Abstract
Background: Purpose of this study was to study association of flexor pollicis longus tendon (FPL) attrition using Ultrasonography with plate position on radiographs in patients managed with volar locked compression plate fixation (LCP) in distal radius fractures. Methods: Status of flexor pollicis longus tendon was analysed by ultrasonography in patients who underwent volar locked compression plating a minimum of one year follow up. Soong’s criteria were used to assess the plate position and then correlated with the ultrasonography findings of flexor pollicis longus. Results: There were 45 patients included in our study, of which 28 belonged to Soong’s grade zero, 10 were grades one and 7 were grade two. Flexor pollicis longus attrition was noted in 5 cases with grade two plating. Conclusion: Amongst the cases with grade 2 of Soong’s criteria, attritional changes were seen in 72 percent of patients , which warrants a proper follow up to identify any impending signs of tendon rupture and to make early intervention to prevent rupture.
Highlights
Distal end radius fractures are one of the commonest fractures treated by surgeons and accounts for 2.5% of all cases presenting at the emergency room [1]
There were 45 patients with a minimum of one year follow up following volar plating for distal radius fracture with PQ repair included in the study
In our study, all patients had undergone open reduction and internal fixation with volar plating for distal radius fracture
Summary
Distal end radius fractures are one of the commonest fractures treated by surgeons and accounts for 2.5% of all cases presenting at the emergency room [1]. Treatment options for these fractures range from conservative management with cast, percutaneous k wire fixation, external fixator and open reduction and internal fixation with various of plates available [2]. Purpose of this study was to study association of flexor pollicis longus tendon (FPL) attrition using Ultrasonography with plate position on radiographs in patients managed with volar locked compression plate fixation (LCP) in distal radius fractures. Flexor pollicis longus attrition was noted in 5 cases with grade two plating
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