ArticleClinics in orthopedic surgery2014
Examination of the pronator quadratus muscle during hardware removal procedures after volar plating for distal radius fractures.
Article in Clinics in orthopedic surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 29 citations in OpenAlex.
- The Pronator Quadratus Muscle After Volar Plating: Ultrasound Evaluation of Anatomical Changes Correlated to Patient-Reported Clinical Outcome.Hand (New York, N.Y.) · 2021Trial
- Neuromuscular Rehabilitation of the Brachioradialis Muscle after Distal Radius Fracture in Two Professional Soccer Players Using Electromyographic Biofeedback.Muscles (Basel, Switzerland) · 2024Article
- Evaluation of the treatment of distal radial volar fracture by different methods sparing the pronator quadratus.Journal of orthopaedic surgery and research · 2023Article
- Volar plating: functional recovery of the pronator quadratus.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Article
- Clinical applications of internal fixation via the volar approach with pronator quadratus preservation for distal radius fractures.Turkish journal of medical sciences · 2022Article
- Evaluation of sparing the pronator quadratus for volar plating of distal radius fractures: a retrospective clinical study.BMC musculoskeletal disorders · 2022Article
- IS VOLAR PLATING IN DISTAL RADIUS FRACTURES SAFE REGARDING PRONATOR QUADRATUS?Acta ortopedica brasileira · 2022Article
- Should We Repair the Pronator Quadratus in a Distal Radius Fracture with an Ulnar Styloid Base Fracture? A Biomechanical Study.Journal of wrist surgery · 2021Article
- [Effectiveness of pronator quadratus muscle sparing in volar plate fixation for unstable distal radius fracture in adults].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2020Article
- Do we need to suture the pronator quadratus muscle when we do open reduction and internal fixation for fracture of the distal radius.BMC musculoskeletal disorders · 2020Article
- A Novel Technique to Assess Distal Radioulnar Joint Stability Using Increasing Torque.Journal of wrist surgery · 2019Article
- Repair of the pronator quadratus after volar plate fixation in distal radius fractures: a systematic review.Strategies in trauma and limb reconstruction · 2017Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIt is not clear whether the pronator quadratus (PQ) muscle actually heals and provides a meaningful pronation force after volar plating for distal radius fractures (DRFs). We aimed to determine whether the length of the PQ muscle, which is dissected and then repaired during volar plating for a DRF, affects the forearm rotation strength and clinical outcomes.
methodsWe examined 41 patients who requested hardware removal after volar plating. We measured the isokinetic forearm rotation strength and clinical outcomes including grip strength, wrist range of motion, and disabilities of the arm, shoulder and hand (DASH) scores at 6 months after fracture fixation. During the hardware removal surgery, which was performed at an average of 9 months (range, 8.3 to 11.5 months) after fracture fixation, we measured the PQ muscle length.
resultsThe average PQ muscle length was 68% of the normal muscle length, and no significant relationship was found between the PQ muscle length and the outcomes including isokinetic forearm rotation strength, grip strength, wrist range of motion, and DASH scores.
conclusionsThis study demonstrates that the length of the healed PQ muscle does not affect isokinetic forearm rotation strength and clinical outcomes after volar plating for DRFs. The results of this study support our current practice of loose repair of the PQ that is performed by most of the surgeons to prevent tendon irritation over the plate, and suggest that tight repair of the PQ is not necessary for achieving improved forearm function.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.