Spontaneous Rupture of the Extensor Pollicis Longus in a Break-Dancer
نویسندگان
چکیده
Dear Sir, We report an interesting case involving the spontaneous rupture of the extensor pollicis longus (EPL) tendon in a break-dancer. A 29-year-old male professional break-dancer presented to our institution with the chief complaint of right wrist pain and inability to extend his thumb. He reported insidious dorsal-sided wrist pain but had the acute onset of worsening pain and inability to extend his thumb following a performance the weekend prior. Physical examination confirmed rupture of the EPL with a positive liftoff test (Fig 1). The patient underwent surgical reconstruction of the EPL with standard transfer of the extensor indicis tendon. Intraoperative findings showed EPL tendon attenuation at the level of the radiocarpal joint, dorsal capsular hypertrophy, and a bony spur adjacent to Lister’s tubercle at the base of the third dorsal compartment. At latest follow-up, the patient demonstrated a well-functioning tendon transfer with restoration of thumb retropulsion. He has returned to all previous activities, in particular breakdancing. Traumatic and atraumatic rupture of the EPL tendon are well-described phenomena. Ruptures occur as a result of mechanical or biologic stress. Common mechanisms include fractures of the distal radius, rheumatoid arthritis, local injection of steroids, and repetitive motion activities at the wrist.1-3 Break-dancing is a unique art form, which places tremendous stress on the upper extremity, and musculoskeletal injuries are well documented in this patient population.4 The wrist is particularly stressed because so many moves involve utilizing the hand-wrist unit as a peg around which the body moves or balances (Fig 2). We hypothesize that this patient’s rupture was related to a repetitive hyperextension moment across the wrist leading to dorsal capsular hypertrophy and bony spur formation leading to chronic attenuation of the
منابع مشابه
Spontaneous Atraumatic Extensor Pollicis Longus Rupture in the Nonrheumatoid Population
INTRODUCTION Extensor pollicis longus (EPL) tendon rupture is a well-described phenomenon in patients with rheumatoid arthritis. Mechanisms of EPL tendon rupture in the nonrheumatoid population have also been described and include traumatic rupture, repetitive motion strain, and steroid injection into the tendon. METHODS The operative records for patients undergoing extensor pollicis longus r...
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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 patie...
متن کاملSpontaneous rupture of extensor pollicis longus tendon in a kick boxer.
A 23 year old male kick boxer presented with a 24 hour history of pain and being unable to extend the interphalangeal joint of the left thumb. There was no history of trauma or any other risk factor for spontaneous rupture of the extensor pollicis longus tendon. On the previous day, he had been doing reverse press ups on the dorsum of his hands with his wrists hyperflexed as part of his trainin...
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عنوان ژورنال:
دوره 14 شماره
صفحات -
تاریخ انتشار 2014