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Sequential traumatic bilateral extensor pollicis brevis rupture: a case report
Sameer Batra1, Raj Sakamuri, R N Kanvinde
1Hand Service, Department of Trauma and Orthopaedics, Gwynedd Hospital, North West Wales NHS Trust, Bangor, UK. drbatrasameer@yahoo.co.uk
The Journal of Hand Surgery
|May 8, 2007
Summary
This case study details a rare sequential bilateral rupture of the extensor pollicis brevis tendons. Thumb function was successfully restored using extensor indicis proprius tendon transfer.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Traumatology
Background:
- The extensor pollicis brevis (EPB) tendon is crucial for thumb extension.
- Traumatic rupture of the EPB tendon is uncommon, especially when bilateral and sequential.
Observation:
- A patient presented with a rare case of sequential bilateral traumatic rupture of the extensor pollicis brevis tendons.
- The ruptures occurred distal to the first extensor compartment.
- The patient had no pre-existing systemic conditions or wrist pathologies.
Findings:
- Surgical intervention involved bilateral transfer of the extensor indicis proprius (EIP) tendon.
- This procedure successfully restored satisfactory thumb function in both hands.
Implications:
- This case highlights a rare presentation of EPB tendon rupture.
- EIP tendon transfer is an effective treatment option for restoring thumb function after bilateral EPB rupture.
- Further research may explore predisposing factors for such rare injuries.
