急性双侧拇指长伸肌腱断裂继发双侧桡骨远端骨折脱位：病例报告。

Clinic of Orthopedics and Traumatology, Bursa Aritmi Osmangazi Hospital, Bursa, Turkey.

Department of Orthopedics and Traumatology, İstanbul Atlas University, School of Medicine, İstanbul, Turkey.

Acta Orthop Traumatol Turc. 2023 Jan;57(1):46-49. doi: 10.5152/j.aott.2023.22105.

Extensor pollicis longus tendon ruptures are rarely reported after traumatic events, especially after distal radius fractures. Its classical presentation is a late-onset and unilateral rupture after a non-displaced distal radius fracture. In this case report, we present the treatment of a patient with acute bilateral extensor pollicis longus tendon ruptures after bilateral displaced distal radius fractures. The patient was treated with bilateral open reduction and volar plate fixation via a volar Henry approach for distal radius fractures and bilateral extensor indicis proprius tendon transfer for extensor pollicis longus tendon ruptures. We achieved satisfactory results, and no complications were reported with these treatment approaches. However, this case report demonstrates that extensor pollicis longus tendon rupture may occur at the time of fracture; thus, clinicians should be aware of this issue.

拇长展肌腱断裂在创伤事件后很少报道，尤其是在桡骨远端骨折后。其典型表现为无移位的桡骨远端骨折后迟发性、单侧断裂。在本病例报告中，我们介绍了 1 例双侧桡骨远端骨折伴桡骨远端骨折的急性双侧拇长展肌腱断裂患者的治疗方法。该患者采用掌侧 Henry 入路行双侧桡骨远端骨折切开复位掌侧钢板固定，双侧示指固有伸肌腱转位治疗拇长展肌腱断裂。我们取得了满意的效果，这些治疗方法均未出现并发症。然而，本病例报告表明，拇长展肌腱断裂可能在骨折时发生；因此，临床医生应该注意这个问题。