João Pereira,André Moreira,Joana Azevedo,David Ferreira,Elisabete Ribeiro,Pedro Varanda,Luís Rodrigues,
Application of Tenodesis for an Extremely Rare Hand Extensor Injury in an Athlete: A Case Report
International Journal of Surgical Case Reports
2024
2674-4171
http://dx.doi.org/10.31487/j.IJSCR.2024.01.03
https://www.sciencerepository.org/application-of-tenodesis-for-an-extremely_IJSCR-2024-1-103 
Abstract: 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.Keywords: Sports medicine, hand extensor injuries, tenodesis