ArticleAnnals of the Royal College of Surgeons of England2016
Assessment of penetration of dorsal screws after fixation of the distal radius using ultrasound: cadaveric study.
Article in Annals of the Royal College of Surgeons of England, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 17 citations in OpenAlex.
- Advancements in Diagnosis and Management of Distal Radioulnar Joint Instability: A Comprehensive Review Including a New Classification for DRUJ Injuries.Journal of personalized medicine · 2024Review
- Ultrasound evaluation of radial nerve injuries by cortex overlapping screw tips after internal fixation of humeral fractures: a cadaveric study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Management of extensor tendon injuries concerning distal radius fractures.Journal of orthopaedics · 2024Article
- Concomitant Extensor Pollicis Longus and Extensor Digitorum Longus Tendon Rupture may Complicate Surgical Reconstruction following Volar Plate Fixation of the Distal Radius: A Case Report.Journal of orthopaedic case reports · 2023Article
- Does skyline view prevent extensor tendon pathologies during volar plating of distal radius? An ultrasonographic evaluation.Joint diseases and related surgery · 2023Article
- Is tendinitis in volar plating related to the dorsally protruding screw length and its compartment?Joint diseases and related surgery · 2023Article
- Systematic use of short unicortical epiphyseal locking screws versus full-length unicortical locking screws in distal radius fracture volar plating: A prospective and comparative study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Article
- Volar Plating: Imaging Modalities for the Detection of Screw Penetration.Journal of wrist surgery · 2019Article
- Clinical indications for musculoskeletal ultrasound updated in 2017 by European Society of Musculoskeletal Radiology (ESSR) consensus.European radiology · 2018Review
- Observational
- Ultrasonography or direct radiography? A comparison of two techniques to detect dorsal screw penetration after volar plate fixation.Journal of orthopaedic surgery and research · 2018Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionVolar locking plates are used to treat unstable and displaced fractures of the distal radius. Potential advantages of stable anatomical reduction (eg early mobilisation) can be limited by penetration of dorsal screws, leading to synovitis and potential rupture of extensor tendons. Despite intraoperative imaging, penetration of dorsal screws continues to be a problem in volar plating of the distal radius. Ultrasound is a well recognised, readily available, diagnostic tool used to assess soft-tissue impingement by orthopaedic hardware. In this cadaveric study, we wished to ascertain the sensitivity and specificity of ultrasound for identification of protrusion of dorsal screws after volar plating of the distal radius.
methodsFour adult, unpaired phenol-embalmed cadaveric distal radii were used. A VariAx™ Distal Radius Volar Locking Plate system (Stryker, Kalamazoo, MI, USA) was employed for instrumented fixation. A portable SIUI CTS 900 ultrasound machine (Providian Medical, Eastlake, OH, USA) was used to image the dorsal cortex to ascertain screw penetration.
resultsSpecificity and sensitivity of ultrasound for detection of screw protrusion through the dorsal cortex was 100%.
conclusionsUltrasound was found to be a safe and accurate method for assessment of dorsal-screw penetration through the dorsal cortex of the radius after volar plating of the distal radius. It also aids diagnosis of associated tendon disorders (eg tenosynovitis) that might cause pain and limit wrist function.
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