Evidence map›Paper›PMID 40267611›Full record

ArticleInternational journal of surgery case reports2025

The longest postoperative time of flexor pollicis longus tendon rupture, 15 years after volar locking plate fixation of a distal radius fracture: A case report.

Niloufar Kalbassi Masjedshahi, Farid Najd Mazhar, Nastaran Salavati Mohammadi, Reza Mohammadi, Meisam Jafari Kafiabadi, Hooman Shariatzade

Abstract readCase Reports
In one paragraph

Article in International journal of surgery case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

6 authors.

Niloufar Kalbassi MasjedshahiSchool of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Farid Najd MazharBone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Nastaran Salavati MohammadiDepartment of Orthopedic Surgery, Shohada-e Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Reza MohammadiBone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Meisam Jafari KafiabadiDepartment of Orthopedic Surgery, Shohada-e Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address: meisamjafarikafiabadi@gmail.com.
Hooman ShariatzadeBone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and importanceFlexor pollicis longus (FPL) tendon injury is a debilitating condition that rarely occurs after volar plate fixation; it can happen for various reasons, vary in severity, and affects hand function. The most common period of FPL tendon rupture after volar plate fixation for distal radius fractures is <2 years, and the longest reported period was about 10 years. CASE PRESENTATION: A 66-year-old man attended our orthopedic clinic with a three-month history of pain and impaired flexion of the right interphalangeal joint of the thumb, with no known trauma or other history. According to his condition and documentation indicating a rupture of his FPL tendon in his right wrist, he underwent a tendon transfer. CLINICAL DISCUSSION: While multiple factors may contribute to rupture, plate positioning seems to be the most critical. However, no clear cause-effect relationship has been established. The risk of rupture after volar plate fixation may never be eliminated, and more extensive studies with larger populations are needed to draw definitive conclusions and potentially find preventive solutions.

conclusionThis study reports a case of FPL tendon rupture 15 years after volar plate fixation, the longest postoperative period recorded. While multiple factors may contribute to rupture, plate positioning seems to be the most critical. However, no clear cause-effect relationship has been established. The risk of rupture after volar plate fixation may never be eliminated, and more extensive studies with larger populations are needed to draw definitive conclusions and potentially find preventive solutions.

Indexed as

Case reportDelayed tendon ruptureDistal radius fractureFlexor pollicis longusVolar plate fixation

Identifiers

PMID40267611
PMCPMC12047583

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.