Spontaneous rupture of extensor pollicis longus tendon in a kick boxer.

A 23 year old male kick boxer presented with a 24 hour history of pain and being unable to extend the interphalangeal joint of the left thumb. There was no history of trauma or any other risk factor for spontaneous rupture of the extensor pollicis longus tendon. On the previous day, he had been doing reverse press ups on the dorsum of his hands with his wrists hyperflexed as part of his training for kick boxing. At operation the extensor pollicis longus tendon was found to be divided at the level of the dorsal tubercle of the radius and was not directly repairable. The treatment was an extensor indicis proprius transfer. We suggest that the cause of the tendon rupture was direct pressure on the dorsal tubercle of the radius sustained while performing reverse press ups.

[1]  D. Attarian,et al.  Diagnosis and management of laryngeal trauma in sports. , 1996, Southern medical journal.

[2]  H. Takami,et al.  Traumatic rupture of the extensor tendons at the musculotendinous junction. , 1995, The Journal of hand surgery.

[3]  A. Szarfman,et al.  More on fluoroquinolone antibiotics and tendon rupture. , 1995, The New England journal of medicine.

[4]  M. Tsai,et al.  Clinical analysis of external laryngeal trauma , 1994, The Journal of Laryngology & Otology.

[5]  J. Zvijac,et al.  Spontaneous atraumatic, nonrheumatic rupture of the extensor pollicis longus tendon: a case report. , 1992, The Journal of hand surgery.

[6]  W. Dawson.  Sports-induced spontaneous rupture of the extensor pollicis longus tendon. , 1992, The Journal of hand surgery.

[7]  M. Bracken,et al.  The Second National Acute Spinal Cord Injury Study. , 1990, Journal of neurotrauma.

[8]  S. Schaefer.  The treatment of acute external laryngeal injuries. 'State of the art'. , 1991, Archives of otolaryngology--head & neck surgery.

[9]  W. Guerra.  A randomized, controlled trial of methylprednisolone or naloxone in the treatment of acute spinal cord injury: Bracken MB, Shepara MJ, Collins WF, et al N Engl J Med 322:1405–1411 May 1990 , 1990 .

[10]  Ganzel Tm,et al.  Diagnosis and management of acute laryngeal trauma. , 1989 .

[11]  T. Ganzel,et al.  Diagnosis and management of acute laryngeal trauma. , 1989, The American surgeon.

[12]  E. Myers,et al.  The management of acute laryngeal trauma. , 1987, The Journal of trauma.

[13]  P. Bradley,et al.  Progressive dyspnoea following facial injury. , 1986, The British journal of oral & maxillofacial surgery.

[14]  R. G. Rosenstein,et al.  Restoration of Extensor Pollicis Longus Function by Tendon Transfer , 1983, Plastic and reconstructive surgery.

[15]  V. Smodlaka.  Groin Pain in Soccer Players. , 1980, The Physician and sportsmedicine.

[16]  P. Renström,et al.  Groin injuries in athletes. , 1980, British journal of sports medicine.

[17]  E. E. Denman.  Rupture of the Extensor Pollicis Longus — a Crush Injury , 1979, The Hand.

[18]  G. Lundborg,et al.  Rupture of the Extensor Pollicis Longus Tendon after Fracture of the Lower End of the Radius — a Clinical and Microangiography Study , 1979, The Hand.

[19]  N. R. Olson.  Surgical Treatment of Acute Blunt Laryngeal Injuries , 1978, The Annals of otology, rhinology, and laryngology.

[20]  L. R. Straub,et al.  Spontaneous rupture of extensor tendons in the hand associated with rheumatoid arthritis. , 1956, The Journal of bone and joint surgery. American volume.

[21]  Vaughan-Jackson Oj.  Rupture of extensor tendons by attrition at the inferior radio-ulnar joint; report of two cases. , 1948 .