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Complications of Distal Radius Fracture: EPL Rupture

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Abstract

Extensor pollicis longus tendon ruptures occur in up to 9 % of distal radius fractures. Understanding the key etiologic factors can help both in preventing these ruptures and aiding in the prompt diagnosis of them. Treatment typically consists of a tendon transfer of the extensor indicis proprius as the tear is one of attrition, which makes a primary repair impractical.

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References

  1. Cooney WP, Dobyns JH, Linscheid RL. Complications of Colles’ fractures. J Bone Joint Surg Am. 1980;62(4):613–9. http://jbjs.org.beckerproxy.wustl.edu/content/62/4/613.abstract. Accessed 28 Jan 2015.

    Google Scholar 

  2. Roth KM, Blazar PE, Earp BE, Han R, Leung A. Incidence of extensor pollicis longus tendon rupture after nondisplaced distal radius fractures. J Hand Surg Am. 2012;37(5):942–7. doi:10.1016/j.jhsa.2012.02.006.

    Article  PubMed  Google Scholar 

  3. Arora R, Lutz M, Hennerbichler A, Krappinger D, Espen D, Gabl M. Complications following internal fixation of unstable distal radius fracture with a palmar locking-plate. J Orthop Trauma. 2007;21(5):316–22. doi:10.1097/BOT.0b013e318059b993.

    Article  PubMed  Google Scholar 

  4. Al-Rashid M, Theivendran K, Craigen MAC. Delayed ruptures of the extensor tendon secondary to the use of volar locking compression plates for distal radial fractures. J Bone Joint Surg Br. 2006;88(12):1610–2. doi:10.1302/0301-620X.88B12.17696.

    Article  CAS  PubMed  Google Scholar 

  5. Engkvist O, Lundborg G. Rupture of the extensor pollicis longus tendon after fracture of the lower end of the radius—a clinical and microangiographic study. Hand. 1979;11(1):76–86. http://www.ncbi.nlm.nih.gov/pubmed/488782. Accessed 1 Feb. 2015.

    Google Scholar 

  6. Benson EC, DeCarvalho A, Mikola EA, Veitch JM, Moneim MS. Two potential causes of EPL rupture after distal radius volar plate fixation. Clin Orthop Relat Res. 2006;451:218–22. doi:10.1097/01.blo.0000223998.02765.0d.

    Article  PubMed  Google Scholar 

  7. De Maeseneer M, Marcelis S, Osteaux M, Jager T, Machiels F, Van Roy P. Sonography of a rupture of the tendon of the extensor pollicis longus muscle: initial clinical experience and correlation with findings at cadaveric dissection. AJR Am J Roentgenol. 2005;184(1):175–9. doi:10.2214/ajr.184.1.01840175.

    Article  PubMed  Google Scholar 

  8. Ozer K, Wolf JM, Watkins B, Hak DJ. Comparison of 4 fluoroscopic views for dorsal cortex screw penetration after volar plating of the distal radius. J Hand Surg Am. 2012;37(5):963–7. doi:10.1016/j.jhsa.2012.02.026.

    Article  PubMed  Google Scholar 

  9. Wall LB, Brodt MD, Silva MJ, Boyer MI, Calfee RP. The effects of screw length on stability of simulated osteoporotic distal radius fractures fixed with volar locking plates. J Hand Surg Am. 2012;37(3):446–53. doi:10.1016/j.jhsa.2011.12.013.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Lalonde DH. Wide-awake extensor indicis proprius to extensor pollicis longus tendon transfer. J Hand Surg Am. 2014;39(11):2297–9. doi:10.1016/j.jhsa.2014.08.024.

    Article  PubMed  Google Scholar 

  11. Germann G, Wagner H, Blome-Eberwein S, Karle B, Wittemann M. Early dynamic motion versus postoperative immobilization in patients with extensor indicis proprius transfer to restore thumb extension: a prospective randomized study. J Hand Surg Am. 2001;26(6):1111–5. doi:10.1053/jhsu.2001.28941.

    Article  CAS  PubMed  Google Scholar 

  12. Giessler GA, Przybilski M, Germann G, Sauerbier M, Megerle K. Early free active versus dynamic extension splinting after extensor indicis proprius tendon transfer to restore thumb extension: a prospective randomized study. J Hand Surg Am. 2008;33(6):864–8. doi:10.1016/j.jhsa.2008.01.028.

    Article  PubMed  Google Scholar 

  13. Moore JR, Weiland AJ, Valdata L. Independent index extension after extensor indicis proprius transfer. J Hand Surg Am. 1987;12(2):232–6. doi:10.1016/S0363-5023(87)80277-0.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Benjamin L. Gray MD .

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Gray, B.L., Markiewitz, A.D. (2016). Complications of Distal Radius Fracture: EPL Rupture. In: Lawton, J. (eds) Distal Radius Fractures. Springer, Cham. https://doi.org/10.1007/978-3-319-27489-8_19

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  • DOI: https://doi.org/10.1007/978-3-319-27489-8_19

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-27487-4

  • Online ISBN: 978-3-319-27489-8

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