Etiology of Traumatic Causes of Extensor Pollicis Longus Tendon Rupture: A Systematic Review.

Autor: Alsaedi OF; College of Medicine, Taibah University, Almadinah Almunawwarah, Saudi Arabia., Alshahir AA; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia., Alzahim AF; College of Medicine, Taibah University, Almadinah Almunawwarah, Saudi Arabia., Alharbi WM; College of Medicine, Taibah University, Almadinah Almunawwarah, Saudi Arabia., Alsaygh EF; College of Medicine, Taibah University, Almadinah Almunawwarah, Saudi Arabia., Alhamaid YA; College of Medicine, King Faisal University ALAhsa, Saudi Arabia., Alahmadi HM; College of Medicine, Taibah University, Almadinah Almunawwarah, Saudi Arabia., Beek AS; College of Medicine, Taibah University, Almadinah Almunawwarah, Saudi Arabia., Elgarya IM; Plastic Surgery Department, King Fahad hospital, Almadinah Almunawwarah, Saudi Arabia.
Jazyk: angličtina
Zdroj: Journal of hand and microsurgery [J Hand Microsurg] 2024 May 14; Vol. 16 (2), pp. 100038. Date of Electronic Publication: 2024 May 14 (Print Publication: 2024).
DOI: 10.1055/s-0043-1768485
Abstrakt: Introduction: The extensor pollicis longus (EPL) is a muscle that follows a complex anatomical course in the hand to allow for thumb extension. Almost all manual activities require the use of the EPL; therefore, when ruptured it can be very disabling for patients. The etiologies behind traumatic EPL rupture were mostly attributed to distal radius fracture in the literature. However, EPL rupture remains uncommon, and other traumatic etiologies exist. Therefore, this systematic review aimed to provide a holistic view of the traumatic etiologies behind the EPL rupture and fill the global lack of knowledge regarding this rare injury.
Materials and Methods: We searched among Cochrane Central Register of Controlled Trials (CENTRAL) Embase, Medline, and Cochrane Database of systematic review register databases via Ovid, with no restriction on the date, including studies containing data about the etiology of traumatic causes of EPL tendon rupture with available full text, and excluding non-English and animal studies.
Results: A total of 37 articles with 371 cases constituted the basis of this review. We classified the etiology of the EPL rupture into three groups according to the affected anatomical structure that caused the EPL rupture (fracture-related, soft tissue-related, and mallet thumb).
Conclusion: Distal radius fractures remain the most common cause of EPL rupture; however, other causes, such as lacerations, blunt trauma, and direct cuts to the EPL tendon, should be considered.
(© 2024 Society for Indian Hand Surgery and Micro Surgeons. Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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