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...

Full description

Bibliographic Details
Main Authors: Shingo Komura, Akihiro Hirakawa, Kyosuke Yamamoto, Koki Kato, Marie Nohara, Yasuharu Matsushita, Tomihiro Masuda, Haruhiko Akiyama
Format: Article
Language:English
Published: Elsevier 2019-06-01
Series:Trauma Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2352644019300329
_version_ 1818241700668112896
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
work_keys_str_mv AT shingokomura delayedruptureoftheflexortendonsasacomplicationofmaluniteddistalradiusfractureafternonoperativemanagementareportoftwocases
AT akihirohirakawa delayedruptureoftheflexortendonsasacomplicationofmaluniteddistalradiusfractureafternonoperativemanagementareportoftwocases
AT kyosukeyamamoto delayedruptureoftheflexortendonsasacomplicationofmaluniteddistalradiusfractureafternonoperativemanagementareportoftwocases
AT kokikato delayedruptureoftheflexortendonsasacomplicationofmaluniteddistalradiusfractureafternonoperativemanagementareportoftwocases
AT marienohara delayedruptureoftheflexortendonsasacomplicationofmaluniteddistalradiusfractureafternonoperativemanagementareportoftwocases
AT yasuharumatsushita delayedruptureoftheflexortendonsasacomplicationofmaluniteddistalradiusfractureafternonoperativemanagementareportoftwocases
AT tomihiromasuda delayedruptureoftheflexortendonsasacomplicationofmaluniteddistalradiusfractureafternonoperativemanagementareportoftwocases
AT haruhikoakiyama delayedruptureoftheflexortendonsasacomplicationofmaluniteddistalradiusfractureafternonoperativemanagementareportoftwocases