J Korean Soc Surg Hand.  2017 Sep;22(3):202-207. 10.12790/jkssh.2017.22.3.202.

Extensor Pollicis Longus Tendon Rupture with Concomitant Rupture of the Extensor Digitorum Communis II Tendon and Extensor Indicis Proprius after Volar Plating for Distal Radius Fracture

Affiliations
  • 1Department of Orthopaedic Surgery, Kyungpook National University Hospital, Kyungpook National University School of Medicine, Daegu, Korea. hjleeleehj@gmail.com
  • 2Department of Anatomy, Kyungpook National University School of Medicine, Daegu, Korea.

Abstract

Extensor tendon rupture is well known complication following distal radius fracture after either conservative treatment or volar plating. However, there are not many reports in literature about concomitant ruptures of other extensor tendons. We report a case of delayed rupture of extensor pollicis longus (EPL), second extensor digitorum communis (EDC II), and extensor indicis proprius (EIP) tendons 4 weeks after volar plating for distal radius fracture. Due to the absence of EIP, EIP transfer was discouraged for EPL reconstruction. Thumb and index finger extension was restored by palmaris longus tendon graft for EPL and EDC II.

Keyword

Distal radius fracture; Volar plating; Extensor pollicis longus; Extensor digitorum communis II; Extensor indicis proprius; Tendon rupture

MeSH Terms

Fingers
Radius Fractures*
Radius*
Rupture*
Tendons*
Thumb
Transplants
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