Spontaneous rupture of the extensor carpi ulnaris: Results of reconstruction with palmaris longus tendon

  • Guillermo Arturo González Támara Servicio de Ortopedia, Simalink, Yopal, Colombia.
  • Diana Carolina Pulido Moreno Departamento de Investigación, Hospital Regional de la Orinoquía, Yopal, Colombia.
  • Germán David Vargas Rojas Departamento de Investigación, Hospital Regional de la Orinoquía, Yopal, Colombia.
  • Lorena García Agudelo Departamento de Investigación, Hospital Regional de la Orinoquía, Yopal, Colombia.
Keywords: Rupture Spontaneou, Transplantation, Biomechanica, Wrist Join

Abstract

Spontaneous rupture of the extensor carpi ulnaris is a rare injury that has a significant impact on the biomechanics of the wrist, limiting movements such as supination and ulnar deviation. A 63-year-old man presented with pain in the dorsal region of the right forearm and difficulty moving the wrist. Imaging revealed a rupture of the extensor carpi ulnaris tendon, and he underwent surgery with a palmaris longus tendon graft, with adequate progress and recovery of range of motion in the wrist joint. Tendon transfer is an effective option when conventional repair options are not viable.

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References

Hsueh JH, Liu WC, Yang KC, Hsu KC, Lin CT, Chen LW. Spontaneous extensor tendon rupture in the rheumatoid wrist: risk factors and preventive role of extended tenosynovectomy. Ann Plast Surg 2016; 76:S41-S47

Peters SE, Jha B, Ross M. Rehabilitation following surgery for flexor tendon injuries of the hand. Cochrane Database of Systematic Reviews. 2021;13(1):CD012479.

Montalvan B, Parier J, Brasseur JL, Le Viet D, Drape JL. Extensor carpi ulnaris injuries in tennis players: a study of 28 cases. Br J Sports Med. 2006;40(5):424-9 https://doi.org/10.1136/bjsm.2005.023275

Chauhan A, Jacobs B, Andoga A, Baratz ME. Extensor tendon injuries in athletes. Sports Med Arthrosc Rev. 2014;22(1):45-55. https://doi.org/10.1097/JSA.0000000000000011

Allende C, Le Viet D. Extensor carpi ulnaris problems at the wrist--classification, surgical treatment and results. J Hand Surg Br. 2005;30(3):265-72. https://doi.org/10.1016/j.jhsb.2004.12.007

Thirumavalavan J, Ibrahim Z, Byrne RA, Arant KR, Gil JA. Extensor Carpi Ulnaris Instability: A Comprehensive Review of Pathology and Operative Techniques. Hand (N Y). 2024;19(7):1090-1096. https://doi.org/10.1177/15589447231168908

Wang C, Gill TJ 4th, Zarins B, Herndon JH. Extensor carpi ulnaris tendon rupture in an ice hockey player: a case report. Am J Sports Med. 2003;31(3):459-61. https://doi.org/10.1177/03635465030310032301

Shih YS, Chang YJ, Cheng YT, Chang CS, Lin YH. Flexor pollicis longus tendon rupture: a case series on palmaris longus tendon graft reconstruction after volar plate fixation. J Surg Case Rep. 2023;2023(7). https://doi.org/10.1093/jscr/rjad399

Ayala-Ugalde FA, González-Martínez C. Ruptura espontánea de tendones extensores de la mano en paciente con diagnóstico de artritis reumatoide. Cir Plast. 2024;34(1):27-31. https://doi.org/10.35366/115150

Lamoth A. Transferencia tendinosa del extensor propio del índice en rotura espontánea del extensor largo del primer dedo. Reporte de caso. RBCP. 2023;3(10):12-6. https://doi.org/10.54818/rbcp.vol3.n10.2023.92

Meiwandi A, Kaptanis S, Papadakis M. Extensor indicis transfer versus palmaris longus transplantation in reconstruction of extensor pollicis longus tendon: a protocol for a systematic review. Systematic Reviews. 2020;9(1). https://doi.org/10.1186/s13643-020-01409-3

Campbell D, Campbell R, O’Connor P, Hawkes R. Sports-related extensor carpi ulnaris pathology: a review of functional anatomy, sports injury and management. Br J Sports Med. 2013;47(17):1105-11. https://doi.org10.1136/bjsports-2013-092835

Coronel LB, del Pozo JED. Reconstrucción de ruptura crónica del aparato extensor del dedo con autoinjerto de palmaris longus: Reporte de caso. Revista Iberoamericana de Cirugía de la Mano. 2022;50(2): e142-e145. https://doi.org/10.1055/s-0042-1754329

Published
2025-10-28
How to Cite
González Támara , G. A., Pulido Moreno, D. C., Vargas Rojas, G. D., & García Agudelo, L. (2025). Spontaneous rupture of the extensor carpi ulnaris: Results of reconstruction with palmaris longus tendon. Anales De La Facultad De Medicina, 12(2), e404. https://doi.org/10.25184/anfamed2025v12n2a10