Ultrasonic Evaluation of the Flexor Pollicis Longus Tendon Following Volar Plate Fixation for Distal Radius Fractures

The Journal of Hand Surgery
Adnan KaraTahir Sadık Sugun

Abstract

To evaluate with ultrasound the thickness of the flexor pollicis longus (FPL) tendon and its relationship to the volar locking plate after the fixation of distal radius fractures. We evaluated 27 type C2 and C3 distal radius fractures with ultrasound to evaluate damage to the FPL tendon after volar plate fixation. The thickness of the FPL tendon and its distance to the volar plate in the involved wrists and to the volar rim in the contralateral uninjured wrist were measured on sonograms taken 12 months postoperatively. Measurements of the involved wrists were compared with those of the intact wrists. The mean plate-tendon distance in the involved wrist was considerably shorter than the mean volar rim-tendon distance in the intact wrist, and the FPL tendon was considerably thicker in the involved wrist than in the intact wrist. In distal radial fractures treated with volar locking plates, increases in the thickness of the FPL tendon and a consequent decrease in the distance between the tendon and the plate can be determined with ultrasonography. This finding is a warning that asymptomatic tenosynovitis may eventually cause tendon ruptures. Diagnostic IV.

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Citations

Nov 12, 2016·Acta orthopaedica et traumatologica turcica·Adnan KaraCihangir Tetik
Apr 29, 2018·Journal of Medical Ultrasonics·Takuya UemuraHiroaki Nakamura
Jan 17, 2019·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Justin W ZumstegGreg A Merrell
Oct 11, 2017·Journal of Pediatric Orthopedics·Mutlu CobanogluWilliam G Mackenzie
Sep 5, 2019·The Journal of Bone and Joint Surgery. American Volume·Jeffrey G StepanDuretti T Fufa
Aug 23, 2019·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Kotaro SatoMinoru Doita
Feb 20, 2019·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Arnaud WalchVincent Locquet
Mar 21, 2020·Archives of Orthopaedic and Trauma Surgery·R RosenauerM Leixnering
Aug 21, 2021·Journal of Orthopaedic Trauma·Robert R L GrayTate Greditzer

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