Delayed Rupture of Flexor Pollicis Longus by Plate for Fracture of the Distal Radius

요골골절에 사용된 금속판에 의한 장무지 굴곡건의 지연성 파열

  • Hwang, So-Min (Department of Plastic & Reconstructive Surgery, Good Moonhwa Hospital) ;
  • Ahn, Sung-Min (Department of Plastic & Reconstructive Surgery, Good Moonhwa Hospital) ;
  • Oh, Kyoung-Seok (Department of Plastic & Reconstructive Surgery, Good Moonhwa Hospital) ;
  • Kim, Jin-Hyeong (Department of Orthopaedic Surgery, Good Moonhwa Hospital) ;
  • Lee, Jun-Ho (Department of Orthopaedic Surgery, Good Moonhwa Hospital)
  • 황소민 (좋은문화병원 성형외과) ;
  • 안성민 (좋은문화병원 성형외과) ;
  • 오경석 (좋은문화병원 성형외과) ;
  • 김진형 (좋은문화병원 정형외과) ;
  • 이준호 (좋은문화병원 정형외과)
  • Received : 2008.07.21
  • Accepted : 2008.09.25
  • Published : 2008.11.10

Abstract

Purpose: Delayed rupture of flexor pollicis longus as a sequelae of the plate inserted for distal radius fracture is a very rare. This is the first case reported and published in Korea. Methods: A 48 years old female patient visited hospital, complaining flexor disturbance of interphalangeal joint of left thumb, which suddenly occurred without any external wound. We found that she had received operation of fixing plate for fracture of left distal radius 10 years ago. As operational opinion, we have checked that flexor pollicis longus tendon has been ruptured with oblique ways being stimulated by extended plate to palmar side over long period. Results: Authors performed tenorrhaphy of flexor pollicis longus without tendon graft and presented a successful active flexion of the left thumb interphalangeal joint 1 year after the operation. Conclusion: If the extruded part of the end plate is observed during the operation or follow-up, it is considered to be necessary to get rid of the plate as early as possible after the fracture healing.

Keywords

References

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