Abstract
Four cases of flexor tendon problems which developed after volar plate fixation of distal radius fractures are presented. All cases were associated with close contact of the screws or distal edge of the plate with the flexor tendons. Poor bone stock or multiple bone fragments allowing loosening of the plate or non-locking screws cause the hardware to irritate the flexor tendons and ultimately lead to rupture. The flexor tendons involved include the flexor carpi radialis, flexor pollicis longus and flexor digitorum superficialis, and flexor digitorum profundus to the index and long fingers.
References
Bell JS, Wollstein R, Citron ND. Rupture of flexor pollicis longus tendon: a complication of volar plating of the distal radius. J Bone Joint Surg Br. 1998;80(2):225–6.
Douthit JD. Volar plating of dorsally comminuted fractures of the distal radius: a 6-year study. Am J Orthop. 2005;34(3):140–7.
Drobetz H, Bryant AL, Pokorny T, Spitaler R, Leixnering M, Jupiter JB. Volar fixed-angle plating of distal radius extension fractures: influence of plate position on secondary loss of reduction–a biomechanic study in a cadaveric model. J Hand Surg [Am]. 2006;31(4):615–22.
Letsch R, Infanger M, Schmidt J, Kock HJ. Surgical treatment of fractures of the distal radius with plates: a comparison of palmar and dorsal plate position. Arch Orthop Trauma Surg. 2003;123(7):333–9.
Nunley JA, Rowan PR. Delayed rupture of the flexor pollicis longus tendon after inappropriate placement of the pi plate on the volar surface of the distal radius. J Hand Surg [Am]. 1999;24(6):1279–80.
Orbay JL. The treatment of unstable distal radius fractures with volar fixation. Hand Surg. 2000;5(2):103–12.
Orbay J. Volar plate fixation of distal radius fractures. Hand Clin. 2005;21(3):347–54.
Orbay JL, Fernandez DL. Volar fixation for dorsally displaced fractures of the distal radius: a preliminary report. J Hand Surg [Am]. 2002;27(2):205–15.
Rozental TD, Blazar PE. Functional outcome and complications after volar plating for dorsally displaced, unstable fractures of the distal radius. J Hand Surg [Am]. 2006;31(3):359–65.
Smith DW, Henry MH. Volar fixed-angle plating of the distal radius. J Am Acad Orthop Surg. 2005;13(1):28–6.
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Adham, M.N., Porembski, M. & Adham, C. Flexor Tendon Problems after Volar Plate Fixation of Distal Radius Fractures. HAND 4, 406–409 (2009). https://doi.org/10.1007/s11552-009-9180-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11552-009-9180-0