ArticleJournal of orthopaedics2024
Management of extensor tendon injuries concerning distal radius fractures.
Article in Journal of orthopaedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed, 2 citations in OpenAlex.
- Delayed Rupture of the Extensor Pollicis Longus Tendon following Dorsal Plating of a Distal Radius Fracture in a Rheumatoid Arthritis Patient with Differing Ultrasonographic Findings: A Case Report.Journal of orthopaedic case reports · 2026Article
- Delayed Rupture of Extensor Tendons of Index Finger-An Unusual Complication after Distal Radius Fracture Fixation with Intramedullary nail: A Case Report and Review of Literature.Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India · 2026Article
- [Application of improved carpal shoot through view in volar plate internal fixation of distal radius fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Article
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Authors and funding
4 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
Introduction: Rupture of the extensor tendons secondary to fractures involving the distal radius is a well-recognized rare complication. In patients with implants particularly, there exists a tendency for attributing the implant as a cause for the tendon rupture. We retrospectively studied the patients with extensor tendon injuries related to distal radius fractures, analyzed the factors leading to the rupture, suggest few preventive measures and describe the management strategy of these ruptures. Materials and methods: 21 patients who were treated for extensor tendon rupture following distal radius fractures in the period of 2014-2022 were retrospectively analyzed. 19 patients had been managed with surgery and two patients conservatively for the distal radius fracture. The time interval between the fracture fixation and tendon rupture, the time interval between tendon rupture and presentation, the extensor tendons injured and the position of the impinging screws or bony spur in relation to the extensor compartments, necessity for implant removal and modality of tendon reconstruction were studied in these patients. Results: Extensor pollicis longus was found to be ruptured in all the patients except one patient with Extensor indicis proprius rupture alone. The time interval between the fracture fixation and tendon rupture averaged at 32.5 months. End to end repair of the ruptured tendons was never possible even in patients who presented earlier. 10 patients underwent intertendinous bridge grafting and 11 patients underwent tendon transfer. All the patients achieved full extension of thumb with no donor deficit. Conclusion: Distal radius fracture related extensor tendon injuries pose a technical challenge to the surgeon and concern to the patient in the form of recurring surgeries. However, with immediate presentation to the surgeon and their use of appropriately designed management algorithm, these patients could be immensely satisfied with the outcome.
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