Dynamic Ultrasound Examination for Extensor Pollicis Longus Tendon Rupture after Palpation-Guided Corticosteroid Injection
This report aimed to present a case of wrist-tendon rupture and to discuss a rare complication after corticosteroid injection. A 67-year-old woman had difficulty extending her left-thumb interphalangeal joint several weeks after a palpation-guided local corticosteroid injection. Passive motions rema...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-03-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/13/5/959 |
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| author | Ying-Chun Chen Wei-Ting Wu Kamal Mezian Vincenzo Ricci Levent Özçakar Ke-Vin Chang |
| author_facet | Ying-Chun Chen Wei-Ting Wu Kamal Mezian Vincenzo Ricci Levent Özçakar Ke-Vin Chang |
| author_sort | Ying-Chun Chen |
| collection | DOAJ |
| description | This report aimed to present a case of wrist-tendon rupture and to discuss a rare complication after corticosteroid injection. A 67-year-old woman had difficulty extending her left-thumb interphalangeal joint several weeks after a palpation-guided local corticosteroid injection. Passive motions remained intact without sensory abnormalities. Ultrasound examination showed hyperechoic tissues at the site of the extensor pollicis longus (EPL) tendon at the wrist level and an atrophic EPL muscle stump at the forearm level. Dynamic imaging demonstrated no motion in the EPL muscle during passive thumb flexion/extension. The diagnosis of complete EPL rupture, possibly due to inadvertent intratendinous corticosteroid injection, was therefore confirmed. |
| first_indexed | 2024-03-11T07:27:56Z |
| format | Article |
| id | doaj.art-c53719333fd3439da8b3349c77484db3 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-11T07:27:56Z |
| publishDate | 2023-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-c53719333fd3439da8b3349c77484db32023-11-17T07:30:31ZengMDPI AGDiagnostics2075-44182023-03-0113595910.3390/diagnostics13050959Dynamic Ultrasound Examination for Extensor Pollicis Longus Tendon Rupture after Palpation-Guided Corticosteroid InjectionYing-Chun Chen0Wei-Ting Wu1Kamal Mezian2Vincenzo Ricci3Levent Özçakar4Ke-Vin Chang5Department of Physical Medicine and Rehabilitation, College of Medicine, National Taiwan University, Taipei 10048, TaiwanDepartment of Physical Medicine and Rehabilitation, College of Medicine, National Taiwan University, Taipei 10048, TaiwanDepartment of Rehabilitation Medicine, Charles University, First Faculty of Medicine and General University Hospital in Prague, 12800 Prague, Czech RepublicPhysical and Rehabilitation Medicine Unit, Luigi Sacco University Hospital, ASST Fatebenefratelli-Sacco, 20157 Milan, ItalyDepartment of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara 06100, TurkeyDepartment of Physical Medicine and Rehabilitation, College of Medicine, National Taiwan University, Taipei 10048, TaiwanThis report aimed to present a case of wrist-tendon rupture and to discuss a rare complication after corticosteroid injection. A 67-year-old woman had difficulty extending her left-thumb interphalangeal joint several weeks after a palpation-guided local corticosteroid injection. Passive motions remained intact without sensory abnormalities. Ultrasound examination showed hyperechoic tissues at the site of the extensor pollicis longus (EPL) tendon at the wrist level and an atrophic EPL muscle stump at the forearm level. Dynamic imaging demonstrated no motion in the EPL muscle during passive thumb flexion/extension. The diagnosis of complete EPL rupture, possibly due to inadvertent intratendinous corticosteroid injection, was therefore confirmed.https://www.mdpi.com/2075-4418/13/5/959extensor tendonwristultrasonographyblindintervention |
| spellingShingle | Ying-Chun Chen Wei-Ting Wu Kamal Mezian Vincenzo Ricci Levent Özçakar Ke-Vin Chang Dynamic Ultrasound Examination for Extensor Pollicis Longus Tendon Rupture after Palpation-Guided Corticosteroid Injection Diagnostics extensor tendon wrist ultrasonography blind intervention |
| title | Dynamic Ultrasound Examination for Extensor Pollicis Longus Tendon Rupture after Palpation-Guided Corticosteroid Injection |
| title_full | Dynamic Ultrasound Examination for Extensor Pollicis Longus Tendon Rupture after Palpation-Guided Corticosteroid Injection |
| title_fullStr | Dynamic Ultrasound Examination for Extensor Pollicis Longus Tendon Rupture after Palpation-Guided Corticosteroid Injection |
| title_full_unstemmed | Dynamic Ultrasound Examination for Extensor Pollicis Longus Tendon Rupture after Palpation-Guided Corticosteroid Injection |
| title_short | Dynamic Ultrasound Examination for Extensor Pollicis Longus Tendon Rupture after Palpation-Guided Corticosteroid Injection |
| title_sort | dynamic ultrasound examination for extensor pollicis longus tendon rupture after palpation guided corticosteroid injection |
| topic | extensor tendon wrist ultrasonography blind intervention |
| url | https://www.mdpi.com/2075-4418/13/5/959 |
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