Rupture of Extensor Pollicis Longus Tendon Caused by Scaphoid Nonunion Advanced Collapse Wrist
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 revea...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2020/8850427 |
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| author | Takahito Kojima Masataka Yasuda Shunpei Hama Makoto Fukuda Kenta Minato |
| author_facet | Takahito Kojima Masataka Yasuda Shunpei Hama Makoto Fukuda Kenta Minato |
| author_sort | Takahito Kojima |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-fbb86dc210094ea1b3dc59fd0d0fcf68 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-fbb86dc210094ea1b3dc59fd0d0fcf682025-02-03T06:43:59ZengWileyCase Reports in Orthopedics2090-67492090-67572020-01-01202010.1155/2020/88504278850427Rupture of Extensor Pollicis Longus Tendon Caused by Scaphoid Nonunion Advanced Collapse WristTakahito Kojima0Masataka Yasuda1Shunpei Hama2Makoto Fukuda3Kenta Minato4Department of Orthopaedic Surgery, Baba Memorial Hospital, Osaka, JapanDepartment of Orthopaedic Surgery, Baba Memorial Hospital, Osaka, JapanDepartment of Orthopaedic Surgery, Baba Memorial Hospital, Osaka, JapanDepartment of Orthopaedic Surgery, Baba Memorial Hospital, Osaka, JapanDepartment of Orthopaedic Surgery, Baba Memorial Hospital, Osaka, JapanWe 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.http://dx.doi.org/10.1155/2020/8850427 |
| spellingShingle | Takahito Kojima Masataka Yasuda Shunpei Hama Makoto Fukuda Kenta Minato Rupture of Extensor Pollicis Longus Tendon Caused by Scaphoid Nonunion Advanced Collapse Wrist Case Reports in Orthopedics |
| title | Rupture of Extensor Pollicis Longus Tendon Caused by Scaphoid Nonunion Advanced Collapse Wrist |
| title_full | Rupture of Extensor Pollicis Longus Tendon Caused by Scaphoid Nonunion Advanced Collapse Wrist |
| title_fullStr | Rupture of Extensor Pollicis Longus Tendon Caused by Scaphoid Nonunion Advanced Collapse Wrist |
| title_full_unstemmed | Rupture of Extensor Pollicis Longus Tendon Caused by Scaphoid Nonunion Advanced Collapse Wrist |
| title_short | Rupture of Extensor Pollicis Longus Tendon Caused by Scaphoid Nonunion Advanced Collapse Wrist |
| title_sort | rupture of extensor pollicis longus tendon caused by scaphoid nonunion advanced collapse wrist |
| url | http://dx.doi.org/10.1155/2020/8850427 |
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