지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Purpose: The spontaneous extensor pollicis longus (EPL) tendon rupture is a well-documented complication of non-displaced or minimally displaced distal radius fracture. Authors analyzed the radiographs of patients treated for closed EPL rupture after distal radius fracture. Materials and Methods: Twenty-eight patients (21 females, 7 males; average age of 58 years) with tendon transfer for spontaneous rupture of EPL after distal radius fracture were included. Wrist radiographs were taken at the first visit with EPL rupture. On the lateral view, posterior cortical displacement, distance from highest point in Lister’s tubercle to fracture line, and height of the Lister’s tubercle were measured. The distance from the lunate facet to the fracture line was measured on anteroposterior view. Radiologic change at the time of EPL rupture around the Lister’s tubercle was evaluated by comparing it with the contra lateral wrist radiograph. Radial beak fracture pattern was also identified. Results: The interval between the injury and the spontaneous EPL rupture varied from 2 to 20 weeks, with an average of 6.7 weeks. There were 25 cases of non-displacement, 3 cases of mean 2.0 mm cortical displacement. The average distance from the lunate facet to the fracture line was 9.1 mm (3-12.1 mm), from the highest point in Lister’s tubercle to the fracture line was 3.0 mm toward proximal radius (1.7-4.9 mm). The average height of the Lister’s tubercle was 3.4 mm in the injured wrist and 3.1 mm in the opposite wrist. Radial beak fracture pattern was shown at 11 cases. Conclusion: All cases presented no or minimal displaced fracture, and the fracture line was in the vicinity of the Lister’s tubercle. Those kinds of fractures can highlight the possibility of spontaneous EPL rupture, depites its rarity.
목차
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참고문헌 (26)
참고문헌 신청
Duplay S / 1876 / Rupture sous-cutanée du tendon du long extenseur du pouce de le main droite, au niveau de la tabatière anatomique. Flexion permanente du pouce. Rétablissement de la faculté d’extension par une opération (suture de l’extrémité de tendon rompu avec le primer radial externe) / Bulletins et Mémoires de la SocietéChirurgie de Paris 2:788
Leslie BM / 1990 / Results of extensor carpi ulnaris tenodesis in the rheumatoid wrist undergoing a distal ulnar excision / J Hand Surg Am 15:547~551
Huang HW / 2000 / Extensor pollicis longus tenosynovitis:a case report and review of the literature / J Hand Surg Am 25:577~579
Hunt JR / 1915 / Paralysis of the ungual phalanx of the thumb from spontaneous rupture of the extensor pollicis longus: the socalled drummer’s palsy / JAMA 64:1138~1140
McMaster PE / 1932 / Late ruptures of extensor and flexor pollicis longus tendons following Colles’ fracture / J Bone Joint Surg 14:93
Leslie BM / 1990 / Results of extensor carpi ulnaris tenodesis in the rheumatoid wrist undergoing a distal ulnar excision / J Hand Surg Am 15:547~551
Huang HW / 2000 / Extensor pollicis longus tenosynovitis:a case report and review of the literature / J Hand Surg Am 25:577~579
Hunt JR / 1915 / Paralysis of the ungual phalanx of the thumb from spontaneous rupture of the extensor pollicis longus: the socalled drummer’s palsy / JAMA 64:1138~1140
McMaster PE / 1932 / Late ruptures of extensor and flexor pollicis longus tendons following Colles’ fracture / J Bone Joint Surg 14:93
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