Extensor pollicis longus tendon tear

Case contributed by Dr Maulik S Patel

Presentation

Blunt injury to right thumb dorsum - 2 days back. Referred to check extensor pollicis longus tendon integrity.

Patient Data

Age: 40 years
Gender: Female
Ultrasound

Extensor pollicis longus tendon:

  • complete tear at metacarpophalangeal joint level
  • gap between two torn ends - about 6 mm
  • dstal-most part of the tendon reaches to distal phalanx

Extensor pollicis brevis tendon: intact.

Metacarpophalangeal joint: no effusion.

Distal radio-ulnar joint: no effusion.

Case Discussion

A female presented with the blunt injury to the dorsum of thumb followed by loss of movement. The patient was referred for the ultrasound to check for tendon injury. Ultrasound shows the complete tear of extensor pollicis longus tendon, which was surgically repaired.

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Case information

rID: 60948
Published: 9th Jun 2018
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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