Screw Impingement on the Extensor Tendons in Distal Radius Fractures Treated by Volar Plating: Sonographic Appearance

Bianchi, Stefano; Aaken, Jan van; Glauser, Thierry; Martinoli, Carlo; Beaulieu, Jean-Yves; Santa, Dominique Della

doi:10.2214/ajr.08.1057

Cited by 51 publications

(58 citation statements)

References 11 publications

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“…In a pictorial essay, Guillin et al illustrated examples of upper and lower extremity hardware impingement of soft tissue, muscle, tendons, nerves, vessels, and bursa diagnosed with sonography that were not appreciated on radiography or MRI. Bianchi et al described the sonographic diagnosis of tendon injuries after volar plating of distal radius fractures and discussed the potential limitations of radiography, fluoroscopy, and MRI in demonstrating injuries at follow‐up.…”

Section: Discussionmentioning

confidence: 99%

Distal Forearm Fracture Open Reduction–Internal Fixation: Sonographic Detection of Hardware Malalignment and Associated Tendon Injuries Missed by Radiography

Morgan

Piper

Lattanza

et al. 2017

J of Ultrasound Medicine

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Tendon injury is a known complication of distal radius fracture plate and screw fixation. Targeted musculoskeletal sonography is uniquely capable of assessing both tendon integrity and hardware abnormalities not recognized on radiographs. Each of the 3 patients described presented with pain after an open reduction-internal fixation following a distal forearm fracture. In each patient, radiographic findings, specifically the hardware position, were interpreted as normal. Important radiographically occult observations were subsequently made with sonography, including 3 proud screws and tendon injuries, all of which required surgical treatment. This case series demonstrates the clinical utility of musculoskeletal sonography in symptomatic patients after distal radius open reduction-internal fixation with negative radiographic findings. In our practice, sonography has been the most useful modality for precluding missing or delaying the diagnosis and treatment of these hardware complications. We advocate its use as an adjunct in any department performing musculoskeletal imaging.

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Section: Discussionmentioning

confidence: 99%

Distal Forearm Fracture Open Reduction–Internal Fixation: Sonographic Detection of Hardware Malalignment and Associated Tendon Injuries Missed by Radiography

Morgan

Piper

Lattanza

et al. 2017

J of Ultrasound Medicine

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“…Bianchi et al [49] have reported that 12 protruding screws are identified through the use of sonography with the mean length of protrusion of 2.7 mm from the radial cortex. Radiological examination have been used in clinical situation to assess the screw bone interface [53].…”

Section: Assessment Of Screw-bone Implantmentioning

confidence: 99%

Screw-Bone Implant Loosening: Complication, Cause and Assessment

Ghani¹,

Hassan²,

Daud³

2018

IJET

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Bone fracture has become more common in this era of vehicular modernization. Internal fixation has been used in the treatment of such cases. The use of screw and plate in internal fixation has been proven to provide more stability to fracture to promote better healing. The use of screw also carries certain risk such as self-loosening that can cause non-union and prolong healing. The complication of selfloosening is studied to comprehend the danger of self-loosening in screw-bone implant. The review on self-loosening in bolted joint is done in this paper to gain better understanding on the nature of self-loosening phenomena. The factor that affects the screw selfloosening in bone is further studied in the screw-bone implant environment. The identification of the screw loosening can be done with radiography, CT scan, MRI and ultrasound. This article have done a brief review on the complication of screw self-loosening, the cause of screw loosening in bolted joint and screw-bone implant and the assessment of screw loosening done by ultrasound and radiography.

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“…3). Tenosynovitis can be diagnosed easily with the presence of an effusion or thickening of the synovium around the tendons (15).…”

Section: Tendonsmentioning

confidence: 99%

US findings in traumatic wrist and hand injuries

Karabay

2012

Diagn Interv Radiol

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Traumatic injuries of the wrist and hand are common. Ultrasonography (US) is a cost-effective, noninvasive, and effective imaging method for diagnosing traumatic lesions affecting the tendons, annular pulleys, ligaments, vessels, and nerves, and for detecting foreign bodies in the wrist and hand. The objective of this article was to review the main US findings of traumatic lesions in the wrist and hand.T he wrist and hand are the most important functional parts of the body in daily life activities and are prone to traumatic injuries. These injuries constitute 6.6% to 28.6% of all injuries and 28.0% of all musculoskeletal injuries (1, 2). According to Schoffl et al. (3), wrist and hand injuries account for 14.0% to 30.0% of all treated patients in emergency care. Although these injuries are not life-threatening, the accepted treatment strategy for traumatic injuries is immediate reconstruction of all injured tissue structures. Hence, early diagnosis of the injured tissue is important for clinical management.Current ultrasonography (US) systems equipped with linear-array transducers have improved the capability of US to examine superficial organs and tissues. As an easily accessible, rapid, noninvasive imaging technique that also provides dynamic examination, US is a good imaging modality for examining the musculoskeletal system (4, 5).The purpose of this article was to review the main US findings and discuss the potential value of this technique in the evaluation of traumatic injuries of the wrist and hand. US techniquesUsing proper US examination techniques based on a thorough knowledge of the relevant anatomy and artifacts is essential for accurate diagnosis. High-frequency linear-array transducers (7-15 MHz) are mandatory for the ultrasonographic evaluation of superficial structures. The wrist and hand are best examined with the patient seated in front of the examiner with the wrist and hand placed on a table. The transducer is held with the first three fingers, and the other fingers rest on the table to reduce contact pressure. The longitudinal axis is the principal axis and is essential for diagnosis, while the transverse images are used for support. A large amount of transmission jelly is required for good contact and near field resolution.

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Screw Impingement on the Extensor Tendons in Distal Radius Fractures Treated by Volar Plating: Sonographic Appearance

Cited by 51 publications

References 11 publications

Distal Forearm Fracture Open Reduction–Internal Fixation: Sonographic Detection of Hardware Malalignment and Associated Tendon Injuries Missed by Radiography

Distal Forearm Fracture Open Reduction–Internal Fixation: Sonographic Detection of Hardware Malalignment and Associated Tendon Injuries Missed by Radiography

Screw-Bone Implant Loosening: Complication, Cause and Assessment

US findings in traumatic wrist and hand injuries

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