EXTENSOR POLLICIS LONGUS RUPTURE AT THE TIP OF A PROMINENT FIXATION SCREW - REPORT OF 3 CASES

被引:40
作者
FAILLA, JM
KONIUCH, MP
MOED, BR
机构
[1] Department of Orthopaedic Surgery, Section of Hand Surgery, Division of Orthopaedic Traumatology, Detroit, MI
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1993年 / 18A卷 / 04期
关键词
D O I
10.1016/0363-5023(93)90310-Y
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Rupture of the extensor pollicis longus tendon at the tip of a prominent fixation screw occurred in two cases after fixation of fractures of the radial shaft and in one case after fixation of a fracture of the scaphoid. Patients were referred because of their inability to extend the thumb. Active thumb extension was restored in two patients by screw removal and tendon transfer. The third patient elected nonoperative care. Close scrutiny of good-quality intraoperative x-ray films after internal fixation about the wrist may detect screws that are too prominent and thereby prevent rupture of the extensor pollicis longus tendon.
引用
收藏
页码:648 / 651
页数:4
相关论文
共 7 条
[1]  
Fambrough, Green, Tendon rupture as a complication of screw fixation in fractures in the hand, J Bone Joint Surg, 61 A, pp. 781-782, (1979)
[2]  
Fuller, The Ellis plate operation for Smith's fracture, J Bone Joint Surg, 55 B, pp. 173-178, (1973)
[3]  
Peyroux, Dunaud, Caran, Ben-Slamia, Kharrat, The Kapandji technique and its evolution in the treatment of fractures of the distal end of the radius: report on a series of 159 cases, Ann Chir Main, 6, pp. 109-122, (1987)
[4]  
Stern, Weiser, Reilly, Complications of plate fixation in the hand skeleton, Clin Orthop, 214, pp. 59-65, (1987)
[5]  
MacMaster, Late rupture of the extensor and flexor pollicis longus tendons following Colles' fracture, J Bone Joint Surg, 14, pp. 93-101, (1932)
[6]  
Vaughan-Jackson, Rupture of extensor tendons by attrition at the inferior radio-ulnar joint: a report of two cases, J Bone Joint Surg, 30 B, pp. 528-530, (1948)
[7]  
Okuda, Gorski, An, Amadio, Biochemical, histological and biomechanical analyses of canine tendon, J Orthop Res, 5, pp. 60-68, (1987)