Flexor pollicis longus tendon rupture by sandwiched underlying volar locking plate and distal radius
Flexor pollicis longus (FPL) tendon rupture is a major complication of volar locking plate fixation for distal radius fractures. The tendon rupture is usually caused by friction between the distal edge of the plate and the FPL tendon, and has been well detected recently with ultrasonography. Rarely,...
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| Veröffentlicht in: | Journal of medical ultrasonics (2001) 2018-10, Vol.45 (4), p.647-651 |
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| creator | Uemura, Takuya Okano, Tadashi Onode, Ema Yokoi, Takuya Shintani, Kosuke Okada, Mitsuhiro Nakamura, Hiroaki |
| description | Flexor pollicis longus (FPL) tendon rupture is a major complication of volar locking plate fixation for distal radius fractures. The tendon rupture is usually caused by friction between the distal edge of the plate and the FPL tendon, and has been well detected recently with ultrasonography. Rarely, the volar locking plate itself entraps the FPL tendon, leading to its rupture. A 63-year-old man was consistently unable to flex his right thumb after previous surgery for a distal radius fracture at another hospital. Ultrasonography demonstrated loss of tendon gliding and unusual patterns of the FPL tendon. The tendon was sandwiched between the plate and the distal radius, and was penetrated by the distal locking screw, which was comparable to intraoperative findings of complete entrapment and rupture of the FPL tendon from the underlying plate. The tendon defects were repaired using a palmaris longus tendon graft after removing the screws and plate. Finally, he could flex his thumb actively with satisfaction. Unusual patterns of FPL tendon rupture buried under inadequate plate positioning must be recognized, as in this case. Ultrasonographic assessment is routinely recommended to visibly determine any FPL tendon damage after volar locking plate fixation for distal radius fractures. |
| doi_str_mv | 10.1007/s10396-018-0882-1 |
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The tendon rupture is usually caused by friction between the distal edge of the plate and the FPL tendon, and has been well detected recently with ultrasonography. Rarely, the volar locking plate itself entraps the FPL tendon, leading to its rupture. A 63-year-old man was consistently unable to flex his right thumb after previous surgery for a distal radius fracture at another hospital. Ultrasonography demonstrated loss of tendon gliding and unusual patterns of the FPL tendon. The tendon was sandwiched between the plate and the distal radius, and was penetrated by the distal locking screw, which was comparable to intraoperative findings of complete entrapment and rupture of the FPL tendon from the underlying plate. The tendon defects were repaired using a palmaris longus tendon graft after removing the screws and plate. Finally, he could flex his thumb actively with satisfaction. Unusual patterns of FPL tendon rupture buried under inadequate plate positioning must be recognized, as in this case. Ultrasonographic assessment is routinely recommended to visibly determine any FPL tendon damage after volar locking plate fixation for distal radius fractures.</description><identifier>ISSN: 1346-4523</identifier><identifier>EISSN: 1613-2254</identifier><identifier>DOI: 10.1007/s10396-018-0882-1</identifier><identifier>PMID: 29704082</identifier><language>eng</language><publisher>Singapore: Springer Singapore</publisher><subject>Asymptomatic ; Bone Plates ; Case Report ; Distal locking ; Entrapment ; Fractures ; Humans ; Imaging ; Internal fixation in fractures ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Postoperative Complications - diagnostic imaging ; Postoperative Complications - surgery ; Radiology ; Radius - diagnostic imaging ; Radius Fractures - surgery ; Range of motion ; Rupture - diagnostic imaging ; Rupture - etiology ; Rupture - surgery ; Surgery ; Sutures ; Tendon Injuries - diagnostic imaging ; Tendon Injuries - etiology ; Tendon Injuries - surgery ; Tendons ; Ultrasonic imaging ; Ultrasound ; Ultrasound imaging ; Upper Extremity</subject><ispartof>Journal of medical ultrasonics (2001), 2018-10, Vol.45 (4), p.647-651</ispartof><rights>The Japan Society of Ultrasonics in Medicine 2018</rights><rights>COPYRIGHT 2018 Springer</rights><rights>The Japan Society of Ultrasonics in Medicine 2018.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c532t-558197012ca7fa8719b0d6607536559eebf534318b82de9ab2fa0814b0faab683</citedby><cites>FETCH-LOGICAL-c532t-558197012ca7fa8719b0d6607536559eebf534318b82de9ab2fa0814b0faab683</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10396-018-0882-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2918188743?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,21367,27901,27902,33721,33722,41464,42533,43781,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29704082$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Uemura, Takuya</creatorcontrib><creatorcontrib>Okano, Tadashi</creatorcontrib><creatorcontrib>Onode, Ema</creatorcontrib><creatorcontrib>Yokoi, Takuya</creatorcontrib><creatorcontrib>Shintani, Kosuke</creatorcontrib><creatorcontrib>Okada, Mitsuhiro</creatorcontrib><creatorcontrib>Nakamura, Hiroaki</creatorcontrib><title>Flexor pollicis longus tendon rupture by sandwiched underlying volar locking plate and distal radius</title><title>Journal of medical ultrasonics (2001)</title><addtitle>J Med Ultrasonics</addtitle><addtitle>J Med Ultrason (2001)</addtitle><description>Flexor pollicis longus (FPL) tendon rupture is a major complication of volar locking plate fixation for distal radius fractures. The tendon rupture is usually caused by friction between the distal edge of the plate and the FPL tendon, and has been well detected recently with ultrasonography. Rarely, the volar locking plate itself entraps the FPL tendon, leading to its rupture. A 63-year-old man was consistently unable to flex his right thumb after previous surgery for a distal radius fracture at another hospital. Ultrasonography demonstrated loss of tendon gliding and unusual patterns of the FPL tendon. The tendon was sandwiched between the plate and the distal radius, and was penetrated by the distal locking screw, which was comparable to intraoperative findings of complete entrapment and rupture of the FPL tendon from the underlying plate. The tendon defects were repaired using a palmaris longus tendon graft after removing the screws and plate. Finally, he could flex his thumb actively with satisfaction. Unusual patterns of FPL tendon rupture buried under inadequate plate positioning must be recognized, as in this case. Ultrasonographic assessment is routinely recommended to visibly determine any FPL tendon damage after volar locking plate fixation for distal radius fractures.</description><subject>Asymptomatic</subject><subject>Bone Plates</subject><subject>Case Report</subject><subject>Distal locking</subject><subject>Entrapment</subject><subject>Fractures</subject><subject>Humans</subject><subject>Imaging</subject><subject>Internal fixation in fractures</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Postoperative Complications - diagnostic imaging</subject><subject>Postoperative Complications - surgery</subject><subject>Radiology</subject><subject>Radius - diagnostic imaging</subject><subject>Radius Fractures - surgery</subject><subject>Range of motion</subject><subject>Rupture - diagnostic imaging</subject><subject>Rupture - etiology</subject><subject>Rupture - surgery</subject><subject>Surgery</subject><subject>Sutures</subject><subject>Tendon Injuries - diagnostic imaging</subject><subject>Tendon Injuries - etiology</subject><subject>Tendon Injuries - surgery</subject><subject>Tendons</subject><subject>Ultrasonic imaging</subject><subject>Ultrasound</subject><subject>Ultrasound imaging</subject><subject>Upper Extremity</subject><issn>1346-4523</issn><issn>1613-2254</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kU2P1SAYhRujcT70B7gxJG7cdHz5aulyMnEck0nc6JrQ8vbKyIUKRb3_Xpo7OtFoWMALzzk55DTNCwoXFKB_kynwoWuBqhaUYi191JzSjvKWMSke1zMXXSsk4yfNWc53AIILYE-bEzb0IECx08Zee_wRE1mi925ymfgYdiWTFYONgaSyrCUhGQ8km2C_u-kzWlKCxeQPLuzIt-hNqqLpyzYt3qxIKkisy6vxJBnrSn7WPJmNz_j8fj9vPl2__Xh1095-ePf-6vK2nSRnayulojUYZZPpZ6N6Ooxguw56yTspB8RxllxwqkbFLA5mZLMBRcUIszFjp_h58_rou6T4tWBe9d7lCb03AWPJmgFnAoRSG_rqL_QulhRqOs0GqqhSveAP1M541C7McU1m2kz1ZU-FGqAfNuriH1RdFvduigFnV-__ENCjYEox54SzXpLbm3TQFPTWrD42q2uzemtW06p5eR-4jHu0vxW_qqwAOwK5PoUdpocf_d_1J2hTrMs</recordid><startdate>20181001</startdate><enddate>20181001</enddate><creator>Uemura, Takuya</creator><creator>Okano, Tadashi</creator><creator>Onode, Ema</creator><creator>Yokoi, Takuya</creator><creator>Shintani, Kosuke</creator><creator>Okada, Mitsuhiro</creator><creator>Nakamura, Hiroaki</creator><general>Springer Singapore</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20181001</creationdate><title>Flexor pollicis longus tendon rupture by sandwiched underlying volar locking plate and distal radius</title><author>Uemura, Takuya ; Okano, Tadashi ; Onode, Ema ; Yokoi, Takuya ; Shintani, Kosuke ; Okada, Mitsuhiro ; Nakamura, Hiroaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c532t-558197012ca7fa8719b0d6607536559eebf534318b82de9ab2fa0814b0faab683</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Asymptomatic</topic><topic>Bone Plates</topic><topic>Case Report</topic><topic>Distal locking</topic><topic>Entrapment</topic><topic>Fractures</topic><topic>Humans</topic><topic>Imaging</topic><topic>Internal fixation in fractures</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Postoperative Complications - diagnostic imaging</topic><topic>Postoperative Complications - surgery</topic><topic>Radiology</topic><topic>Radius - diagnostic imaging</topic><topic>Radius Fractures - surgery</topic><topic>Range of motion</topic><topic>Rupture - diagnostic imaging</topic><topic>Rupture - etiology</topic><topic>Rupture - surgery</topic><topic>Surgery</topic><topic>Sutures</topic><topic>Tendon Injuries - diagnostic imaging</topic><topic>Tendon Injuries - etiology</topic><topic>Tendon Injuries - surgery</topic><topic>Tendons</topic><topic>Ultrasonic imaging</topic><topic>Ultrasound</topic><topic>Ultrasound imaging</topic><topic>Upper Extremity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Uemura, Takuya</creatorcontrib><creatorcontrib>Okano, Tadashi</creatorcontrib><creatorcontrib>Onode, Ema</creatorcontrib><creatorcontrib>Yokoi, Takuya</creatorcontrib><creatorcontrib>Shintani, Kosuke</creatorcontrib><creatorcontrib>Okada, Mitsuhiro</creatorcontrib><creatorcontrib>Nakamura, Hiroaki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of medical ultrasonics (2001)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Uemura, Takuya</au><au>Okano, Tadashi</au><au>Onode, Ema</au><au>Yokoi, Takuya</au><au>Shintani, Kosuke</au><au>Okada, Mitsuhiro</au><au>Nakamura, Hiroaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Flexor pollicis longus tendon rupture by sandwiched underlying volar locking plate and distal radius</atitle><jtitle>Journal of medical ultrasonics (2001)</jtitle><stitle>J Med Ultrasonics</stitle><addtitle>J Med Ultrason (2001)</addtitle><date>2018-10-01</date><risdate>2018</risdate><volume>45</volume><issue>4</issue><spage>647</spage><epage>651</epage><pages>647-651</pages><issn>1346-4523</issn><eissn>1613-2254</eissn><abstract>Flexor pollicis longus (FPL) tendon rupture is a major complication of volar locking plate fixation for distal radius fractures. The tendon rupture is usually caused by friction between the distal edge of the plate and the FPL tendon, and has been well detected recently with ultrasonography. Rarely, the volar locking plate itself entraps the FPL tendon, leading to its rupture. A 63-year-old man was consistently unable to flex his right thumb after previous surgery for a distal radius fracture at another hospital. Ultrasonography demonstrated loss of tendon gliding and unusual patterns of the FPL tendon. The tendon was sandwiched between the plate and the distal radius, and was penetrated by the distal locking screw, which was comparable to intraoperative findings of complete entrapment and rupture of the FPL tendon from the underlying plate. The tendon defects were repaired using a palmaris longus tendon graft after removing the screws and plate. Finally, he could flex his thumb actively with satisfaction. Unusual patterns of FPL tendon rupture buried under inadequate plate positioning must be recognized, as in this case. Ultrasonographic assessment is routinely recommended to visibly determine any FPL tendon damage after volar locking plate fixation for distal radius fractures.</abstract><cop>Singapore</cop><pub>Springer Singapore</pub><pmid>29704082</pmid><doi>10.1007/s10396-018-0882-1</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings; ProQuest Central |
| subjects | Asymptomatic Bone Plates Case Report Distal locking Entrapment Fractures Humans Imaging Internal fixation in fractures Male Medicine Medicine & Public Health Middle Aged Postoperative Complications - diagnostic imaging Postoperative Complications - surgery Radiology Radius - diagnostic imaging Radius Fractures - surgery Range of motion Rupture - diagnostic imaging Rupture - etiology Rupture - surgery Surgery Sutures Tendon Injuries - diagnostic imaging Tendon Injuries - etiology Tendon Injuries - surgery Tendons Ultrasonic imaging Ultrasound Ultrasound imaging Upper Extremity |
| title | Flexor pollicis longus tendon rupture by sandwiched underlying volar locking plate and distal radius |
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