The sole rupture of flexor digitorum tendons to the index finger following volar locking plate fixation of distal radius fracture: A case report
Distal radius fracture is a common injury, especially in elderly people, and internal fixation with volar locking plate (VLP) is becoming an increasingly popular technique for the management of displaced and/or unstable distal radius fractures. One of the most common complications of this treatment...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2020-12-01
|
| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644020300935 |
| _version_ | 1819175127355490304 |
|---|---|
| author | Keigo Honoki Kinya Nishida Yong Ho Che Kazuhiro Uesugi Akane Maeda Jun Tsujino Kazunori Ohno |
| author_facet | Keigo Honoki Kinya Nishida Yong Ho Che Kazuhiro Uesugi Akane Maeda Jun Tsujino Kazunori Ohno |
| author_sort | Keigo Honoki |
| collection | DOAJ |
| description | Distal radius fracture is a common injury, especially in elderly people, and internal fixation with volar locking plate (VLP) is becoming an increasingly popular technique for the management of displaced and/or unstable distal radius fractures. One of the most common complications of this treatment is the flexor tendon rupture, mostly of the flexor pollicis longus (FPL). While the rupture of flexor digitorum tendons to the index (FDI) mostly occurs concomitantly with the rupture of FPL after the treatment using volar plating for distal radial fracture, sole rupture of the FDI without FPL rupture is very rare. Here, we report a case of the sole rupture of FDI after volar locking plating and analyze its pathogenesis indicating that the lift-up of the distal ulnar edge of the plate related to the malcorrection of the fracture site is the culprit for this specific complication. |
| first_indexed | 2024-12-22T20:49:55Z |
| format | Article |
| id | doaj.art-051282d7fa19424782668d98f498f48a |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-12-22T20:49:55Z |
| publishDate | 2020-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-051282d7fa19424782668d98f498f48a2022-12-21T18:13:07ZengElsevierTrauma Case Reports2352-64402020-12-0130100369The sole rupture of flexor digitorum tendons to the index finger following volar locking plate fixation of distal radius fracture: A case reportKeigo Honoki0Kinya Nishida1Yong Ho Che2Kazuhiro Uesugi3Akane Maeda4Jun Tsujino5Kazunori Ohno6Department of Orthopaedic Surgery, Teine Keijinkai Hospital, Sapporo, JapanCorresponding author at: Department of Orthopaedic Surgery, Teine Keijinkai Hospital, 12-1-40 Meada1jo, Teine-ku, Sapporo, Hokkaido 006-0811, Japan.; Department of Orthopaedic Surgery, Teine Keijinkai Hospital, Sapporo, JapanDepartment of Orthopaedic Surgery, Teine Keijinkai Hospital, Sapporo, JapanDepartment of Orthopaedic Surgery, Teine Keijinkai Hospital, Sapporo, JapanDepartment of Orthopaedic Surgery, Teine Keijinkai Hospital, Sapporo, JapanDepartment of Orthopaedic Surgery, Teine Keijinkai Hospital, Sapporo, JapanDepartment of Orthopaedic Surgery, Teine Keijinkai Hospital, Sapporo, JapanDistal radius fracture is a common injury, especially in elderly people, and internal fixation with volar locking plate (VLP) is becoming an increasingly popular technique for the management of displaced and/or unstable distal radius fractures. One of the most common complications of this treatment is the flexor tendon rupture, mostly of the flexor pollicis longus (FPL). While the rupture of flexor digitorum tendons to the index (FDI) mostly occurs concomitantly with the rupture of FPL after the treatment using volar plating for distal radial fracture, sole rupture of the FDI without FPL rupture is very rare. Here, we report a case of the sole rupture of FDI after volar locking plating and analyze its pathogenesis indicating that the lift-up of the distal ulnar edge of the plate related to the malcorrection of the fracture site is the culprit for this specific complication.http://www.sciencedirect.com/science/article/pii/S2352644020300935Distal radius fractureVolar plate fixationFlexor tendon ruptureFlexor digitorum profundusIndex fingerComplication |
| spellingShingle | Keigo Honoki Kinya Nishida Yong Ho Che Kazuhiro Uesugi Akane Maeda Jun Tsujino Kazunori Ohno The sole rupture of flexor digitorum tendons to the index finger following volar locking plate fixation of distal radius fracture: A case report Trauma Case Reports Distal radius fracture Volar plate fixation Flexor tendon rupture Flexor digitorum profundus Index finger Complication |
| title | The sole rupture of flexor digitorum tendons to the index finger following volar locking plate fixation of distal radius fracture: A case report |
| title_full | The sole rupture of flexor digitorum tendons to the index finger following volar locking plate fixation of distal radius fracture: A case report |
| title_fullStr | The sole rupture of flexor digitorum tendons to the index finger following volar locking plate fixation of distal radius fracture: A case report |
| title_full_unstemmed | The sole rupture of flexor digitorum tendons to the index finger following volar locking plate fixation of distal radius fracture: A case report |
| title_short | The sole rupture of flexor digitorum tendons to the index finger following volar locking plate fixation of distal radius fracture: A case report |
| title_sort | sole rupture of flexor digitorum tendons to the index finger following volar locking plate fixation of distal radius fracture a case report |
| topic | Distal radius fracture Volar plate fixation Flexor tendon rupture Flexor digitorum profundus Index finger Complication |
| url | http://www.sciencedirect.com/science/article/pii/S2352644020300935 |
| work_keys_str_mv | AT keigohonoki thesoleruptureofflexordigitorumtendonstotheindexfingerfollowingvolarlockingplatefixationofdistalradiusfractureacasereport AT kinyanishida thesoleruptureofflexordigitorumtendonstotheindexfingerfollowingvolarlockingplatefixationofdistalradiusfractureacasereport AT yonghoche thesoleruptureofflexordigitorumtendonstotheindexfingerfollowingvolarlockingplatefixationofdistalradiusfractureacasereport AT kazuhirouesugi thesoleruptureofflexordigitorumtendonstotheindexfingerfollowingvolarlockingplatefixationofdistalradiusfractureacasereport AT akanemaeda thesoleruptureofflexordigitorumtendonstotheindexfingerfollowingvolarlockingplatefixationofdistalradiusfractureacasereport AT juntsujino thesoleruptureofflexordigitorumtendonstotheindexfingerfollowingvolarlockingplatefixationofdistalradiusfractureacasereport AT kazunoriohno thesoleruptureofflexordigitorumtendonstotheindexfingerfollowingvolarlockingplatefixationofdistalradiusfractureacasereport AT keigohonoki soleruptureofflexordigitorumtendonstotheindexfingerfollowingvolarlockingplatefixationofdistalradiusfractureacasereport AT kinyanishida soleruptureofflexordigitorumtendonstotheindexfingerfollowingvolarlockingplatefixationofdistalradiusfractureacasereport AT yonghoche soleruptureofflexordigitorumtendonstotheindexfingerfollowingvolarlockingplatefixationofdistalradiusfractureacasereport AT kazuhirouesugi soleruptureofflexordigitorumtendonstotheindexfingerfollowingvolarlockingplatefixationofdistalradiusfractureacasereport AT akanemaeda soleruptureofflexordigitorumtendonstotheindexfingerfollowingvolarlockingplatefixationofdistalradiusfractureacasereport AT juntsujino soleruptureofflexordigitorumtendonstotheindexfingerfollowingvolarlockingplatefixationofdistalradiusfractureacasereport AT kazunoriohno soleruptureofflexordigitorumtendonstotheindexfingerfollowingvolarlockingplatefixationofdistalradiusfractureacasereport |