Spontaneous atraumatic extensor pollicis longus rupture in healthy individuals due to steroid injection: Two case reports

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dc.contributor.authorOzden, Raif
dc.contributor.authorUruc, Vedat
dc.contributor.authorDuman, Ibrahim Gokhan
dc.contributor.authorDogramaci, Yunus
dc.contributor.authorKalaci, Aydiner
dc.contributor.authorKomurcu, Erkam
dc.date.accessioned2025-01-27T21:21:23Z
dc.date.available2025-01-27T21:21:23Z
dc.date.issued2014
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractIntroduction: Local steroid injection is believed to be associated with risk of spontaneous tendon rupture. Spontaneous rupture of the extensor pollicis longus (EPL) tendon at the wrist is infrequent and essentially described after fracture of the distal radius. Rough bone ends, rheumatoid arthritis, lupus erythematosus, synovitis or tenosynovitis both contribute to this process. The aim of this study is to define rupture of the EPL tendon with review of the literature in two cases after receiving local steroid injections. Case presentation: The operative records for two patients undergoing EPL reconstruction by an author were criticized. All 2 patients had exposure to local steroids but this exposure was not into the ruptured tendon. It is administered about 2 cm away from the tendon. We identified 2 patients who presented with spontaneous EPL tendon rupture owing to steroid injection. These patients reported no risk factors or inciting event other than steroid injection. EPL were operatively repaired in two cases. At the 2-year follow-up, patients could completely extend the thumb. The cases were from the Eastern Mediterranean region of Turkey. Conclusion: In patients with unexpected loss of extension of the thumb interphalangeal joint, with a history of steroid injection, rupture of EPL tendon should be considered even if it was administered to remote location.
dc.identifier.doi10.5742/MEFM.2014.92452
dc.identifier.endpage29
dc.identifier.issn1839-0188
dc.identifier.issn1839-0196
dc.identifier.issue2
dc.identifier.startpage26
dc.identifier.urihttps://doi.org/10.5742/MEFM.2014.92452
dc.identifier.urihttps://hdl.handle.net/20.500.12428/28921
dc.identifier.volume12
dc.identifier.wosWOS:000421849700006
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.language.isoen
dc.publisherMedi+World Int
dc.relation.ispartofWorld Family Medicine
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectTendons
dc.subjectrupture
dc.subjectspontaneous
dc.subjectsteroids
dc.titleSpontaneous atraumatic extensor pollicis longus rupture in healthy individuals due to steroid injection: Two case reports
dc.typeArticle

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