Dynamic Ultrasound Examination for Extensor Pollicis Longus Tendon Rupture after Palpation-Guided Corticosteroid Injection
Status PubMed-not-MEDLINE Language English Country Switzerland Media electronic
Document type Journal Article
Grant support
MOST 106-2314-B-002-180-MY3
Ministry of Science and Technology
109-2314-B-002-114-MY3
Ministry of Science and Technology
109-2314-B-002-127
Ministry of Science and Technology
PubMed
36900103
PubMed Central
PMC10001071
DOI
10.3390/diagnostics13050959
PII: diagnostics13050959
Knihovny.cz E-resources
- Keywords
- blind, extensor tendon, intervention, ultrasonography, wrist,
- Publication type
- Journal Article MeSH
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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