Delayed rupture of the flexor tendons as a complication of malunited distal radius fracture after nonoperative management: A report of two cases
Rupture of the flexor tendons is a rare complication following distal radius malunion after nonoperative management. This article presents 2 cases of delayed flexor tendon ruptures following malunited distal radius fracture and discusses the characteristics, operative management, and outcomes of thi...
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Format: | Article |
Language: | English |
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Elsevier
2019-06-01
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Series: | Trauma Case Reports |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644019300329 |
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author | Shingo Komura Akihiro Hirakawa Kyosuke Yamamoto Koki Kato Marie Nohara Yasuharu Matsushita Tomihiro Masuda Haruhiko Akiyama |
author_facet | Shingo Komura Akihiro Hirakawa Kyosuke Yamamoto Koki Kato Marie Nohara Yasuharu Matsushita Tomihiro Masuda Haruhiko Akiyama |
author_sort | Shingo Komura |
collection | DOAJ |
description | Rupture of the flexor tendons is a rare complication following distal radius malunion after nonoperative management. This article presents 2 cases of delayed flexor tendon ruptures following malunited distal radius fracture and discusses the characteristics, operative management, and outcomes of this rare complication by reviewing the previous literature. Our analysis demonstrate that surgical reconstruction of ruptured tendons provides good outcomes when the number of tendon ruptures is small. If multiple tendon ruptures are present, surgical outcomes may be poor despite surgical reconstruction. Osseous surgery would be necessary to prevent additional tendon ruptures; however, less invasive and simple surgeries arrowing early rehabilitation would be preferable. Keywords: Distal radius fracture, Malunion, Nonoperative treatment, Flexor tendon rupture, Complication |
first_indexed | 2024-12-12T13:33:30Z |
format | Article |
id | doaj.art-b3a7936608ec4ca285865a3b5d7472b8 |
institution | Directory Open Access Journal |
issn | 2352-6440 |
language | English |
last_indexed | 2024-12-12T13:33:30Z |
publishDate | 2019-06-01 |
publisher | Elsevier |
record_format | Article |
series | Trauma Case Reports |
spelling | doaj.art-b3a7936608ec4ca285865a3b5d7472b82022-12-22T00:23:01ZengElsevierTrauma Case Reports2352-64402019-06-0121Delayed rupture of the flexor tendons as a complication of malunited distal radius fracture after nonoperative management: A report of two casesShingo Komura0Akihiro Hirakawa1Kyosuke Yamamoto2Koki Kato3Marie Nohara4Yasuharu Matsushita5Tomihiro Masuda6Haruhiko Akiyama7Department of Orthopaedic Surgery, Gifu University Graduate School of Medicine, Gifu, Japan; Corresponding author at: Department of Orthopaedic Surgery, Gifu University Graduate School of Medicine, Yanagido 1-1, Gifu 501-1194, Japan.Department of Orthopaedic Surgery, Gifu University Graduate School of Medicine, Gifu, JapanDepartment of Orthopaedic Surgery, Gifu University Graduate School of Medicine, Gifu, JapanDepartment of Orthopaedic Surgery, Gifu University Graduate School of Medicine, Gifu, JapanDepartment of Rehabilitation Medicine, Gifu University Hospital, Gifu, JapanDepartment of Rehabilitation Medicine, Gifu University Hospital, Gifu, JapanDepartment of Rehabilitation Medicine, Gifu University Hospital, Gifu, JapanDepartment of Orthopaedic Surgery, Gifu University Graduate School of Medicine, Gifu, JapanRupture of the flexor tendons is a rare complication following distal radius malunion after nonoperative management. This article presents 2 cases of delayed flexor tendon ruptures following malunited distal radius fracture and discusses the characteristics, operative management, and outcomes of this rare complication by reviewing the previous literature. Our analysis demonstrate that surgical reconstruction of ruptured tendons provides good outcomes when the number of tendon ruptures is small. If multiple tendon ruptures are present, surgical outcomes may be poor despite surgical reconstruction. Osseous surgery would be necessary to prevent additional tendon ruptures; however, less invasive and simple surgeries arrowing early rehabilitation would be preferable. Keywords: Distal radius fracture, Malunion, Nonoperative treatment, Flexor tendon rupture, Complicationhttp://www.sciencedirect.com/science/article/pii/S2352644019300329 |
spellingShingle | Shingo Komura Akihiro Hirakawa Kyosuke Yamamoto Koki Kato Marie Nohara Yasuharu Matsushita Tomihiro Masuda Haruhiko Akiyama Delayed rupture of the flexor tendons as a complication of malunited distal radius fracture after nonoperative management: A report of two cases Trauma Case Reports |
title | Delayed rupture of the flexor tendons as a complication of malunited distal radius fracture after nonoperative management: A report of two cases |
title_full | Delayed rupture of the flexor tendons as a complication of malunited distal radius fracture after nonoperative management: A report of two cases |
title_fullStr | Delayed rupture of the flexor tendons as a complication of malunited distal radius fracture after nonoperative management: A report of two cases |
title_full_unstemmed | Delayed rupture of the flexor tendons as a complication of malunited distal radius fracture after nonoperative management: A report of two cases |
title_short | Delayed rupture of the flexor tendons as a complication of malunited distal radius fracture after nonoperative management: A report of two cases |
title_sort | delayed rupture of the flexor tendons as a complication of malunited distal radius fracture after nonoperative management a report of two cases |
url | http://www.sciencedirect.com/science/article/pii/S2352644019300329 |
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