Delayed EIP and EDC tendon rupture after distal radius fracture
Background: Distal radius fractures are a common presentation in the orthopedic practice. There is extensive literature on the appropriate management of these injuries based on age, displacement, and other factors. Attritional tendon ruptures are a rare but described complication in both surgically...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Journal of Orthopaedic Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2773157X24000195 |
| _version_ | 1826927303163117568 |
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| author | Richard McKinney Gabrielle Allred Peter Tang |
| author_facet | Richard McKinney Gabrielle Allred Peter Tang |
| author_sort | Richard McKinney |
| collection | DOAJ |
| description | Background: Distal radius fractures are a common presentation in the orthopedic practice. There is extensive literature on the appropriate management of these injuries based on age, displacement, and other factors. Attritional tendon ruptures are a rare but described complication in both surgically and closed managed fractures. We report a case of delayed extensor indicis and extensor digitorum tendon rupture after conservatively managed distal radius fracture. Case report: A 68 year old female presents with a right wrist injury after a mechanical fall. She was found to have an isolated right distal radius fracture with minimal displacement. She was immobilized in a splint for 5 weeks and progressed to full weightbearing activity at 8 weeks. 14 weeks after injury, she suffered attritional rupture of the EIP and EDC tendons to the index finger. Intraoperatively impending rupture of the EPL tendon was also noted. She successfully underwent tendon reconstruction but had persistent index extensor lag at final follow-up. Literature review: There are 643,000 distal radius fractures annually, with an extensor tendon rupture incidence of up to 5% in those treated without surgery. This most commonly involves the EPL tendon. Tendon reconstruction and tendon transfer are the mainstays of operative management of these complications. Clinical relevance: Distal radius fractures with attritional tendon ruptures present a relatively rare but challenging problem. This case reports one of the only examples of isolated index extensor rupture in an adult and highlights the importance of clinical vigilance and patient counseling on the possible complications. |
| first_indexed | 2024-03-07T13:59:21Z |
| format | Article |
| id | doaj.art-a0489c3b475b47cc8347ca1efa3f4611 |
| institution | Directory Open Access Journal |
| issn | 2773-157X |
| language | English |
| last_indexed | 2025-02-17T15:29:50Z |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Orthopaedic Reports |
| spelling | doaj.art-a0489c3b475b47cc8347ca1efa3f46112024-12-19T11:03:23ZengElsevierJournal of Orthopaedic Reports2773-157X2024-12-0134100324Delayed EIP and EDC tendon rupture after distal radius fractureRichard McKinney0Gabrielle Allred1Peter Tang2Allegheny Health Network, Department of Orthopaedic Surgery, Hand and Upper Extremity Division, 1307 Federal Street, 2nd Floor, Pittsburgh, PA, 15212, USA; Corresponding author. 1307 Federal Street, 2nd floor, Pittsburgh, PA, 15212, USA.Drexel University College of Medicine, 2900 W Queen Lane, Philadelphia, PA, 19129, USAAllegheny Health Network, Department of Orthopaedic Surgery, Hand and Upper Extremity Division, 1307 Federal Street, 2nd Floor, Pittsburgh, PA, 15212, USABackground: Distal radius fractures are a common presentation in the orthopedic practice. There is extensive literature on the appropriate management of these injuries based on age, displacement, and other factors. Attritional tendon ruptures are a rare but described complication in both surgically and closed managed fractures. We report a case of delayed extensor indicis and extensor digitorum tendon rupture after conservatively managed distal radius fracture. Case report: A 68 year old female presents with a right wrist injury after a mechanical fall. She was found to have an isolated right distal radius fracture with minimal displacement. She was immobilized in a splint for 5 weeks and progressed to full weightbearing activity at 8 weeks. 14 weeks after injury, she suffered attritional rupture of the EIP and EDC tendons to the index finger. Intraoperatively impending rupture of the EPL tendon was also noted. She successfully underwent tendon reconstruction but had persistent index extensor lag at final follow-up. Literature review: There are 643,000 distal radius fractures annually, with an extensor tendon rupture incidence of up to 5% in those treated without surgery. This most commonly involves the EPL tendon. Tendon reconstruction and tendon transfer are the mainstays of operative management of these complications. Clinical relevance: Distal radius fractures with attritional tendon ruptures present a relatively rare but challenging problem. This case reports one of the only examples of isolated index extensor rupture in an adult and highlights the importance of clinical vigilance and patient counseling on the possible complications.http://www.sciencedirect.com/science/article/pii/S2773157X24000195 |
| spellingShingle | Richard McKinney Gabrielle Allred Peter Tang Delayed EIP and EDC tendon rupture after distal radius fracture Journal of Orthopaedic Reports |
| title | Delayed EIP and EDC tendon rupture after distal radius fracture |
| title_full | Delayed EIP and EDC tendon rupture after distal radius fracture |
| title_fullStr | Delayed EIP and EDC tendon rupture after distal radius fracture |
| title_full_unstemmed | Delayed EIP and EDC tendon rupture after distal radius fracture |
| title_short | Delayed EIP and EDC tendon rupture after distal radius fracture |
| title_sort | delayed eip and edc tendon rupture after distal radius fracture |
| url | http://www.sciencedirect.com/science/article/pii/S2773157X24000195 |
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