Title of article :
Avulsion Fractures at the Base of the 2nd Metacarpal Due to the Extensor Carpi Radialis Longus Tendon: A Case Report and Review of the Literature
Author/Authors :
Najefi، Ali نويسنده Trauma and Orthopaedic Department, Queen’s Hospital, Romford, United Kingdom , , Jeyaseelan، Lucksmana نويسنده Trauma and Orthopaedic Department, Queen’s Hospital, Romford, United Kingdom , , Patel، Anand نويسنده Trauma and Orthopaedic Department, Queen’s Hospital, Romford, United Kingdom , , Kapoor، Akhil نويسنده Dept. of Radiation Oncology, Acharya Tulsi Regional Cancer Treatment & Research Institute, Bikaner-334003, Rajasthan, India , , Auplish، Sunil نويسنده Trauma and Orthopaedic Department, Queen’s Hospital, Romford, United Kingdom ,
Issue Information :
فصلنامه با شماره پیاپی 0 سال 2016
Pages :
3
From page :
1
To page :
3
Abstract :
Simultaneous contraction of the extensor carpi radialis longus (ECRL) with forced hyperflexion of the wrist can result in avulsion of the tendon and its bony attachment at its insertion at the dorsum of the base of the second metacarpal. This is a rare and often unreported fracture pattern. We present a 31- year- old male who sustained a hyperflexion injury. He was managed surgically and had good post-operative outcomes. A literature search revealed 16 papers covering 18 cases of similar injuries. 12 were initially managed surgically and 6 were managed conservatively. Of the open reductions and internal fixations, 11 (92%) were successful and patients made a full recovery. Conservative management was unsuccessful in 4 cases; one patient required surgery for metacarpal boss, one patient had retraction of the tendon at one week follow up and another had weak flexion of the wrist. We recommend open reduction and internal fixation for these injuries. It may allow a faster recovery and therefore allow an earlier return to work and activity.
Journal title :
Archives of Trauma Research
Serial Year :
2016
Journal title :
Archives of Trauma Research
Record number :
2391433
Link To Document :
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