Beutel Bryan G, Melamed Eitan
1 Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY, USA.
J Hand Surg Asian Pac Vol. 2019 Mar;24(1):100-104. doi: 10.1142/S2424835519720044.
Combined simultaneous radial wrist extensor injuries, namely ipsilateral extensor carpi radialis longus (ECRL) and brevis (ECRB) avulsion fractures, are rare. While non-operative management with cast immobilization has been described, most recommend operative intervention in the acute setting. Surgical repair of chronic injuries, however, has received little attention in the literature. This case describes a 50-year-old male who sustained combined ipsilateral ECRL and ECRB avulsion fractures from the bases of the index and middle metacarpals. Five months after the initial trauma, he underwent surgical repair with lengthening of the tendons using a novel technique and suture anchor fixation. This case demonstrates that successful repair of this rare injury can be achieved with retracted extensor tendons in the chronic setting.
桡侧腕伸肌联合同时损伤，即同侧桡侧腕长伸肌（ECRL）和桡侧腕短伸肌（ECRB）撕脱骨折，较为罕见。虽然已有关于采用石膏固定进行非手术治疗的描述，但大多数人建议在急性期进行手术干预。然而，慢性损伤的手术修复在文献中很少受到关注。本病例描述了一名50岁男性，其同侧ECRL和ECRB从示指和中指掌骨基部发生联合撕脱骨折。在初始创伤五个月后，他采用一种新技术延长肌腱并使用缝合锚钉固定进行了手术修复。本病例表明，在慢性情况下，对于退缩的伸肌腱，这种罕见损伤也可成功修复。
