Abstract
Late rupture of extensor pollicis longus (EPL) tendon after Galeazzi fracture dislocation fixation is an unknown entity though it is a well-established complication following distal radius fractures. We report the case of a 55-year old male who presented with late EPL tendon rupture 4 months following internal fixation of Galeazzi fracture dislocation with a Locking Compression Plate (LCP). He was managed with extensor indicis proprius (EIP) transfer to restore thumb extension. At 4 years followup, functional result of the transfer was good. We identify possible pitfalls with this particular patient and discuss how to avoid them in future.
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References
Schneider LH, Rosenstein RG. Restoration of extensor pollicis longus function by tendon transfer. Plast Reconstr Surg 1983;71:533–7.
Lemmen MH, Schreuders TA, Stam HJ, Hovius SE. Evaluation of restoration of extensor pollicis function by transfer of the extensor indicis. J Hand Surg Br 1999;24:46–9.
Duplay S. Subcutaneous rupture of the tendon of the long extensor of the thumb of the right hand, at the anatomical snuffbox. Permanent flexion of the thumb. Restoration of the right of extension by an operation (suture of the ruptured tendon end of the primer with external radial). Bull Mem Soc Chir Paris. 1876; II, 788.
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.
Nagura I, Fujioka H, Kokubu T. Extensor pollicis longus tendon rupture after intramedullary nail fixation of a fracture of the radius. J Hand Surg Eur Vol 2009;34:695.
Fanuele J, Blazer P. Extensor pollicis longus tendon rupture in an adult after intramedullary nailing of a radius fracture: Case report. J Hand Surg Am 2009;34:627–9.
Kravel T, Sher-Lurie N, Ganel A. Extensor pollicis longus rupture after fixation of radius and ulna fracture with titanium elastic nail (TEN) in a Child: A case report. J Trauma 2007;63:1169–70.
Stahl S, Calif E, Eidelman M. Delayed rupture of the extensor pollicis longus tendon following intramedullary nailing of a radial fracture in a child. J Hand Surg Eur Vol 2007;32:67–8.
Falia JM, Koniuch MP, Moed BR. Extensor pollicis longus tendon rupture at the tip of a prominent fixation screw: Report of three cases. J Hand Surg Am 1993;18:648–51.
Giannoulis FS, Sotereanos DG. Galeazzi fractures and dislocations. Hand Clin 2007;23:153–63.
Galeazzi R. Di una particolare syndrome traumatic dello scheletro dell’avambraccio. Atti mem Soc Lomb Chir 1934;2:12.
Magnussen PA, Harvey FJ, Tonkin MA. Extensor indicis proprius transfer for extensor pollicis tendon rupture. J Bone Joint Surg Br 1990;72:881–3.
Platt H. Observations on some tendon ruptures. Br Med J 1931;1:611–5.
Hamlin C, Littler JW. Restoration of the extensor pollicis longus tendon following by an intercalated graft. J Bone Joint Surg Am 1977;59:412–4.
Magnell TD, Pochron MD, Condit DP. The intercalated tendon graft for treatment of extensor pollicis longus tendon rupture. J Hand Surg Am 1988;13:105–9.
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Sabat, D., Dabas, V. & Dhal, A. Late extensor pollicis longus rupture following plate fixation in Galeazzi fracture dislocation. IJOO 48, 426–428 (2014). https://doi.org/10.4103/0019-5413.136311
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DOI: https://doi.org/10.4103/0019-5413.136311