27 January 2025
: Case report 
Acute Extensor Pollicis Longus Tendon Injury Associated with a Distal Radius Fracture: A Case Report
Challenging differential diagnosis, Diagnostic / therapeutic accidents, Unusual setting of medical care, Unexpected drug reaction, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)
Kenjiro Kawamura12BCDEF, Kiyohito Naito12ABCDEF*, Yasuhiro Yamamoto1CDF, So Kawakita1ABC, Takamaru Suzuki12BCD, Norizumi Imazu12BCDF, Muneaki Ishijima
12AF
DOI: 10.12659/AJCR.946399
Am J Case Rep 2025; 26:e946399
Figure 3. Intraoperative photograph of the EPL tendon. (A) The EPL tendon was damaged. (B) The flap was twisted 180º and tendon extended. (C) End-to-end suture. (D) The EPL tendon was transposed to the dorsal side of the extensor retinaculum. The extensor tendon third compartment was deployed from the dorsal wrist joint to confirm the EPL tendon. The EPL tendon was 70% ruptured, and the extension mechanism of the thumb was disrupted, although some continuity remained (A). The distal end of the EPL tendon was hemisected. The flap was twisted 180º and tendon extended (B). The tendon was long enough to suture end-to-end (C). To prevent interference between the tendon suture and the fracture, the EPL tendon was transposed to the dorsal side of the extensor retinaculum (D).