PDF(Pubmed)
Abstract：
UNASSIGNED: Hardware prominence is one of the major established complications following volar plating of distal radius fractures. In particular, dorsal prominence of screws is the leading risk factor associated with post-surgical extensor pollicis longus (EPL) tendon rupture. Although there are many descriptions of attritional EPL ruptures in the literature, concomitant presentation of attritional EPL and extensor digitorum communis (EDC) ruptures following volar plating of distal radius fractures are minimal.
UNASSIGNED: We present a case of concomitant rupture of the EPL and occult rupture of the EDC to the index finger following volar plating of the distal radius. This was discovered intraoperatively and complicated the proposed tendon transfer reconstruction.
UNASSIGNED: Locked volar plate fixation has become the preferred technique for surgical management of distal radius fractures. The complication of multiple extensor tendon ruptures is rare but nevertheless may be encountered. We discuss strategies for diagnosis, treatment, and prevention. Surgeons should be aware of and prepared to proceed with alternative reconstructive procedures if this complication is discovered.
UNASSIGNED: We present a case of concomitant rupture of the EPL and occult rupture of the EDC to the index finger following volar plating of the distal radius. This was discovered intraoperatively and complicated the proposed tendon transfer reconstruction.
UNASSIGNED: Locked volar plate fixation has become the preferred technique for surgical management of distal radius fractures. The complication of multiple extensor tendon ruptures is rare but nevertheless may be encountered. We discuss strategies for diagnosis, treatment, and prevention. Surgeons should be aware of and prepared to proceed with alternative reconstructive procedures if this complication is discovered.
摘要：
■硬件突出是桡骨远端骨折掌侧钢板治疗后的主要并发症之一。特别是,螺钉的背侧突出是术后长伸肌（EPL）肌腱断裂的主要危险因素。尽管文献中有许多关于磨损EPL破裂的描述，桡骨远端骨折的掌侧钢板后，伴随的磨损性EPL和趾伸肌（EDC）破裂的表现很少。
■我们介绍了在桡骨远端掌侧铺板后，EPL同时破裂和EDC隐匿性破裂的情况。术中发现了这一点，并使拟议的肌腱转移重建复杂化。
■掌侧锁定钢板内固定术已成为桡骨远端骨折手术治疗的首选技术。多发性伸肌腱断裂的并发症很少见，但可能会遇到。我们讨论诊断策略，治疗,和预防。如果发现这种并发症，外科医生应该意识到并准备进行替代的重建程序。
■我们介绍了在桡骨远端掌侧铺板后，EPL同时破裂和EDC隐匿性破裂的情况。术中发现了这一点，并使拟议的肌腱转移重建复杂化。
■掌侧锁定钢板内固定术已成为桡骨远端骨折手术治疗的首选技术。多发性伸肌腱断裂的并发症很少见，但可能会遇到。我们讨论诊断策略，治疗,和预防。如果发现这种并发症，外科医生应该意识到并准备进行替代的重建程序。
