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Post-traumatic partial rupture of the extensor carpi ulnaris tendon. Case report
1Department of Orthopaedic Surgery, Gentofte University Hospital, Denmark.
Summary
Partial rupture of the extensor carpi ulnaris tendon is a potential cause of wrist pain after injury. This condition, often presenting as post-traumatic synovitis, may be more common than previously thought and requires prompt diagnosis and treatment.
Area of Science:
- Orthopedic Surgery
- Musculoskeletal Disorders
- Sports Medicine
Background:
- Wrist pain and swelling are common complaints following injury.
- The extensor carpi ulnaris (ECU) tendon is crucial for wrist stability and function.
- Post-traumatic synovitis can present with non-specific wrist symptoms.
Observation:
- A 40-year-old male experienced persistent ulnar-sided wrist pain, tenderness, and swelling after handling a heavy object.
- Surgical exploration revealed a partial rupture of the extensor carpi ulnaris tendon.
- The partial tendon rupture was successfully treated with surgical suture.
Findings:
- Partial rupture of the extensor carpi ulnaris tendon is a specific diagnosis for ulnar wrist pain.
- The condition can be successfully managed surgically.
- This injury may be underdiagnosed in clinical practice.
Implications:
- Clinicians should consider partial extensor carpi ulnaris tendon rupture in cases of post-traumatic ulnar wrist pain.
- Early diagnosis and surgical intervention can lead to favorable outcomes.
- Further research is warranted to determine the true incidence of ECU tendon injuries.