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.

DELAYED RUPTURE OF FLEXOR POLLICIS LONGUS TENDON AFTER VOLAR PLATING OF THE DISTAL RADIUS

Hand Surgery ◽  
2006 ◽  
Vol 11 (01n02) ◽  
pp. 67-70 ◽  
Author(s):  
Siu Cheong Koo ◽  
Sheung Tung Ho
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Tendon Rupture ◽  
Flexor Tendon ◽  
Radius Fracture ◽  
Flexor Pollicis Longus ◽  
Volar Plating ◽  
Longus Tendon ◽  
Flexor Tendon Rupture ◽  
Flexor Pollicis Longus Tendon

Flexor tendon rupture following distal radius fracture is rare. We described a case of flexor pollicis longus rupture, presented five years after volar plating of distal radius fracture.

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.

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.

scholarly journals Evaluation of Flexor Pollicis Longus Tendon Rupture after Treatment of Distal Radius Fracture with the Volar Plate

2020 ◽  
Vol 09 (03) ◽  
pp. 219-224 ◽  
Author(s):  
Kamil Yamak ◽  
Hüseyin Gökhan Karahan ◽  
Berrak Karatan ◽  
Cemil Kayalı ◽  
Taşkın Altay
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Tendon Rupture ◽  
Flexor Tendon ◽  
Plate Fixation ◽  
Volar Plate ◽  
Flexor Pollicis Longus ◽  
Radius Fractures ◽  
Volar Plate Fixation

Abstract Background The aim of this study is to evaluate the frequency of flexor pollicis longus (FPL) tendon rupture and factors leading to this rupture during the follow-up of patients who underwent volar plate fixation because of distal radius fracture. Patients and Methods A total of 109 distal radius fractures of 102 patients treated with volar plate fixation and periodically followed up for at least 1 year between January 2013 and May 2018 were evaluated. Fractures were categorized according to the AO Foundation/Orthopaedic Trauma Association (AO/OTA) Fracture-Dislocation Classification and Soong's grading was used for classifying volar plate position. All patients operated were inquired retrospectively in terms of flexor tendon rupture. Results Gender distribution revealed 45 females and 57 males. Mean age was 47.9 (range: 17–88) years. Mean period of follow-up was 27 months. Distribution of fractures in accordance with the AO/OTA distal radius classification was 6, 8, 7, 12, 24, 33, 11, and 8 patients with types A2, A3, B1, B2, B3, C1, C2, and C3, respectively. When volar plate positions were analyzed with Soong's classification, it revealed that 79 (72.4%), 23 (21.1%), and 7 (6.5%) plates were grade 0, 1, and 2, respectively. In total, evaluating the three patients with FPL rupture, it revealed that the volar plate was positioned distally during fixation because the fracture line had advanced to the distal of the watershed line, the distal portion of the plate had lost complete connection with the bone, and at this portion, it was observed that the pronator quadratus muscle was not covering the plate entirely (Soong's classification grade 2). Patients did not have additional flexor tendon injury. Conclusion FPL tendon rupture is a rare but serious complication of volar plate fixation performed for distal radius fractures. We believe that appropriate choice of implant and careful surgical technique, along with the close follow-up of patients, with Soong's classification grade-2 volar positions would help in preventing this complication. Level of Evidence This is a Level 3a, differential diagnosis/symptom prevalence study.

Scaphoid nonunion and flexor pollicis longus tendon rupture

1999 ◽  
Vol 24 (6) ◽  
pp. 1211-1219 ◽  
Author(s):  
Satoru Saitoh ◽  
Yukihiko Hata ◽  
Narimichi Murakami ◽  
Yukio Nakatsuchi ◽  
Hiroshi Seki ◽  
...  
Keyword(s):  
Tendon Rupture ◽  
Scaphoid Nonunion ◽  
Flexor Pollicis Longus ◽  
Longus Tendon ◽  
Flexor Pollicis Longus Tendon
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