Please use this identifier to cite or link to this item: https://ir.swu.ac.th/jspui/handle/123456789/13113
ชื่อเรื่อง: A survey of extensor pollicis longus tendon injury at the time of distal radius fractures
ผู้แต่ง: Naito K.
Sugiyama Y.
Dilokhuttakarn T.
Kinoshita M.
Goto K.
Aritomi K.
Iwase Y.
Kaneko K.
Keywords: adult
aged
Article
body posture
bone injury
clinical article
computer assisted tomography
Disabilities of the Arm, Shoulder and Hand (score)
distal radius fracture
extensor pollicis longus tendon injury
female
follow up
grip strength
human
incidence
laceration
male
Mayo wrist score
middle aged
musculoskeletal disease assessment
osteosynthesis
periosteum
priority journal
range of motion
tendon disease
tendon floor fibrillation
tendon rupture
time
very elderly
visual analog scale
volar plate fixation
wrist
adverse device effect
bone plate
Japan
joint characteristics and functions
osteosynthesis
pathophysiology
postoperative complication
procedures
radius fracture
retrospective study
rupture
tendon injury
treatment outcome
Adult
Aged
Aged, 80 and over
Bone Plates
Female
Fracture Fixation, Internal
Humans
Japan
Male
Middle Aged
Postoperative Complications
Radius Fractures
Range of Motion, Articular
Retrospective Studies
Rupture
Tendon Injuries
Treatment Outcome
วันที่เผยแพร่: 2017
บทคัดย่อ: Background The purpose of this study is to investigate the presence or absence, incidence, and degree of extensor pollicis longus (EPL) tendon injury by visual confirmation of the EPL at the time of osteosynthesis for distal radius fractures. Methods The subjects were 25 patients (5 males and 20 females; mean age: 56 years) with distal radius fracture that had a dorsal roof fragment. During osteosynthesis using a volar locking plate, the third compartment was exposed in order to determine the EPL injury. The survey items in this study were: incidences of the forms of EPL injury (1: absent, 2: tendon floor fibrillation, and 3: laceration), and the presence or absence of periosteal rupture on the EPL tendon floor. In addition, on the final follow-up, the presence or absence of EPL rupture, the range of wrist motion, grip strength, Visual Analog Scale (VAS) score, Quick Disabilities of the Arm, Shoulder and Hand (Q-DASH) score, and the Mayo wrist score were investigated. Results During the operation, EPL injury was classified as: 1) absent (12%), 2) tendon floor fibrillation (52%), or 3) laceration (36%). In the EPL tendon floor, periosteal rupture was observed in all patients. The mean postoperative follow-up period was 8 months (6–12 months) and no EPL rupture was observed in any patient. The wrist range of motion was 71° for flexion, 75° for extension, 84° for pronation, and 85° for supination, and the grip (% compared with the unaffected side) was 79%. The VAS, Q-DASH and Mayo scores were 1, 10 and 93 respectively. Conclusion This study showed a high incidence of EPL tendon injury at the time of distal radius fractures (88%). To improve the ambient environment of the damaged tendon may be useful in terms of the prevention of tendon injury. © 2017 Elsevier Ltd
URI: https://ir.swu.ac.th/jspui/handle/123456789/13113
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85014102379&doi=10.1016%2fj.injury.2017.02.033&partnerID=40&md5=f2aaed87e5520d4498593ec98f6d1fd5
ISSN: 201383
Appears in Collections:Scopus 1983-2021

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