Spontaneous extensor pollicis longus (EPL) tendon rupture after ironing

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dc.authoridKöroğlu, Muhammed/0000-0003-4706-2308
dc.authoridMARAŞ ÖZDEMİR, ZEYNEP/0000-0003-1085-8978
dc.authorwosidKöroğlu, Muhammed/ABS-6577-2022
dc.authorwosidMARAŞ ÖZDEMİR, ZEYNEP/ABI-3319-2020
dc.contributor.authorKaraman, Serdar
dc.contributor.authorKoroglu, Muhammed
dc.contributor.authorOzdemir, Zeynep Maras
dc.contributor.authorErtem, Kadir
dc.date.accessioned2024-08-04T21:01:12Z
dc.date.available2024-08-04T21:01:12Z
dc.date.issued2021
dc.departmentİnönü Üniversitesien_US
dc.description.abstractSpontaneous tendon ruptures can occur rarely. Distal radius fractures, steroid applications and systemic diseases are mostly attributed to its etiology. In the treatment of spontaneous tendon ruptures, primary repair is not possible and tendon transfer is often required. The EPL tendon is the main extensor of the thumb. This muscle originates from the interosseous membrane, especially the dorsal part of the ulna. The EPL passes from the third dorsal extensor compartment ulnar to the Lister's tubercle before returning to the thumb. Since spontaneous tendon ruptures often occur due to degeneration, the defect is large in the area of the rupture. Therefore, spontaneous tendon ruptures are treated with tendon transfer rather than end-to-end repair. In this case report, we aimed to present a case of extensor indicis proprius (EIP) tendon transfer to our 64-year-old female housewife who was admitted to our clinic with a spontaneous rupture of the EPL tendon a resulting from excessive ironing in a short term. As a result of the examination and radiological evaluation of the patient who applied to our clinic with the complaint of inability to extend the thumb extension, a spontaneous EPL tendon rupture was diagnosed and surgical treatment was decided. While making a diagnosis of spontaneous tendon rupture, it was learned that the patient had no trauma and rheumatologic disease in her anamnesis. Ultrasound and magnetic resonance imaging (MRI) were used to confirm the diagnosis radiologically. The spontaneous EPL tendon rupture treatment was successfully provided by the transfer of the extensor indicis proprius (EIP) tendon. At the six month of follow-up after the surgical treatment, it was observed that the finger regained its former function. In elderly patients, repetitive, forceful finger movements for a long time may cause spontaneous tendon rupture. Long-term coercive thumb movement is a risk factor for EPL spontaneous tendon rupture.en_US
dc.identifier.doi10.4328/ACAM.20386
dc.identifier.endpage707en_US
dc.identifier.issn2667-663X
dc.identifier.issue6en_US
dc.identifier.startpage704en_US
dc.identifier.urihttps://doi.org/10.4328/ACAM.20386
dc.identifier.urihttps://hdl.handle.net/11616/104182
dc.identifier.volume12en_US
dc.identifier.wosWOS:000732052100024en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherBayrakol Medical Publisheren_US
dc.relation.ispartofAnnals of Clinical and Analytical Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectSpontaneous tendon ruptureen_US
dc.subjectExtensor pollicis longus (EPL)en_US
dc.subjectTendon transferen_US
dc.titleSpontaneous extensor pollicis longus (EPL) tendon rupture after ironingen_US
dc.typeArticleen_US

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