Extensor Pollicis Longus Ruptures Following Distal Radius Osteotomy Through a Volar Approach

The Journal of Hand Surgery
Michael RivlinJesse Jupiter

Abstract

To investigate the cause and pathological process of extensor pollicis longus (EPL) ruptures after correction of distal radius malunion through a volar approach. We included patients with EPL ruptures who underwent distal radius osteotomies performed through a volar approach. Data were pooled from members of the International Wrist Investigators Workshop. Patient demographics, initial injury parameters, imaging studies, preoperative and postoperative examination, intraoperative findings, surgical technique, and outcomes were compared and analyzed. Preoperative and postoperative radiographic images were evaluated and compared. We evaluated 6 cases from 5 surgeons in 4 institutions. Length of follow-up ranged from 1 to 5 years. On initial radiographic evaluation all malunions were healed with dorsal angulation (20° to 60°) and with positive ulnar variance. Deformity correction in the sagittal plane was 25° to 55°. Osteotomies were fixed with volar locking plates with autologous bone graft except for one patient who received calcium phosphate-based bone void filler. Postoperative x-rays suggested prominent osteotomy resection edges, osteophytes, or dorsal bony prominence resulting from healed callus. Average time from osteotomy to...Continue Reading

References

Nov 1, 1991·The Journal of Hand Surgery·M A Posner, L Ambrose
Feb 1, 1990·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·Y HirasawaT Tokioka
Mar 7, 2006·Techniques in Hand & Upper Extremity Surgery·Karl-Josef Prommersberger, Ulrich B Lanz
Sep 5, 2006·The Journal of Bone and Joint Surgery. American Volume·Karl-Josef PrommersbergerJesse B Jupiter
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Apr 1, 2014·Journal of Plastic Surgery and Hand Surgery·Kohji KuriyamaHideki Yoshikawa

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Citations

Sep 17, 2020·Hand : Official Journal of the American Association for Hand Surgery·Francesco De FrancescoMichele Riccio
Mar 9, 2019·Current Reviews in Musculoskeletal Medicine·Brady T Evans, Jesse B Jupiter

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