1. The sole rupture of flexor digitorum tendons to the index finger following volar locking plate fixation of distal radius fracture: A case report
- Author
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Kazunori Ohno, Kinya Nishida, Kazuhiro Uesugi, Jun Tsujino, Yong Ho Che, Keigo Honoki, and Akane Maeda
- Subjects
Flexor digitorum profundus ,medicine.medical_treatment ,lcsh:Surgery ,Fracture site ,Case Report ,Critical Care and Intensive Care Medicine ,Locking plate ,Flexor tendon rupture ,medicine ,Elderly people ,Internal fixation ,Orthopedics and Sports Medicine ,Flexor tendon ,business.industry ,Volar plate fixation ,lcsh:RD1-811 ,Anatomy ,Index finger ,musculoskeletal system ,body regions ,medicine.anatomical_structure ,Emergency Medicine ,Locking plate fixation ,Distal radius fracture ,business ,Complication - Abstract
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.
- Published
- 2020
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