Evidence map›Paper›PMID 37038208›Full record

ArticleBMC musculoskeletal disorders2023

Higher Soong grade predicts flexor tendon issues after volar plating of distal radius fractures - a retrospective cohort study.

Henri Vasara, Petra Tarkiainen, Antti Stenroos, Jussi Kosola, Turkka Anttila, Anni Aavikko, Panu H Nordback, Samuli Aspinen

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC musculoskeletal disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Henri VasaraDepartment of Hand Surgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland. henri.vasara@helsinki.fi.
Petra TarkiainenDepartment of Hand Surgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Antti StenroosDepartment of Orthopedics and Traumatology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Jussi KosolaDepartment of Orthopedics and Traumatology, Kanta-Häme Central Hospital and University of Helsinki, Hämeenlinna, Finland.
Turkka AnttilaDepartment of Hand Surgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Anni AavikkoDepartment of Orthopedics and Traumatology, Päijät-Häme Central Hospital and University of Helsinki, Lahti, Finland.
Panu H NordbackDepartment of Hand Surgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Samuli AspinenDepartment of Hand Surgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
University of Helsinki · FIHelsinki University Hospital · FIPäijät-Hämeen Keskussairaala · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeSoong classification is used to estimate volar locking plate prominence and evaluate the risk for flexor tendon ruptures after surgical treatment of distal radius fractures (DRFs). However, the scientific community has questioned the Soong classification due to lacking evidence. Therefore, this study aimed to evaluate the accuracy of Soong grading as a predictor for flexor tendon issues and plate removal. PATIENTS AND

methodsWe performed a retrospective single-center review of adult distal radius fracture patients treated with a volar locking plate between 2009 and 2019. In total, 2779 patients were included in the study. The primary outcome was a flexor tendon issue (flexor tendon rupture, tendinitis, or flexor irritation), whereas plate removal was a secondary outcome. Using Soong grade 0 as a reference, we used univariable and multivariable logistic regression to calculate odds ratios (OR) with 95% confidence intervals (CI) for flexor tendon issues and plate removal.

resultsIn total, 756 (27%) patients were graded as Soong 0, 1679 (60%) Soong 1, and 344 (12%) Soong 2, respectively. There were 32 (1.2%) patients with flexor tendon issues, of which 4 were flexor tendon ruptures, 8 tendinitises, and 20 flexor irritations. The adjusted OR for flexor tendon issues was 4.4 (CI 1.1-39.7) for Soong grade 1 and 9.7 (CI 2.2-91.1) for Soong grade 2. The plate was removed from 167 (6.0%) patients. Soong grade 1 had a univariable OR of 1.8 (CI 1.2-2.8) for plate removal, and Soong grade 2 had an OR of 3.5. (CI 2.1-5.8), respectively.

conclusionFlexor tendon ruptures are rare complications after the volar plating of DRFs. A higher Soong grade is a risk factor for flexor tendon issues and plate removal.

trial registrationThe trial was retrospectively registered.

Indexed as

Radius FracturesTendon InjuriesWrist FracturesAdultBone PlatesFracture Fixation, InternalHumansRetrospective StudiesRuptureTendonsDistal Radius fractureFlexor pollicis longus ruptureFlexor ruptureFlexor tendon issuesPlate removalSoong classificationVolar locking plate

Identifiers

PMID37038208
PMCPMC10084605
OpenAlexW4363676586

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.