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

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

doi:10.12790/ahm.2017.22.4.240

Journal List > Arch Hand Microsurg > v.22(4) > 1106600

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Lee, Roh, Jeong, Jung, and Park: Systemic Risk Factors of Extensor Pollicis Longus Tendon Rupture after Distal Radius Fracture

Original Article

Hand

Archives of Hand and Microsurgery 2017; 22(4): 240-246.

Published online: 31 December 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.

²Department of Orthopaedic Surgery, Dongshin General Hospital, Seoul, Korea.

Corresponding author: Il-Jung Park. Department of Orthopaedic Surgery, The Catholic University of Korea, Bucheon St. Mary's Hospital, 327 Sosa-ro, Wonmi-gu, Bucheon 14647, Korea. TEL: +82-32-340-7034, FAX: +82-32-340-2671, jikocmc@naver.com

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

Korean Society for Surgery of the Hand, Korean Society for Microsurgery

(open-access):

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

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.

Keywords: Colles' fracture, Extensor pollicis longus tendon rupture, Risk factors

Figures and Tables

Table 1

Clinical data of patients with EPL tendon rupture after distal radius fracture

AO: Arbeitsgemeinschaft fur Osteosynthesefragen, EPL: extensor pollicis longus, BMI: body mass index, DM: diabetes mellitus, RA: rheumatoid arthritis, CKD: chronic kidney disease.

Table 2

Statistical outcomes

Values are presented as number (%).

EPL: extensor pollicis longus, BMI: body mass index, RA: rheumatoid arthritis, DM: diabetes mellitus, CKD: chronic kidney disease.

Notes

^{CONFLICTS OF INTEREST} The authors have nothing to disclose.

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