Index Finger Extensor Spontaneous Rupture After 10 Year-Old Distal Radius Volar Plating
Tiago Costa1*, Francisco Bernardes1, José Miradouro1, Joana Pereira1 and Rita Grazina1
1Centro Hospitalar do Tâmega e Sousa, Portugal.
*Corresponding Author: Dr. Tiago Costa, Centro Hospitalar do Tâmega e Sousa, Portugal, +351 913711275
Received: July 25, 2022 Published: August 05, 2022
Abstract
Volar locking plate osteosynthesis is the gold-standard osteosynthesis method in the operative management of distal radius fractures. It has the benefits of more stable fixation and fewer complications. Along with the increase in operative management by this method, the character and frequency of complications have changed. The most frequent complications are flexor pollicis longus and extensor pollicis longus tears. The authors describe the case of a 36 year-old woman with previous volar plate osteosynthesis of distal radius fracture 10 years ago and no other medical conditions, which presents with recent spontaneous index extensor tendon rupture. After imaging, screw protrusion in dorsal aspect of the radius is noticed and the ultrasonography reports rupture at the VII extensor zone. After surgical exploration and debridement, an index extensor tenodesis to the long finger extensor was performed. After 2 months, the patient has index finger full range of motion and strength. The orthopedic surgeon must be aware of distal radius volar plating osteosynthesis complications, how to prevent them and how to manage them, even if they appear years later.
Keywords: Bone Plates, Radius Fractures, Suture Techniques, Tendon Injuries, Tenodesis
Citation: Costa T, Bernardes F, Miradouro J, Pereira J and Grazina R. “Index Finger Extensor Spontaneous Rupture After 10 Year-Old Distal Radius Volar Plating”. SVOA Orthopaedics 2022, 2:4, 89-91.