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小儿桡骨远端骨折中拇长伸肌卡压:一例报告并文献复习

Extensor Pollicis Longus Entrapment in a Pediatric Distal Radius Fracture: A Case Report and Review of the Literature.

作者信息

Abduljabbar Fahad

机构信息

Orthopedic Surgery, King Abdulaziz University Hospital, Jeddah, SAU.

出版信息

Cureus. 2025 May 27;17(5):e84875. doi: 10.7759/cureus.84875. eCollection 2025 May.

DOI:10.7759/cureus.84875
PMID:40575189
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12199079/
Abstract

Entrapment of the extensor pollicis longus (EPL) tendon following a pediatric distal radius fracture is an exceptionally rare occurrence that can clinically mimic tendon rupture. We report the case of a 12-year-old girl who presented with loss of active thumb extension several weeks after successful reduction of a distal radius fracture. Imaging studies ruled out tendon rupture, and subsequent surgical exploration confirmed entrapment of the EPL within the fracture callus. The patient underwent tenolysis and achieved good functional recovery. This case highlights the importance of considering tendon entrapment in patients with unexplained thumb dysfunction following forearm fractures.

摘要

小儿桡骨远端骨折后拇长伸肌腱(EPL)嵌顿是一种极为罕见的情况,临床上可模拟肌腱断裂。我们报告一例12岁女孩的病例,该女孩在桡骨远端骨折成功复位数周后出现主动拇指伸展功能丧失。影像学检查排除了肌腱断裂,随后的手术探查证实EPL嵌顿于骨折骨痂内。患者接受了肌腱松解术,功能恢复良好。该病例强调了在前臂骨折后出现不明原因拇指功能障碍的患者中考虑肌腱嵌顿的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd71/12199079/7c85c470c154/cureus-0017-00000084875-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd71/12199079/5dd6a38b1311/cureus-0017-00000084875-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd71/12199079/f8aa1ca0c6e1/cureus-0017-00000084875-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd71/12199079/3a4147f9532a/cureus-0017-00000084875-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd71/12199079/9c7c464f677c/cureus-0017-00000084875-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd71/12199079/5683eb5f0091/cureus-0017-00000084875-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd71/12199079/7c85c470c154/cureus-0017-00000084875-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd71/12199079/5dd6a38b1311/cureus-0017-00000084875-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd71/12199079/f8aa1ca0c6e1/cureus-0017-00000084875-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd71/12199079/3a4147f9532a/cureus-0017-00000084875-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd71/12199079/9c7c464f677c/cureus-0017-00000084875-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd71/12199079/5683eb5f0091/cureus-0017-00000084875-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd71/12199079/7c85c470c154/cureus-0017-00000084875-i06.jpg

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