Extensor carpi radialis brevis tendon tear

Case contributed by Dr Maulik S Patel

Presentation

Cut injury (by glass) to mid forearm dorsal aspect four weeks ago. Complaining of swelling at site of injury. Skin suturing was done at the site of injury. No history of tendon repair.

Patient Data

Age: 50 years
Gender: Male
Modality: Ultrasound

There is a complete tear of extensor carpi radialis brevis tendon near the myotendinous junction in mid forearm. The gap between the two retracted edges is about 45 mm.

Extensor carpi radialis longus is intact.

There is resolving subcutaneous haematoma at the site of injury.

Modality: Photo

Intra-operative photoes show tear of extensor carpi radialis brevis, palmaris longus graft and recontruction of defect using graft.

Post operative 6 wks ultrasound.

Modality: Ultrasound

There is absent palmaris tendon in normal location ( used as graft ). Repaired / reconstructed extensor carpi radialis brevis tendon appears intact in static images. It was intact in dynemic scan ( images not uploaded ).

Case Discussion

Findings of extensor carpi radialis tendon tear due to cut injury by glass.

Intra-operative photos courtesy of operating surgeon Dr Nisarg Patel.

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Case Information

rID: 49734
Case created: 1st Dec 2016
Last edited: 1st Feb 2017
Inclusion in quiz mode: Included

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