Arch Hand Microsurg 2019; 24(1): 63-67  
Spontaneous Rupture of the Extensor Pollicis Longus Tendon in a Rhythm Gamer: A Case Report
Seokwon Yang, Sung-Hyun Yoon, Sung-Hyun Kim, Soon-Min Kwon, Jong-Pil Kim
Department of Orthopedic Surgery, Dankook University College of Medicine, Cheonan, Korea
Correspondence to: Jong-Pil Kim
Department of Orthopedic Surgery, Dankook University College of Medicine, 119 Dandae-ro, Dongnam-gu, Cheonan 31116, Korea
TEL: +82-41-550-6579, FAX: +82-41-556-0551, E-mail: kimjp@dankook.ac.kr
Received: December 14, 2018; Revised: January 4, 2019; Accepted: January 7, 2019; Published online: March 1, 2019.
© Korean Society for Surgery of the Hand, Korean Society for Microsurgery, and Korean Society for Surgery of the Peripheral Nerve. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Spontaneous rupture of the extensor pollicis longus (EPL) tendon can occur in the 3rd extensor compartment after a distal radius fracture involving Lister’s tubercle, steroid injections, or rheumatoid arthritis. We report a case of spontaneous rupture of the EPL tendon in a 26-year-old male patient who played a rhythm game, which requires repetitive wrist motions to play the drums. We also provide a comprehensive literature review along with the case report. From the authors’ point of view, excessive and repetitive motion of the wrist, as shown in our case, can be a potential cause of spontaneous rupture of the EPL tendon.
Keywords: Extensor pollicis longus, Spontaneous rupture, Tendon graft


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