Dynamic Ultrasound Examination for Extensor Pollicis Longus Tendon Rupture after Palpation-Guided Corticosteroid Injection

This report aimed to present a case of wrist-tendon rupture and to discuss a rare complication after corticosteroid injection. A 67-year-old woman had difficulty extending her left-thumb interphalangeal joint several weeks after a palpation-guided local corticosteroid injection. Passive motions rema...

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Autores principales: Chen, Ying-Chun, Wu, Wei-Ting, Mezian, Kamal, Ricci, Vincenzo, Özçakar, Levent, Chang, Ke-Vin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Interesting Images
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10001071/
https://www.ncbi.nlm.nih.gov/pubmed/36900103
http://dx.doi.org/10.3390/diagnostics13050959
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author Chen, Ying-Chun
Wu, Wei-Ting
Mezian, Kamal
Ricci, Vincenzo
Özçakar, Levent
Chang, Ke-Vin
author_facet Chen, Ying-Chun
Wu, Wei-Ting
Mezian, Kamal
Ricci, Vincenzo
Özçakar, Levent
Chang, Ke-Vin
author_sort Chen, Ying-Chun
collection PubMed
description This report aimed to present a case of wrist-tendon rupture and to discuss a rare complication after corticosteroid injection. A 67-year-old woman had difficulty extending her left-thumb interphalangeal joint several weeks after a palpation-guided local corticosteroid injection. Passive motions remained intact without sensory abnormalities. Ultrasound examination showed hyperechoic tissues at the site of the extensor pollicis longus (EPL) tendon at the wrist level and an atrophic EPL muscle stump at the forearm level. Dynamic imaging demonstrated no motion in the EPL muscle during passive thumb flexion/extension. The diagnosis of complete EPL rupture, possibly due to inadvertent intratendinous corticosteroid injection, was therefore confirmed.
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spelling pubmed-100010712023-03-11 Dynamic Ultrasound Examination for Extensor Pollicis Longus Tendon Rupture after Palpation-Guided Corticosteroid Injection Chen, Ying-Chun Wu, Wei-Ting Mezian, Kamal Ricci, Vincenzo Özçakar, Levent Chang, Ke-Vin Diagnostics (Basel) Interesting Images This report aimed to present a case of wrist-tendon rupture and to discuss a rare complication after corticosteroid injection. A 67-year-old woman had difficulty extending her left-thumb interphalangeal joint several weeks after a palpation-guided local corticosteroid injection. Passive motions remained intact without sensory abnormalities. Ultrasound examination showed hyperechoic tissues at the site of the extensor pollicis longus (EPL) tendon at the wrist level and an atrophic EPL muscle stump at the forearm level. Dynamic imaging demonstrated no motion in the EPL muscle during passive thumb flexion/extension. The diagnosis of complete EPL rupture, possibly due to inadvertent intratendinous corticosteroid injection, was therefore confirmed. MDPI 2023-03-03 /pmc/articles/PMC10001071/ /pubmed/36900103 http://dx.doi.org/10.3390/diagnostics13050959 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Interesting Images
Chen, Ying-Chun
Wu, Wei-Ting
Mezian, Kamal
Ricci, Vincenzo
Özçakar, Levent
Chang, Ke-Vin
Dynamic Ultrasound Examination for Extensor Pollicis Longus Tendon Rupture after Palpation-Guided Corticosteroid Injection
title Dynamic Ultrasound Examination for Extensor Pollicis Longus Tendon Rupture after Palpation-Guided Corticosteroid Injection
title_full Dynamic Ultrasound Examination for Extensor Pollicis Longus Tendon Rupture after Palpation-Guided Corticosteroid Injection
title_fullStr Dynamic Ultrasound Examination for Extensor Pollicis Longus Tendon Rupture after Palpation-Guided Corticosteroid Injection
title_full_unstemmed Dynamic Ultrasound Examination for Extensor Pollicis Longus Tendon Rupture after Palpation-Guided Corticosteroid Injection
title_short Dynamic Ultrasound Examination for Extensor Pollicis Longus Tendon Rupture after Palpation-Guided Corticosteroid Injection
title_sort dynamic ultrasound examination for extensor pollicis longus tendon rupture after palpation-guided corticosteroid injection
topic Interesting Images
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10001071/
https://www.ncbi.nlm.nih.gov/pubmed/36900103
http://dx.doi.org/10.3390/diagnostics13050959
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