EXTENSOR INDICIS PROPRIUS TENDON TRANSFER FOR REPAIR OF EXTENSOR POLLICIS LONGUS TENDON DELAYED RUPTURE: 4 CASES REPORT

Nguyễn Mộc Sơn1,2,, Đỗ Văn Minh2, Lưu Danh Huy1, Hoàng Minh Thắng2, Phạm Ngọc Đình1, Nguyễn Mạnh Khánh1
1 Vietnam-Germany Friendship Hospital
2 Hanoi Medical University

Main Article Content

Abstract

Extensor pollicis longus tendon rupture is uncommon in the literature. We report on a group of 4 clinical cases of delayed rupture of extensor pollicis longus tendon that were reconstructed by transferring the extensor indicis proprius tendon, assessed at the time of admission: age, gender, cause of injury, time of surgery, intraoperative injury lesions and post-operative assessment: extensor range of motion: flexion, opposition, extension loss motion according to Geldmacher's scale. RESULTS: Male/female ratio 1:1, age 43-55 years old, caused by wrist injury or accompanied by fracture of the distal radius. Postoperative results: ROM of thumb is almost normal, according to Geldmacher's 100% scale: good and excellent results.

Article Details

References

1. Ching-Hsuan Hu (2015). Revisiting spontaneous rupture of the extensor pollicis longus tendon: eight cases without identifiable predisposing factor. HAND (2015) 10:726–731. DOI 10.1007/s11552-015-9746-y.
2. Adrián Bullón, Elena Bravo (2007). Reconstruction after Chronic Extensor Pollicis Longus Ruptures. CLINICAL ORTHOPAEDICS AND RELATED RESEARCH Number 462, pp. 93–98.
3. Hirasawa Y, Katsumi Y, Akiyoshi T et al (1990). Clinical and microangiographic studies on rupture of the E.P.L. tendon after distal radial fractures. J Hand Surg Br. 1990;15:51–7.
4. Bjorkman A, Jorgsholm P (2004). Rupture of the extensor pollicis longus tendon: a study of aetiological factors. Scand J Plast Reconstr. 2004;38:32–5.
5. Choi JC, Kim WS, Na HY, et al (2011). Spontaneous rupture of the extensor pollicis longus tendon in a tailor. Clin Orthop Surg. 2011;3:167–9.
6. Straub LR, Wilson Jr EH (1956). Spontaneous rupture of extensor tendons in the hand associated with rheumatoid arthritis. J Bone Joint Surg Am. 1956;38-A:1208–17. Passim.
7. Roth KM, Blazar PE, Earp BE, et al (2012). Incidence of extensor pollicis longus tendon rupture after nondisplaced distal radius fractures. J Hand Surg-Am. 2012;37:942–7.
8. Cauldwell EW, Anson BJ, Wright RR (1943). The extensor indicis proprius muscle. A study of 263 consecutive specimens. Q Bull Northwest Univ Med Sch. 1943;17:267–79.