The role of fracture reduction and plate position in the aetiology of flexor pollicis longus tendon rupture after volar plate fixation of distal radius fractures.

Hand : Official Journal of the American Association for Hand Surgery
D R SelvanDaniel J Brown

Abstract

Flexor pollicis longus (FPL) rupture has been described as complication following volar plating for distal radius fractures. It has been hypothesised that this is due to plate prominence. The aim of the study was to investigate the relationship between sub-optimal plate position and fracture reduction on plate prominence. Plate prominence was measured in two experimental models. In the first, the effect of plate position was investigated using 18 fresh frozen cadavers with prominence being measured using a micrometer. In the second study, the effect of fracture reduction on plate prominence was investigated using similar methodology with simulated mal-reductions on dry bone models. The results of the first study showed a significant increase in lift-off for three plates (DVR, Synthes Universal and Acu-Loc), if the plates were moved distally or proximally from the anatomical position. Similar increases in prominence were also seen with rotational mal-positions. The results of the second study showed a statistically significant effect on plate prominence for even a 5° mal-reduction (p = 0.001) with worsening lift-off with increasing mal-reduction. These changes are significantly different from baseline and also significantly diff...Continue Reading

References

Feb 13, 2003·International Orthopaedics·H Drobetz, E Kutscha-Lissberg
Jan 31, 2004·The Journal of Hand Surgery·Jorge L Orbay, Diego L Fernandez
Nov 3, 2006·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·Siu Cheong Koo, Sheung Tung Ho
Feb 26, 2008·The Journal of Hand Surgery·Andrew W Cross, Christopher C Schmidt
Apr 28, 2009·The Journal of Hand Surgery, European Volume·J A CasalettoD J Brown
Jan 5, 2011·The Journal of Hand Surgery·Maximillian SoongDavid Ring
Jan 18, 2011·The Journal of Bone and Joint Surgery. American Volume·Maximillian SoongPhilip Blazar
May 24, 2012·The Journal of Hand Surgery, European Volume·V FinsenH Russwurm
Mar 19, 2014·The Journal of Hand Surgery·Roongsak LimthongthangA Lee Osterman

❮ Previous
Next ❯

Citations

Jun 15, 2007·The Orthopedic Clinics of North America·Robert G TurnerGeorge S Athwal
Jul 14, 2018·Hand : Official Journal of the American Association for Hand Surgery·Richard M HindsNader Paksima
Aug 25, 2018·Hand : Official Journal of the American Association for Hand Surgery·James J CreightonF Thomas D Kaplan
Mar 20, 2020·Orthopedics·George BugarinovicBrandon E Earp
Aug 15, 2020·The Journal of Hand Surgery, European Volume·Daniel J BrownGraham Cheung
Apr 14, 2020·The Journal of Hand Surgery, European Volume·Ruben DukanRemy Nizard
Jan 9, 2019·Hand : Official Journal of the American Association for Hand Surgery·Alyssa CookJohn R Fowler
Aug 10, 2021·The Journal of International Medical Research·Yang-Xun LvJing Li

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.