Flexor Pollicis Longus Tendon Ruptures after Palmar Plate Fixation of Fractures of the Distal Radius

2009 ◽  
Vol 34 (4) ◽  
pp. 471-474 ◽  
Author(s):  
J. A. CASALETTO ◽  
D. MACHIN ◽  
R. LEUNG ◽  
D. J. BROWN
Keyword(s):  
Standard Treatment ◽  
Plate Fixation ◽  
Flexor Pollicis Longus ◽  
Distal Radial Fractures ◽  
Extensor Pollicis Longus ◽  
Longus Tendon ◽  
Palmar Plate ◽  
Tendon Ruptures ◽  
Flexor Pollicis Longus Tendon ◽  
Palmar Plate Fixation

Palmar plate fixation of distal radial fractures is becoming a standard treatment for this common injury. Ruptures of the extensor pollicis longus tendon have been reported in 8.6% of cases after this procedure. Although palmar plate fixation has also been associated with flexor pollicis longus (FPL) tendon problems, the majority of reported cases pre-date the use of newer anatomically precontoured locking plates. In this paper seven cases of FPL rupture are presented. This complication does not appear to be unique to one type of implant. The possible aetiologies for FPL ruptures are discussed and ways to reduce the incidence of this complication are suggested.

A Randomised Clinical Study Comparing Palmar and Dorsal Fixed-Angle Plates for the Internal Fixation of AO C-Type Fractures of the Distal Radius in the Elderly

2008 ◽  
Vol 33 (5) ◽  
pp. 600-604 ◽  
Author(s):  
R. G. JAKUBIETZ ◽  
J. G. GRUENERT ◽  
D. F. KLOSS ◽  
S. SCHINDELE ◽  
M. G. JAKUBIETZ
Keyword(s):  
Functional Recovery ◽  
Plate Fixation ◽  
The Elderly ◽  
Distal Radial Fractures ◽  
Randomised Study ◽  
Plate Group ◽  
Decisive Importance ◽  
Palmar Plate ◽  
Surgical Treatments ◽  
Palmar Plate Fixation

Current surgical treatments for distal radial fractures include dorsal and palmar plate fixation. We report results of a randomised study comparing these methods for AO C1–3 fractures. The emphasis was placed on the early postoperative functional recovery within the first 6 months as this interval is of decisive importance for elderly patients. Thirty patients with unilateral AO C1–3 fractures were enroled, 15 were treated with a palmar plate and 15 received a dorsal Pi-plate. Results were assessed 6 weeks, 3 months and 6 months postoperatively focusing on functional recovery. The palmar plate group demonstrated significantly better results in range of motion, grip strength and pain.

Impact of Soong grading on flexor tendon ruptures following palmar plating for distal radial fractures

2019 ◽  
Vol 45 (4) ◽  
pp. 348-353 ◽  
Author(s):  
Yekta Gören ◽  
Michael Sauerbier ◽  
Annika Arsalan-Werner
Keyword(s):  
Flexor Tendon ◽  
Distal Radial Fracture ◽  
Distal Radial Fractures ◽  
Level Of Evidence ◽  
Plate Removal ◽  
Palmar Plate ◽  
Flexor Tendon Injuries ◽  
Tendon Ruptures ◽  
The Difference ◽  
Flexor Pollicis Longus Tendon

The purpose of this study was to evaluate flexor tendon injuries following palmar plating of distal radial fractures relative to the Soong grade. This retrospective cohort study included 113 patients who underwent palmar plate removal after a distal radial fracture between 2010 and 2016. In 13 patients, a greater than 50% injury of the flexor pollicis longus tendon was observed. Of these, nine patients were classified as Soong grade 2, four as Soong grade 1 and none as grade 0. The difference between the Soong groups was statistically significant ( p = 0.006). Flexor tenosynovitis was present in eight patients (7%) and more likely in patients with a higher Soong grade ( p = 0.026). We conclude that higher Soong grades are associated with significantly more flexor tendon complications. Therefore, elective removal of the palmar plate after union of the fracture should be considered in patients with Soong grades 1 and 2. Level of evidence: IV

scholarly journals Correlation of Flexor Pollicis Longus Tendon Status by Ultrasonography with Plate Position on Radiographs Following Volar Plate Fixation of Distal Radius Fractures with Pronator Quadratus Repair

2021 ◽  
Author(s):  
Anil. K. Bhat ◽  
Ashwath. M. Acharya ◽  
Prajwal P. Mane ◽  
Lakshmikanth. H. Karegowda
Keyword(s):  
Distal Radius ◽  
Plate Fixation ◽  
Distal Radius Fractures ◽  
Flexor Pollicis Longus ◽  
Radius Fractures ◽  
Pronator Quadratus ◽  
Longus Tendon ◽  
Flexor Pollicis Longus Tendon ◽  
Grade One

Abstract Background Purpose was to correlate flexor pollicis longus tendon (FPL) attrition using Ultrasonography with plate position on radiographs following volar locked compression plate fixation (LCP) in patients who have undergone pronator quadratus (PQ) repair for distal radius fractures. Methods Status of flexor pollicis longus tendon was analyzed by ultrasonography in patients who underwent volar locked compression plating with pronator quadratus repair at a minimum of one year follow up. Soong’s criteria was used to assess the plate position and then correlated the ultrasonography findings of flexor pollicis longus. Results There were 33 patients included in our study, of which 15 belonged to Soong’s grade zero, 10 were grade one and eight were grade two. Flexor pollicis longus attrition was noted in all cases with grade two plating. Conclusion Pronator quadratus repair may not prevent attritional changes in higher grades of Soong’s, hence follow up may be required in these patients to identify attritional changes and early implant removal to prevent complications.

Ultrasonographic Assessment of the Flexor Pollicis Longus Tendon After Plate Fixation

Orthopedics ◽  
2016 ◽  
Vol 40 (1) ◽  
pp. e104-e108 ◽  
Author(s):  
Chieko Kadoma ◽  
Masatoshi Takahara ◽  
Masahiro Maruyama ◽  
Hiroshi Satake ◽  
Michiaki Takagi
Keyword(s):  
Plate Fixation ◽  
Flexor Pollicis Longus ◽  
Longus Tendon ◽  
Flexor Pollicis Longus Tendon ◽  
Ultrasonographic Assessment

The Effect of Plate Design on the Flexor Pollicis Longus Tendon After Volar Locked Plating of Distal Radial Fractures

2019 ◽  
Vol 101 (17) ◽  
pp. 1586-1592 ◽  
Author(s):  
Jeffrey G. Stepan ◽  
Danielle C. Marshall ◽  
Lauren E. Wessel ◽  
Yoshimi Endo ◽  
Theodore T. Miller ◽  
...  
Keyword(s):  
Flexor Pollicis Longus ◽  
Distal Radial Fractures ◽  
Locked Plating ◽  
Longus Tendon ◽  
Plate Design ◽  
Flexor Pollicis Longus Tendon

scholarly journals A Study to Analyse Correlation of Plate Position With Flexor Pollicis Longus Tendon Attrition In Patients Managed With Volar Plating

2022 ◽  
Vol 4 (1) ◽  
pp. 01-06
Author(s):  
Jayesh Anant Mhatre ◽  
Amit supe ◽  
Kartik Pande ◽  
Niraj Tiwari
Keyword(s):  
Tendon Rupture ◽  
Plate Fixation ◽  
Flexor Pollicis Longus ◽  
Volar Plating ◽  
Longus Tendon ◽  
Study Association ◽  
One Year ◽  
Flexor Pollicis Longus Tendon ◽  
Compression Plating

Background: Purpose of this study was to study association of flexor pollicis longus tendon (FPL) attrition using Ultrasonography with plate position on radiographs in patients managed with volar locked compression plate fixation (LCP) in distal radius fractures. Methods: Status of flexor pollicis longus tendon was analysed by ultrasonography in patients who underwent volar locked compression plating a minimum of one year follow up. Soong’s criteria were used to assess the plate position and then correlated with the ultrasonography findings of flexor pollicis longus. Results: There were 45 patients included in our study, of which 28 belonged to Soong’s grade zero, 10 were grades one and 7 were grade two. Flexor pollicis longus attrition was noted in 5 cases with grade two plating. Conclusion: Amongst the cases with grade 2 of Soong’s criteria, attritional changes were seen in 72 percent of patients , which warrants a proper follow up to identify any impending signs of tendon rupture and to make early intervention to prevent rupture.

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