Attrition Rupture of Flexor Tendons at the Wrist Following Epiphyseal Fracture of the Distal Radius

Post-traumatic rupture of flexor tendons is a very rare event. We report such an event following an epiphyseal fracture of the distal radius. This has not previously been reported in the English literature.

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Radio-Ulnar Synostosis Following External Fixation

Journal of Hand Surgery (European Volume) ◽

10.1016/0266-7681(93)90011-4 ◽

1993 ◽

Vol 18 (5) ◽

pp. 592-594 ◽

Cited By ~ 7

Author(s):

A. AYLLON-GARCIA ◽

A.W. DAVIES ◽

L. DELISS

Keyword(s):

External Fixation ◽

Distal Radius ◽

English Literature ◽

Forearm Fractures ◽

First Report ◽

Rotatory Movement ◽

Post Traumatic ◽

Pin Track

Post-traumatic radio-ulnar synostosis is an unusual but serious complication of adult forearm fractures. This is the first report of radio-ulnar synostosis following external fixation to be described in the English literature. A 52-year-old man sustained a fracture of the distal radius and ulna which was managed by external fixation. Following this, he developed a radio-ulnar synostosis at the pin-track site. The synostosis was successfully removed and he regained significant rotatory movement of his forearm.

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1001 Intra-Articular Distal Radius Fracture Surgical Intervention Threshold Origins and Development

British Journal of Surgery ◽

10.1093/bjs/znab134.344 ◽

2021 ◽

Vol 108 (Supplement_2) ◽

Author(s):

G Esworthy ◽

N Johnson ◽

J Dias ◽

P Divall

Keyword(s):

Distal Radius ◽

Clinical Presentation ◽

Surgical Intervention ◽

Threshold Value ◽

British Society ◽

Relevant Today ◽

Clinical Presentations ◽

Post Traumatic ◽

Current Guidance ◽

Traumatic Arthritis

Abstract Background Treatment of intra-articular distal radius fractures is guided by the displacement of the articular fragments. Symptomatic post-traumatic arthritis is expected to occur if step displacement is > 2mm; this value is often used as an indication for surgery if closed reduction is not possible. Method A systematic review was performed to establish the origin and adaptations of the threshold, with papers screened and relevant citations reviewed. Orthopaedic textbooks were reviewed to ensure no earlier mention of the threshold was present. Results Knirk and Jupiter, 1986, are the first to quantify a threshold, with all their patients developing arthritis with >2mm displacement. Some papers have discussed using 1mm, although 2mm is most widely reported. Current guidance from the British Society for Surgery of the Hand supports 2mm. Although this paper is still widely cited, the authors published a re-examination of the data showing methodological flaws which is not as widely reported. They claim their conclusions are still relevant today; however, the radiological arthritis does not correlate with the clinical presentation. Conclusions Knirk and Jupiter originated the threshold value of 2mm. The lack of correlation between the radiological and clinical presentations warrants further investigation. The principle of treatment remains restoration of normal anatomical position.

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16.1 Definitive results of the italian society of hand surgery (SICM) multicenter study on tendon adhesions in zone ii of the hand: hyaloglide (hyaluronan derivative) can reduce the adhesive scar of flexor tendons. Study group on post-traumatic Adhesions

Journal of Hand Surgery (European Volume) ◽

10.1016/j.jhsb.2006.03.184 ◽

2006 ◽

Vol 31 ◽

pp. 76-79

Author(s):

M RICCIO

Keyword(s):

Multicenter Study ◽

Hand Surgery ◽

Italian Society ◽

Study Group ◽

Flexor Tendons ◽

Post Traumatic ◽

Zone Ii

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Tendon Entrapment in Distal Radius Fractures

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193408100960 ◽

2009 ◽

Vol 34 (4) ◽

pp. 479-482 ◽

Cited By ~ 13

Author(s):

M. OKAZAKI ◽

K. TAZAKI ◽

T. NAKAMURA ◽

Y. TOYAMA ◽

K. SATO

Keyword(s):

Clinical Features ◽

Distal Radius ◽

Flexor Tendon ◽

Extensor Tendon ◽

Distal Radius Fractures ◽

Radius Fractures ◽

Extensor Tendons ◽

Epiphyseal Fracture ◽

Tendon Entrapment

We retrospectively defined the rate and clinical features of tendon entrapment in 693 consecutive patients with 701 distal radius fractures treated in a single hospital. Eight extensor tendons and one flexor tendon were entrapped. All fractures with extensor tendon entrapment were palmarly displaced (Smith type) or epiphyseal. Flexor tendon entrapment was seen in dorsally angulated (Colles type) epiphyseal fracture. The rate of tendon entrapment in acute distal radius fractures was 1.3%. Extensor tendon entrapment in palmarly displaced fractures is more common.

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Delayed Rupture of Flexor Tendons due to a Malunion of Distal Radius Fracture

Archives of Hand and Microsurgery ◽

10.12790/ahm.2018.23.2.87 ◽

2018 ◽

Vol 23 (2) ◽

pp. 87

Author(s):

Tae Gyun Kim ◽

Youn Moo Heo ◽

Jin Woong Yi ◽

Byung Hak Oh ◽

Chang Uk Ham

Keyword(s):

Distal Radius Fracture ◽

Distal Radius ◽

Radius Fracture ◽

Flexor Tendons ◽

Delayed Rupture

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The hepatothorax: An unusual complication of right sided diaphragmatic injuries

10.32512/jmr.1.2.2018/22.25 ◽

2018 ◽

pp. 22-25

Keyword(s):

Surgical Repair ◽

Rare Condition ◽

Definitive Treatment ◽

Traumatic Rupture ◽

Unusual Complication ◽

Key Words Trauma ◽

Acute Setting ◽

Liver Herniation ◽

Post Traumatic ◽

The Right

Right diaphragmatic post-traumatic rupture with liver herniation is an extremely rare condition. The diagnosis is mainly radiological and the rupture may go unnoticed in the acute setting. Depending on the size of the right diaphragmatic defect, the initial herniation can be partial and the total hepatothorax is established progressively. The diagnosis may be delayed and made with the onset of the first symptoms. Hepatothorax leads usually to severe right lung atelectasis with respiratory and cardiac impairment. Definitive treatment consists in surgical repair of the diaphragm. We present hereby the case of an hepatothorax diagnosed 4 years after a penetrating thoracoabdominal trauma. Key words: Trauma, diaphragmatic rupture, hepatothorax.

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