Rupture of flexor pollicis longus tendon: A complication of volar plating of the distal radius

Bell, Jonathan; Wollstein, Ronit; Citron, N.

doi:10.1302/0301-620x.80b2.8351

Cited by 103 publications

(92 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The use of low-profile volar plate, correct screw length along with repair of the pronator quadratus to brachiradialis aponeurosis lowers the incidence of late frictional tear of the flexor as well as the extensor tendons. 11,14 The results of this retrospective study are comparable with those reported by various authors in terms of early functional recovery and acceptable radiological parameters. 3,6,11 The modified Green and O'Brien Score showed 5(21 Percent) excellent, 13(54 Percent) good, 5(21 Percent) fair, and 1(4 Percent) poor results at the latest follow-up.…”

Section: Modified Clinical-scoring System Of Green and O'briensupporting

confidence: 87%

Vol Ar Plating of Distal Radius Fracture : A Retrospective Analysis

Moirangthem¹,

J²,

R³

et al. 2015

jemds

View full text Add to dashboard Cite

BACKGROUND: Treatment of distal radius has undergone remarkable changes since the time of Abraham colles. Conservative treatment with cast application has given way to operative techniques for better outcome in high demand young individuals. Volar plating for distal end radius fractures is an effective technique which allows early mobilisation with restoration of radial inclination, radial length, articular congruity and palmar tilt. MATERIALS AND METHODS: This study was performed in chettinad hospital and research institute between January 2013 and March 2014. 24 patients with closed isolated distal end radius fractures treated with open reduction and internal fixation with plates and screws by volar approach were followed up retrospectively for a minimum period of one year. There were 17 men and 7 women. Mean age was 44 years (Range, 22-75 years). The fractures were classified based on the AO system. There were 4 A2, 12 B3, 5 C1, 3 C2 fracture types. RESULTS: All the patients were evaluated with standard anteroposterior and lateral radiographs and CT scans in case of intraarticular fractures. In all patients plating of distal end radius done by volar approach. Patients were followed postoperatively for one year radiologically and clinically by modified clinical scoring system by Green and O Brien. Five patients had excellent results, thirteen patients had good results with twenty five percent restriction of wrist function .Five patients had fair results. One patient had postop wound infection which required implant removal and external fixator application. CONCLUSION: With proper patient selection and accurate surgical techniques, volar plating continues to be a useful method of treatment for distal end radius fractures with minimal complications and allowing early return of patients to normal activities.

show abstract

Section: Modified Clinical-scoring System Of Green and O'briensupporting

confidence: 87%

Vol Ar Plating of Distal Radius Fracture : A Retrospective Analysis

Moirangthem¹,

J²,

R³

et al. 2015

jemds

View full text Add to dashboard Cite

show abstract

“…However, some have observed that this muscle can be flimsy, especially in middle-aged women, and not provide significant plate coverage [2]. Early plate retrieval should be done if reduction or fixation is lost to prevent possible tendon irritation [1,7].…”

Section: Discussionmentioning

confidence: 99%

Flexor Tendon Problems after Volar Plate Fixation of Distal Radius Fractures

Adham¹,

Porembski²,

Adham

2009

Hand (New York, N,Y.)

View full text Add to dashboard Cite

Four cases of flexor tendon problems which developed after volar plate fixation of distal radius fractures are presented. All cases were associated with close contact of the screws or distal edge of the plate with the flexor tendons. Poor bone stock or multiple bone fragments allowing loosening of the plate or non-locking screws cause the hardware to irritate the flexor tendons and ultimately lead to rupture. The flexor tendons involved include the flexor carpi radialis, flexor pollicis longus and flexor digitorum superficialis, and flexor digitorum profundus to the index and long fingers.

show abstract

“…There are reports of the rupture of the flexor pollicis longus tendon due to mechanical attrition against the prominent distal edge of the plate [1][2][3][4][5]. In all of these reports the plate had been placed too distal.…”

Section: Discussionmentioning

confidence: 99%

“…It is important to emphasize the watershed line as a landmark to prevent the plate being placed too proximal. In some cases, even if the plate is initially placed correctly, the collapse of the fracture makes the plate more prominent [1]. Scott and Duncan reported an isolated FPL rupture as a complication after osteosynthesis of the distal radius using a T-plate [3].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Rupture of Flexor Pollicis Longus Tendon: A Complication of Volar Locking Plating of the Distal Radius

2009

View full text Add to dashboard Cite

We report an unusual case of complete rupture of the flexor pollicis longus tendon following volar locking plating for a distal radius fracture. We believe that the prominence of a distal locking screw head predisposed to the rupture of the tendon. We highlight that correctly attaching the distal locking screws to the plate is essential for obtaining the correct biomechanics of the device and preventing flexor tendon rupture.

show abstract

Rupture of flexor pollicis longus tendon: A complication of volar plating of the distal radius

Abstract: We report three complete ruptures and one partial rupture of the flexor pollicis longus tendon in association with the insertion of a volar plate for the treatment of fracture of the distal radius. Rupture was associated with the chronic use of steroids.

Cited by 103 publications

References 0 publications

Vol Ar Plating of Distal Radius Fracture : A Retrospective Analysis

Vol Ar Plating of Distal Radius Fracture : A Retrospective Analysis

Flexor Tendon Problems after Volar Plate Fixation of Distal Radius Fractures

Rupture of Flexor Pollicis Longus Tendon: A Complication of Volar Locking Plating of the Distal Radius

Contact Info

Product

Resources

About