Kitridis Dimitrios, Bei Georgia, Dogramatzis Konstantinos, Givissis Panagiotis
Department of Orthopaedics, 424 General Military Hospital, Thessaloniki, Greece.
Department of Civil Engineering, Aristotle University of Thessaloniki, Thessaloniki, Greece.
J Orthop Case Rep. 2018 Sep-Oct;8(5):89-91. doi: 10.13107/jocr.2250-0685.1228.
Traumatic and atraumatic rupture of the extensor pollicis longus (EPL) tendon has been described as a result of mechanical or biological stresses. Common mechanisms include fractures of the distal radius, rheumatoid arthritis, local injection of steroids, and repetitive motion activities at the wrist.
We report a case involving the spontaneous rupture of the EPL tendon in a relative of a deceased person who carried her coffin in a wrong way with no other predisposing factors. A three-dimensional simulation model was created in an attempt to illustrate the forces applied at his wrist.
Our case indicates that carriage of a coffin should be done by four undertakers, ideally of the same height, on their shoulders. Furthermore, a high level of suspicion is needed when tenderness over Lister's tubercle after any type of trauma is encountered.
拇长伸肌（EPL）肌腱的创伤性和非创伤性断裂已被描述为机械或生物应力的结果。常见机制包括桡骨远端骨折、类风湿性关节炎、局部注射类固醇以及手腕的重复性运动活动。
我们报告一例涉及一名抬棺方式错误的死者亲属的EPL肌腱自发性断裂病例，该病例无其他诱发因素。创建了一个三维模拟模型，试图说明施加在其手腕上的力。
我们的病例表明，棺材应由四名抬棺人抬，理想情况下他们身高相同，用肩膀扛。此外，当遇到任何类型创伤后李斯特结节处有压痛时，需要高度怀疑。
