TY - JOUR
AR - IJSCR-2024-1-103
TI - Application of Tenodesis for an Extremely Rare Hand Extensor Injury in an Athlete: A Case Report
AU - João, Pereira
AU - André, Moreira
AU - Joana, Azevedo
AU - David, Ferreira
AU - Elisabete, Ribeiro
AU - Pedro, Varanda
AU - Luís, Rodrigues
JO - International Journal of Surgical Case Reports
PY - 2024
DA - Fri 26, Apr 2024
SN - 2674-4171
DO - http://dx.doi.org/10.31487/j.IJSCR.2024.01.03
UR - https://www.sciencerepository.org/application-of-tenodesis-for-an-extremely_IJSCR-2024-1-103 
KW - Sports medicine, hand extensor injuries, tenodesis
AB - Spontaneous tendon ruptures of the wrist are a rare pathology, usually secondary to rheumatoid arthritis or distal radius fractures and most commonly evolving the extensor pollicis longus. Sport-related etiology is a growing tendency of this pathology. As far as the authors know, this is one of the first sport-related extensor carpi radialis brevis (ECRB) isolated spontaneous rupture described in the literature. We describe a case of a 41 year-old female amateur kickboxer who developed acute dorsal radial pain in the right wrist during practice. After attempting conservative treatment for 4 months with rest and NSAIDs she recurred at our clinic. Local pain at dorsal wrist extension was observed. MRI demonstrated an isolated ECRB rupture with associated fibrous tissue proximal to the extensor retinaculum. Surgical management was proposed and consisted of fibrous tissue debridement and ECRB-ECRL tenodesis. At 3 months of follow-up the patient reported return-to-play with impaired wrist motion and mild pain at maximum wrist extension. At 12 months of follow-up the patient was completely recovered and asymptomatic. Isolated tendon ruptures are a rare pathology, causing extreme pain and disability in the sport setting. Surgical management of this ECRB tendon rupture by tenodesis allowed for appropriate pain control and functional results and early return-to-play.