Systemic Risk Factors of Extensor Pollicis Longus Tendon Rupture after Distal Radius Fracture

Lee,  Jae Young; Roh,  Youn Tae; Jeong,  Changhoon; Jung,  Sehoon; Park,  Il Jung

doi:2017.22.4.240

Search: Arch Hand Microsurg Search

CLOSE

Arch Hand Microsurg > Volume 22(4); 2017 > Article

Original Article

Archives of Hand and Microsurgery 2017;22(4):240-246.
Published online December 1, 2017.
DOI: https://doi.org/10.12790/ahm.2017.22.4.240

Systemic Risk Factors of Extensor Pollicis Longus Tendon Rupture after Distal Radius Fracture

Jae-Young Lee¹, Youn-Tae Roh², Changhoon Jeong¹, Sehoon Jung¹, Il-Jung Park¹

¹Department of Orthopaedic Surgery, The Catholic University of Korea, Bucheon St. Mary's Hospital, Bucheon, Korea. jikocmc@naver.com
²Department of Orthopaedic Surgery, Dongshin General Hospital, Seoul, Korea.

Received: 13 September 2017 • Revised: 23 October 2017 • Accepted: 24 October 2017

Abstract

Purpose
A rupture of extensor pollicis longus tendon is a common complication that may occur after distal radius fracture but risk factors are still elusive. Systemic risk factors of extensor pollicis longus tendon rupture in distal radius fracture were investigated.

Methods
We retrospectively reviewed 30 patients of extensor pollicis longus tendon rupture after distal radius fracture from February 2010 to March 2016. Three times more patients for the control group with matched sex, age and type of fracture without extensor pollicis longus tendon rupture were chosen during the same period. We statistically analyzed systemic risk factors of spontaneous tendon rupture, such as low bodyweight, diabetes mellitus, rheumatoid arthritis, thyroid disease, systemic steroid use, local steroid injection around wrist, quinolone, and statins.

Results
The incidence of extensor pollicis longus tendon rupture was significantly higher in the group of steroid use than in the control group.

Conclusion
The use of steroid in patient with distal radius fracture may be a potential risk factor for extensor pollicis longus tendon rupture. Local steroid injection is not statistically related to extensor pollicis tendon rupture. Patients of distal radius fracture with steroid use need precaution if they have symptoms of extensor pollicis longus tendon rupture.

Key Words: Colles’ fracture, Extensor pollicis longus tendon rupture, Risk factors

TOOLS

PDF Links
Full text via DOI
Download Citation

Share :

METRICS

0 Crossref
1,968 View
12 Download

Related articles in Arch Hand Microsurg

Entrapment of the Flexor Pollicis Longus Tendon and Ulnar Nerve Injury in Fracture of the Distal Radius with a Fracture of the Ulnar Styloid - A Case Report -2007 ;12(1)

Rupture of Flexor Pollicis Longus at the Wrist As a Complication of Fracture of the Distal Radius - 1 case report -2006 ;11(3)

The Factors of Reduction Loss in Kapandji Technique for Distal Radius Fractures2004 December;9(4)

Risk Factors of Tendon Rupture in Rheumatoid Hand2003 December;8(4)

External Fixation with Distraction for Distal Radius Fracture2002 December;7(2)

About

Article and topics

Article category

Browse all articles >

Topics

Browse all articles >

Browse articles

Editorial policies

For contributors

Editorial Office: St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, 93 Ji-dong, Paldal-gu, Suwon 16247, Korea
Tel: +82-31-249-7186 Fax: +82-31-254-7186 E-mail: journal@handmicro.org