Rupture of all digital flexors following Colles' fracture

Iyer, Srinivasan; Basu, Indraneil; Kaba, Rahim; Pabari, Amit

doi:10.1016/j.bjps.2012.04.057

Cited by 5 publications

(11 citation statements)

References 8 publications

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“…Extensor pollicis longus (EPL) tendon rupture has been documented as a complication in about 1% of closed distal radius fractures and it is thought to be due to attrition or fracture injury to the tendon at Lister's tubercle, 6 while the pathogenesis of the flexor tendons rupture is controversial, although two principal causes have been postulated 21 : 1) the acute partial or total flexor tendon rupture at the time of injury by fracture fragments 1 and 2) chronic attritional rupture 21 due to anterior bone prominence and/or bony 4,6,7,9,11,12,14,16,18,22,23 , ulnar head displaced volarly 5,10,15,17,20, or both simultaneously. 2,10,21 With regard to the acute partial or total flexor tendon rupture, they have been reported to occur shortly after the fracture (range 4 he6 weeks after the injury) and the mechanism was severe initial displacement of fracture fragments or the presence of a bony spur.…”

Section: Discussionmentioning

confidence: 99%

“…At 12 months review the patient used the hand as a supportive unit with minimal flexor function as the case report cited by Iyer et al 23 …”

Section: Case Reportmentioning

confidence: 99%

“…Only 27 cases have been reported in the literature ( Table 1). The fingers and number of tendons ruptured in the reported cases is variable but the flexor pollicis longus (FPL) rupture predominate, 1,7,8,11,12,13,16,18,21,23 followed by flexor digitorum profundus (FDP) and superficialis (DFS) of the index finger. 4,6,7,8,,9,14,16,18,21,22 The middle, ring and little fingers flexors are less commonly involved, but when they are is frequent to observe involvement of several fingers.…”

Section: Introductionmentioning

confidence: 99%

“…2,3,5,8,10,17,19 However, rupture of all digital flexors is exceptional. In this regard, only three cases have been reported, 15,20,23 one of them affecting the flexor pollicis longus. 23 Our case is the fourth case in the literature.…”

Section: Introductionmentioning

confidence: 99%

“…In this regard, only three cases have been reported, 15,20,23 one of them affecting the flexor pollicis longus. 23 Our case is the fourth case in the literature. 15,20,23 2.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Delayed rupture of all finger flexor tendons (excluding thumb) following nonoperative treatment of Colles' fracture: A case report and literature review

Proubasta

Lamas

Natera

et al. 2015

Journal of Orthopaedics

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Rupture Wrist a b s t r a c tAims: We report a case of delayed all digital flexor tendon ruptures after nonoperative management of distal radius fracture.Methods: An 84-year-old woman, noted loss of flexion of your fingers. She had a history of Colles' fracture 40 years before, which had been left untreated. Darrach procedure were carried and a tendon transfers for the flexor tendon ruptures.Results: Despite attempts of early active mobilisation, a poor operative outcome was observed. Conclusion:Tendon rupture can occur several months or years after the injury, and prompt recognition and treatment can minimize disability.

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Section: Discussionmentioning

confidence: 99%

“…At 12 months review the patient used the hand as a supportive unit with minimal flexor function as the case report cited by Iyer et al 23 …”

Section: Case Reportmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…In this regard, only three cases have been reported, 15,20,23 one of them affecting the flexor pollicis longus. 23 Our case is the fourth case in the literature. 15,20,23 2.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Delayed rupture of all finger flexor tendons (excluding thumb) following nonoperative treatment of Colles' fracture: A case report and literature review

Proubasta

Lamas

Natera

et al. 2015

Journal of Orthopaedics

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Delayed rupture of the flexor tendons as a complication of malunited distal radius fracture after nonoperative management: A report of two cases

Komura

Hirakawa

Yamamoto

et al. 2019

Trauma Case Reports

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Rupture of the flexor tendons is a rare complication following distal radius malunion after nonoperative management. This article presents 2 cases of delayed flexor tendon ruptures following malunited distal radius fracture and discusses the characteristics, operative management, and outcomes of this rare complication by reviewing the previous literature. Our analysis demonstrate that surgical reconstruction of ruptured tendons provides good outcomes when the number of tendon ruptures is small. If multiple tendon ruptures are present, surgical outcomes may be poor despite surgical reconstruction. Osseous surgery would be necessary to prevent additional tendon ruptures; however, less invasive and simple surgeries arrowing early rehabilitation would be preferable.

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Reconstruction of Attritional Rupture of Flexor Tendons with Fascia Lata Graft Following Distal Radius Fracture Malunion

Bhat

Acharya

Soni

2016

J Hand Surg Asian-Pac Vol

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Incidence of multiple flexor tendon rupture following distal radius fractures is rare with very few cases being reported in literature. We present an unusual case of a patient who had come to us with complaints of weakness and paresthesia of the right hand of one month prior and with a past history of dorsal plating for distal radius fracture nine years ago. Radiographs showed a distal radius fracture malunion with intact dorsal plate and protrusion of screws through the volar cortex. On exploration, attritional ruptures of all digital flexors were found with sparing of the Flexor Pollicis Longus tendon. The fibrous mass was excised and flexors reconstructed with a fascia lata graft. Attempt was made to correct the malunion with radial and ulnar osteotomies. At one year the patient had excellent restoration of digital flexion.

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Rupture of all digital flexors following Colles' fracture

Cited by 5 publications

References 8 publications

Delayed rupture of all finger flexor tendons (excluding thumb) following nonoperative treatment of Colles' fracture: A case report and literature review

Delayed rupture of all finger flexor tendons (excluding thumb) following nonoperative treatment of Colles' fracture: A case report and literature review

Delayed rupture of the flexor tendons as a complication of malunited distal radius fracture after nonoperative management: A report of two cases

Reconstruction of Attritional Rupture of Flexor Tendons with Fascia Lata Graft Following Distal Radius Fracture Malunion

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