Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Rupture of the extensor pollicis longus tendon

E Bonatz1, T D Kramer, V R Masear

  • 1Division of Orthopaedic Surgery, University of Alabama at Birmingham, USA.

American Journal of Orthopedics (Belle Mead, N.J.)
|February 1, 1996
PubMed
Summary

Rupture of the extensor pollicis longus (EPL) tendon can occur after distal radius fractures or due to wrist tenosynovitis. Surgical repair using tendon grafts or transfers provides good functional outcomes for thumb extension.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Ultrasound for the diagnosis of retained splinters in the soft tissue of the hand.

American journal of orthopedics (Belle Mead, N.J.)·1998
Same author

Triggering of the lesser toes at a previously undescribed distal pulley system.

Foot & ankle international·1998
Same author

Acrocallosal syndrome: a case report.

The Journal of hand surgery·1997
Same author

The treatment of epineural scarring with allograft vein wrapping.

Hand clinics·1996
Same author

Efficacy of direct repair to partial arterial lacerations.

The Journal of hand surgery·1994
Same author

The German health care system.

Southern medical journal·1994

Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Musculoskeletal Research

Background:

  • Rupture of the extensor pollicis longus (EPL) tendon is a recognized complication following distal radius fractures.
  • EPL tendon rupture can also occur in patients without a history of fracture, potentially linked to chronic tenosynovitis.

Purpose of the Study:

  • To analyze the outcomes of surgical interventions for extensor pollicis longus tendon rupture.
  • To investigate the causes and treatment strategies for EPL tendon rupture in a cohort of patients.

Main Methods:

  • Retrospective analysis of seven patients treated between 1985 and 1992 for EPL tendon rupture.
  • Review of patient demographics, fracture types, associated conditions, surgical procedures, and follow-up outcomes.

Related Experiment Videos

Main Results:

  • Five cases of EPL rupture were associated with nondisplaced Colles' fractures; two involved chronic tenosynovitis.
  • Surgical reconstruction involved three extensor indicis proprius tendon transfers and four free palmaris longus tendon grafts.
  • At follow-up, six patients achieved excellent or good results with minimal extensor lag or normal joint motion.

Conclusions:

  • Extensor pollicis longus tendon rupture can result from mechanical irritation, attrition, or vascular compromise, sometimes secondary to synovitis.
  • Surgical reconstruction using extensor indicis proprius transfer or palmaris longus tendon grafts is an effective treatment for EPL tendon rupture, restoring thumb function.