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Recurrent Dislocation of The Extensor Carpi Ulnaris Tendon in a Water-Polo Athlete

INTRODUCTION: Dislocation/subluxation of the Extensor Carpi Ulnaris (ECU) tendon is a rare condition in the general population, but is a common problem among athletes that subject their wrists to forceful rotational movements. Pain and snapping sensation at the dorsoulnar aspect of the wrist especia...

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Autores principales: Stathopoulos, Ioannis P., Raptis, Konstantinos, Ballas, Efstathios G., Spyridonos, Sarantis-Petros G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kowsar 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4869434/
https://www.ncbi.nlm.nih.gov/pubmed/27218041
http://dx.doi.org/10.5812/traumamon.19551
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author Stathopoulos, Ioannis P.
Raptis, Konstantinos
Ballas, Efstathios G.
Spyridonos, Sarantis-Petros G.
author_facet Stathopoulos, Ioannis P.
Raptis, Konstantinos
Ballas, Efstathios G.
Spyridonos, Sarantis-Petros G.
author_sort Stathopoulos, Ioannis P.
collection PubMed
description INTRODUCTION: Dislocation/subluxation of the Extensor Carpi Ulnaris (ECU) tendon is a rare condition in the general population, but is a common problem among athletes that subject their wrists to forceful rotational movements. Pain and snapping sensation at the dorsoulnar aspect of the wrist especially during supination are the predominant symptoms that often necessitate surgical intervention. CASE PRESENTATION: We present a case of a professional water-polo athlete with recurrent ECU tendon dislocation, in whom a combination of direct repair of the tendon’s subsheath and reinforcement with an extensor retinaculum graft led to definitive resolution of her symptoms and resulted in her uneventful return to high-level sport activities 4 months postoperatively. CONCLUSIONS: The treatment of symptomatic ECU instability is still controversial, especially for acute dislocations. Depending on the type of injury many surgical techniques have been proposed. Combination of direct repair of the tendon’s subsheath and reinforcement with an extensor retinaculum graft is a reliable option.
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spelling pubmed-48694342016-05-23 Recurrent Dislocation of The Extensor Carpi Ulnaris Tendon in a Water-Polo Athlete Stathopoulos, Ioannis P. Raptis, Konstantinos Ballas, Efstathios G. Spyridonos, Sarantis-Petros G. Trauma Mon Case Report INTRODUCTION: Dislocation/subluxation of the Extensor Carpi Ulnaris (ECU) tendon is a rare condition in the general population, but is a common problem among athletes that subject their wrists to forceful rotational movements. Pain and snapping sensation at the dorsoulnar aspect of the wrist especially during supination are the predominant symptoms that often necessitate surgical intervention. CASE PRESENTATION: We present a case of a professional water-polo athlete with recurrent ECU tendon dislocation, in whom a combination of direct repair of the tendon’s subsheath and reinforcement with an extensor retinaculum graft led to definitive resolution of her symptoms and resulted in her uneventful return to high-level sport activities 4 months postoperatively. CONCLUSIONS: The treatment of symptomatic ECU instability is still controversial, especially for acute dislocations. Depending on the type of injury many surgical techniques have been proposed. Combination of direct repair of the tendon’s subsheath and reinforcement with an extensor retinaculum graft is a reliable option. Kowsar 2016-02-06 /pmc/articles/PMC4869434/ /pubmed/27218041 http://dx.doi.org/10.5812/traumamon.19551 Text en Copyright © 2016, Trauma Monthly. http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
spellingShingle Case Report
Stathopoulos, Ioannis P.
Raptis, Konstantinos
Ballas, Efstathios G.
Spyridonos, Sarantis-Petros G.
Recurrent Dislocation of The Extensor Carpi Ulnaris Tendon in a Water-Polo Athlete
title Recurrent Dislocation of The Extensor Carpi Ulnaris Tendon in a Water-Polo Athlete
title_full Recurrent Dislocation of The Extensor Carpi Ulnaris Tendon in a Water-Polo Athlete
title_fullStr Recurrent Dislocation of The Extensor Carpi Ulnaris Tendon in a Water-Polo Athlete
title_full_unstemmed Recurrent Dislocation of The Extensor Carpi Ulnaris Tendon in a Water-Polo Athlete
title_short Recurrent Dislocation of The Extensor Carpi Ulnaris Tendon in a Water-Polo Athlete
title_sort recurrent dislocation of the extensor carpi ulnaris tendon in a water-polo athlete
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4869434/
https://www.ncbi.nlm.nih.gov/pubmed/27218041
http://dx.doi.org/10.5812/traumamon.19551
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