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KMID : 1207720110030020167
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Clinics in Orthopedic Surgery
2011 Volume.3 No. 2 p.167 ~ p.169
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Spontaneous Rupture of the Extensor Pollicis Longus Tendon in a Tailor
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Choi Jun-Cheol
Kim Woo-Sung
Na Hwa-Yeop
Lee Young-Sang
Song Woo-Suk
Kim Dae-Hyeon
Park Tae-Hoon
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Abstract
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A spontaneous rupture of the extensor pollicis longus (EPL) tendon is associated with rheumatoid arthritis, fractures of the wrist, systemic or local steroids and repetitive, and excessive abnormal motion of the wrist joint. The authors encountered a case of a spontaneous rupture of the EPL tendon. The patient had no predisposing factors including trauma or steroid injection. Although the patient had a positive rheumatoid factor, he did not demonstrate other clinical or radiological findings of rheumatoid arthritis. During surgery, the EPL tendon was found to be ruptured at the extensor retinaculum (third compartment). Reconstruction of the extensor tendon using the palmaris longus tendon was performed. At the 18-month follow-up, the patient showed satisfactory extension of the thumb and 40° extension and flexion at the wrist.
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KEYWORD
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Extensor pollicis longus, Tendon rupture, Spontaneous
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