cadaveric study
D Williams, J Singh, N Heidari, M Ahmad, A Noorani, L Di Mascio
The Annals of The Royal College of Surgeons of England.2016; 98(2): 138. CrossRef
Rupture of the Extensor Pollicis Longus Tendon at the Proximal Screw of Volar Plate Fixation for Distal Radius Fracture - A Case Report -
Dong-Ju Shin, Seung-Oh Nam, Hun-Sik Cho
Journal of the Korean Fracture Society.2013; 26(4): 338. CrossRef

113 View
0 Download
3 Crossref

Flexor Pollicis Longus Tendon Rupture as a Complication of a Closed Distal Radius Fracture: A Case Report: Do Young Kim, Eun Min Seo, Woo Dong Nam, Seung Jae Park, Sang Soo Lee; J Korean Fract Soc 2011;24(2):191-194. Published online April 30, 2011; DOI: https://doi.org/10.12671/jkfs.2011.24.2.191

Abstract PDF

There are few reported cases of flexor pollicis longus tendon (FPL) rupture complicating a closed distal radius fracture. We report a case of FPL tendon rupture complicating a closed distal radius fracture. A 24-year-old male presented with a severe right wrist pain. He had a closed distal radius fracture that was treated by closed manual reduction. Three days later, he complained forearm pain and limitation of thumb motion. The physical examination revealed loss of active interphalangeal joint flexion of thumb. He was taken to the operating room. Intraoperatively, the FPL was found to be discontinuous at the level of the radius fracture site. The FPL was repaired by a modified Kessler technique, and the fracture was repaired with a volar plate. Clinicians must be cautious in possibility of tendon injury complicating a closed distal radius fracture and assessing patients with distal radius fracture following closed reduction.

Citations

Citations to this article as recorded by

Acute Rupture of Flexor Tendons as a Complication of Distal Radius Fracture
Youn Moo Heo, Sang Bum Kim, Kwang Kyoun Kim, Doo Hyun Kim, Won Keun Park
Journal of the Korean Orthopaedic Association.2015; 50(1): 60. CrossRef

141 View
0 Download
1 Crossref

Complete Rupture of Sciatic Nerve by Protruded Kuncher Nail in Pelvic Bone Fracture: A Case Report: Yong Sik Kim, Nam Yong Choi, Suk Ku Han; J Korean Fract Soc 2006;19(4):486-489. Published online October 31, 2006; DOI: https://doi.org/10.12671/jkfs.2006.19.4.486

Abstract: Rupture of sciatic nerve is a rare injury in minimally displaced pelvic bone fracture. We report one case of complete rupture of sciatic nerve that were resulted from the extremely protruded Kuncher nail inserted before accident and the preexisting heterotopic ossification with a review of the relevant literature.

82 View
0 Download

Attritional Flexor Tendon Ruptures after Malunited Distal Radial Fracture: A Case Report: Jin Ho Cho, Hyoung Keun Oh; J Korean Fract Soc 2006;19(1):93-95. Published online January 31, 2006; DOI: https://doi.org/10.12671/jkfs.2006.19.1.93

Abstract: Ruptures of extensor pollicis longus tendon after distal radial fractures are well-known. However, delayed flexor tendon rupture of finger as a complication of the fracture are less common. We report the case of delayed rupture of flexor digitorum profundus tendon to middle and ring fingers and flexor digitorum superficialis to ring finger in 72 year old female patient. She was treated by free tendon graft with palmaris longus tendon. After 1 year follow-up, range of motion and flexion power were recovered to nearly normal.

86 View
0 Download

Traumatic Bladder Rupture in Pelvic Fracture - Case Report: Soon yong Kwon, Woung Kyun Woo, Hwa Sung Lee, Jong Chul Kim, Yong Sik Kim; J Korean Soc Fract 2002;15(1):77-81. Published online January 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.1.77

Abstract PDF: Pelvic fracture and bladder rupture resulted in bladder wall entrapment in the fracture site of a patient involved in a fall down accident. Although hematuria and bladder rupture are known to occur after fracture of the pelvis, our literature review showed no reports of this type injury or management. Abscess was drainaged and sepsis was managed with fluid and antibiotics treatment. Bladder extravasation was managed with primary repair and surgical extraction of catheter drainage. We report a case of a patient who presented with traumatic bladder rupture in pelvic fracture.

105 View
0 Download

Attritional Rupture of the Flexor Tendons after Malunion of Distal Radial Fracture : Report of One Case: Jae Do Kang, Kwang Yul Kim, Sang Hun Ko, Hyung Chun Kim, Kyeong Chil Jung, Moon Sub Yim; J Korean Soc Fract 1997;10(4):929-933. Published online October 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.4.929

Abstract PDF: There are a few of reports of delayed rupture of flexor tendon around the wrist and hand by attrition. Only 4 cases of delayed flexor tendon rupture of finger except rupture of flexor pollicis longus after Cellos fracture were reported until now. Several causes of the delayed rupture of the tendon around the wrist and hand were reported by many authors. Cellos fracture is one of the cause of the attritional rupture. But the frequency of the attritonal rupture of the flexor tendon was only one-third of the extensor tendons. Furthermore, flexor tendons of the finger were less commonly affected than that of the thumb by their anatomical features. We would like to report a very rare case of delayed rupture of flexor digitorum profundus on 73 year old male patient by attrition on the bony spur which was formed by malunion of distal radial fracture about 10 years ago. They were treated by direct repair for ring finger and free tendon graft with flexor digitorum sublimis of middle finger for little finger. After 1 year follow up, range of motion and flexion power were recovered to nearly normal.

51 View
0 Download

Treatment of Distal Clavicular Fracture with Ruptured Coracoclavicular Ligament by Weaver and Dunn Method: In Heon Park, Kee Byoung Lee, Myung Ryool Park, Jin Young Lee, Kyun Ho Chang; J Korean Soc Fract 1989;2(2):288-291. Published online November 30, 1989; DOI: https://doi.org/10.12671/jksf.1989.2.2.288

Abstract PDF: We reported two patients with fracture of distal clavicle combined with rupture of the coracoclavicular ligament which was treated by Weaver and Dunn method recently. The following results were obtained: 1. The over all recovery were graded good. 2. The Weaver and Dunn nethod is recommendabel for several reasons such as relatively easy surgical procedure, elimination of secondary procedure and degenerative change of the acromioclavicular joint, cosmetic acceptability and early functional recovery.

54 View
0 Download

Search