Cift Hakan, Ozkan Korhan, Söylemez Salih, Ozkan Feyza Unlu, Cift Hacer Burcu
Department of Orthopaedics and Traumatology, Sb, Medeniyet University Goztepe Research and Training Hospital, Istanbul, Turkey.
J Med Case Rep. 2012 Nov 22;6:394. doi: 10.1186/1752-1947-6-394.
We present the case of a patient with extensor carpi ulnaris tendon subluxation who was first treated for distal radioulnar joint sprain.
A 25-year-old Caucasian man was seen at our policlinic one month after he had fallen on his outstretched hand. A diagnosis of extensor carpi ulnaris subluxation was made clinically but we also had the magnetic resonance imaging scan of the patient's wrist which displayed an increased signal on T2-weighted images consistent with inflammation around the extensor carpi ulnaris tendon. The extensor carpi ulnaris tendon was found to be dislocating during supination and relocating during pronation. The sheath was reconstructed using extensor retinaculum due to attenuation of subsheath.
There was no recurrent dislocation of the extensor carpi ulnaris tendon of the patient at his last follow up 12 months after the operation.
我们报告一例尺侧腕伸肌腱半脱位患者，该患者最初因桡尺远侧关节扭伤接受治疗。
一名25岁的白种男性在伸直手摔倒后一个月到我们的门诊就诊。临床诊断为尺侧腕伸肌腱半脱位，但我们也对患者的腕部进行了磁共振成像扫描，结果显示在T2加权图像上信号增强，这与尺侧腕伸肌腱周围的炎症相符。发现尺侧腕伸肌腱在旋后时脱位，旋前时复位。由于鞘下组织变薄，使用伸肌支持带重建了腱鞘。
在术后12个月的最后一次随访中，该患者的尺侧腕伸肌腱没有再次脱位。
