Abstract
Background: Spontaneous tendon rupture of hand is not frequent. These ruptures can occur after a fracture. Aim: We report a case of spontaneous rupture of extensor pollicis longus tendon, and describe the treatment. Case presentation: We report the case of a 63-year-old woman who had extensor pollicis longus tendon rupture after non-displaced extra-articular distal radius fracture, treated by wrist circular cast immobilization. Extensor indicis proprius tendon transfer was performed, with an excellent functional result. Conclusion: Extensor pollicis longus tendon rupture can occur after non-displaced extra-articular distal radius fracture. Its treatment by tendon transfer helps to restore function of hand.
Highlights
Spontaneous tendons rupture of hand is not frequent
Case presentation: We report the case of a 63-year-old woman who had extensor pollicis longus tendon rupture after non-displaced extra-articular distal radius fracture, treated by wrist circular cast immobilization
Extensor pollicis longus tendon rupture can occur after non-displaced extra-articular distal radius fracture
Summary
Spontaneous tendons rupture of hand is not frequent. They are easy to diagnose and difficult to treat. Spontaneous extensor pollicis longus tendon rupture is rare and often associated with systemic diseases [1]. Many cases of post-traumatic tendon rupture are related to a surgical treatment of the fracture with internal fixation [2]. These spontaneous ruptures and all the progressive ruptures secondary to tendon wear may require a graft or tendon transfer. We report a case of extensor pollicis longus tendon rupture after orthopedic treatment of a non-displaced distal radius fracture in a patient with no previous medical history
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