Late extensor pollicis longus rupture following plate fixation in Galeazzi fracture dislocation

Indian J Orthop. 2014 Jul;48(4):426-8. doi: 10.4103/0019-5413.136311.


Late rupture of extensor pollicis longus (EPL) tendon after Galeazzi fracture dislocation fixation is an unknown entity though it is a well-established complication following distal radius fractures. We report the case of a 55-year old male who presented with late EPL tendon rupture 4 months following internal fixation of Galeazzi fracture dislocation with a Locking Compression Plate (LCP). He was managed with extensor indicis proprius (EIP) transfer to restore thumb extension. At 4 years followup, functional result of the transfer was good. We identify possible pitfalls with this particular patient and discuss how to avoid them in future.

Keywords: Extensor pollicis longus rupture; Galeazzi fracture dislocation; Radius fractures; bone plates; bone screws; locking compression plate; tendon injury.