Publication:
A survey of extensor pollicis longus tendon injury at the time of distal radius fractures

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Issued Date

2017

Resource Type

Article

File Type

application/pdf

ISSN

201383

DOI

10.1016/j.injury.2017.02.033

Other identifier(s)

2-s2.0-85014102379

Rights Holder(s)

มหาวิทยาลัยศรีนครินทรวิโรฒ

Bibliographic Citation

Injury. Vol 48, No.4 (2017), p.925-929

Suggested Citation

Naito K., Sugiyama Y., Dilokhuttakarn T., Kinoshita M., Goto K., Aritomi K., Iwase Y., Kaneko K. A survey of extensor pollicis longus tendon injury at the time of distal radius fractures. Injury. Vol 48, No.4 (2017), p.925-929. doi:10.1016/j.injury.2017.02.033 Retrieved from: https://hdl.handle.net/20.500.14740/4206

Title

A survey of extensor pollicis longus tendon injury at the time of distal radius fractures

Author(s)

Naito K.
 Sugiyama Y.
 Dilokhuttakarn T.
 Kinoshita M.
 Goto K.
 Aritomi K.
 Iwase Y.
 Kaneko K.

Abstract

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

Subject(s)

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

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URI

https://hdl.handle.net/20.500.14740/4206

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Scopus: Year 1983-2021

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