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Delayed rupture of the extensor pollicis longus tendon: a retrospective study
R P Noordanus1, J H Pot, P B Jacobs
1Academic Hospital Free University, Department of Plastic and Reconstructive Surgery, Amsterdam, The Netherlands.
Archives of Orthopaedic and Trauma Surgery
|January 1, 1994
Summary
Delayed rupture of the extensor pollicis longus tendon, often following wrist fractures, can be effectively treated. Transferring the extensor indicis proprius tendon restores satisfactory thumb function in patients.
Area of Science:
- Orthopedic surgery
- Hand surgery
- Tendon injuries
Background:
- Delayed rupture of the extensor pollicis longus tendon is a recognized complication.
- Wrist fractures without dislocation are implicated as a potential predisposing factor.
Purpose of the Study:
- To present cases of delayed extensor pollicis longus tendon rupture.
- To evaluate the efficacy of extensor indicis proprius tendon transfer for treatment.
Main Methods:
- Case series presentation of eight patients.
- Surgical intervention involving extensor indicis proprius tendon transfer.
Main Results:
- Six patients had a history of wrist fracture without dislocation.
- All eight patients achieved satisfactory thumb function after tendon transfer.
Conclusions:
- Wrist fractures may predispose individuals to delayed extensor pollicis longus tendon rupture.
- Extensor indicis proprius tendon transfer is an effective treatment for restoring thumb function.