Tendon pathology in patients with distal radius palmar locked plate: incidence and clinical outcome of their treatment.
Abstract
Introduction: The aim of this paper is to report the incidence of tendon complications in patients with distal radius fractures treated with volar locking plates and the clinical results after plate removal. Material and Methods992 patients with distal radial fracture treated with volar locking plates were retrosopectively reviewed. Cases with plate removal due to tendon irritation were included in this study.Clinical results were evaluated using DASH score and Visual Analogic Scale (VAS) for pain at rest, pain in activity and functional VAS. ResultsThirty four patients had tendon complications. 20 flexor tendonitis (2%), 13 extensor tendonitis (1,3%), and one flexor tendon rupture. All cases were treated only with implant removal. Mean final results were for flexor tendonitis: VAS for pain at rest 1, VAS for pain in activity 1, VAS for function 8, and DASH 13. For extensor tenosinovitis cases, VAS for pain at rest was 0, in activity 3, functional VAS 9 and DASH 15. ConclusionTendon complications are infrequent in patients with distal radial fractures treated with volar locking plate. The early removal of the implant improves tendon irritation symptoms and prevents tendon rupture.Downloads
References
Bibliografía
Zencke Y, Sakai A, Oshinge T, Moritani S, Menuki K, Yamanaka Y, Furukawa K, Nakamura T. Extensor Pollicis Longus Tendon Ruptures After the use of Volar Locking Plates for Distal Radius Fractures. Hand Surg. Vol 18, N2 (2013): 169-173
Valbuena SE, Cogswell LK, Baraziol R, Valenti P. Rupture of flexor tendon following volar plate of distal radius fracture. Report of five cases. Chir Main. 29:109-113
Adham MN, Porembski M, Adham C. Flexor tendon problems after volar plate fixation of distal radius fractures. Hand (2009) 4:406-409.
Soong M, van Leerdam R, Guitton TG, Got C, Katarincic J, Ring D. Fracture of the distal radius: risk factors for complications after locked volar plate fixation. J Hand Surg Am. 2011; 36A:3-9.
Al-Rashid M, Theivendran K, Craigen MA. Delayed ruptures of the extensor tendon secondary to the use of volar locking compression plates for distal radial fractures. J Bone Joint Surg Br. 2006;12:1610-2.
Casaletto JA, Machin D, Leung R, Brown DJ .Flexor pollicis longus tendon ruptures after palmar plate fixation of fractures of the distal radius. J Hand Surg Eur Vol 2009 34: 471
Yamazaki H, Hattori Y, Doi K. Delayed rupture of flexor tendons caused by protrusion of a screw head of a volar plate for distal radius fracture: a case report. Hand Surg. 2008;13(1):27-29
Bell JS, Wollstein R, Citron ND. Rupture of flexor pollicis longus tendon: a complication of volar plating of the distal radius. J Bone Joint Surg Br. 1998;(2):225-6.
Gyuricza C, Carlson MG, Weiland AJ, Wolfe SW, Hotchkiss RN, Daluiski A, Removal of locked volar plates after distal radius fractures. J Hand Surg Am 2011;36(6):982-985
Snoody MC, AN TJ, Hooe SH, Kay HF, Lee DH, Pappas ND. Incidence and reasons for hardware removal following operative fixation of distal radius fractures. J Hand Surg Am. 2015;40 (3): 505-507.
Berglund LM, Messer TM. Complications of volar plate fixation for managing distal radius fractures. J Am Acad Orthop Surg. 2009;17:369-77.
Johnson NA, Cutler L, Dias JJ, Ullah AS, Wildin CJ, Bhowal B. Complications after volar locking plate fixation of distal radius fractures. Injury45 (2014) 528-533
Rozental TD, Blazar PE. Functional outcome and complications after volar plating for dorsally displaced, unstable fractures of the distal radius. J Hand Surg 2006; 31A:359–365
Arora R, Lutz M, Hennerbichler A, Krappinger D, Espen D, Gabl M. Complications following internal fixation of unstable distal radius fracture with a palmar locking-plate. J Orthop Trauma. 2007;21:316-22.
Asadollahi, Keith PP. Flexor tendon injuries following plate fixation od distal radius fractures: a systematic revoew of the literature. J Orthopaed Traumatol (2013) 14: 227-234
Monda MK, Ellis A, Karmani S (2010) Late rupture of flexor pollicis longus tendon 10 years after volar buttress plate fixation of a distal radius fracture: a case report. Acta Orthop Belg 76:549–551
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