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Bilateral Simultaneous Traumatic Thumb Injuries - Extensor Pollicis Longus Rupture On One Side And Ulnar Collateral
Sarang Kasture1, Raj Sakamuri1
1Department of Trauma and Orthopaedics, Gwynedd hospital Penrhosgarnedd, Bangor, UK. LL57 2PW.
Simultaneous bilateral thumb injuries, including extensor pollicis longus rupture and ulnar collateral ligament tear, are rare. Prompt diagnosis and surgical intervention are crucial for optimal outcomes in these complex traumatic hand injuries.
Area of Science:
- Orthopedic Surgery
- Trauma Surgery
- Hand Surgery
Background:
- Isolated extensor pollicis longus rupture and ulnar collateral ligament (UCL) rupture of the thumb are recognized injuries.
- Simultaneous bilateral thumb injuries from a single event are exceptionally uncommon.
Observation:
- A case report details a 48-year-old male experiencing simultaneous bilateral thumb trauma from a mountain biking fall.
- Initial emergency department evaluation missed both injuries, highlighting diagnostic challenges.
Findings:
- The patient presented with an extensor pollicis longus tendon rupture on one side and a UCL tear on the other.
- Surgical treatment yielded excellent functional recovery at six months post-injury.
Implications:
- This rare combination of bilateral thumb injuries requires heightened clinical suspicion due to subtle presentation.
- Emergency physicians must be aware of these injuries, as timely diagnosis and operative management are essential for favorable outcomes.
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