Extensor Tendons Rupture after Volar Plating of Distal Radius Fracture Related to a Dorsal Radial Metaphyseal Bone Spur. (28th February 2018)

• Record Type: Journal Article
• Authors: Abrego, M. O.; De Cicco, F. L.; Boretto, J. G.; Gallucci, G. L.; De Carli, P.
• Other Names: Panagopoulos Andreas Academic Editor.
• Is Part Of: Case reports in orthopedics. Volume 2018(2018)
• Publication Date: 2018-02-28
• Subjects: Orthopedics -- Periodicals; Orthopedics; Orthopedics; Periodicals; Electronic journals; Periodicals; 616.7
• DOI: 10.1155/2018/8351205
• Languages: English
• ISSNs: 2090-6749

Abstract

Abstract : Extensor tendon ruptures due to volar plating in distal radius fractures have mostly been described in relation with technique failures such as screw prominence and drill penetration. We report the case of a 71-year-old female with a C2 distal radius fracture with severe dorsal metaphyseal comminution. The patient underwent surgical treatment with reduction of the large fragments and fixation with a volar locking plate; the small dorsal metaphyseal nonarticular fragments were not reduced. Six months later, the patient developed extensor digitorum communis (EDC) rupture and extensor indicis proprius (EIP) laceration in coincidence with the dorsal comminution turned into a bony spur. The possible association between the extensor tendon injury and the dorsal residual metaphyseal bony spur in the distal radius fractures is unusual but should be taken into account in fracture patterns presenting dorsal comminution.