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Flexor Pollicis Longus Injury after Corrective Osteotomy of Distal Radius Malunion with Volar Fixed-Angle Plating: Case Report and Review Literature of the Flexor Tendon Injuries after Volar Plating

Arkaphat Kosiyatrakul MD*, Suriya Luenam MD*, Sunya Prachaporn MD*

Affiliation : * Department of Orthopedics, Phramongkutklao Hospital and College of Medicine, Bangkok, Thailand

Flexor tendon injury is a potential complication after volar plating of distal radius fracture. This article reports a case of flexor pollicis longus tendon rupture after corrective osteotomy of a distal radius malunion with volar fixed-angle plating. Thirty-three cases of flexor tendon injuries after fixed-angle volar plating and eleven cases of flexor tendon injuries after non-fixed-angle volar plating were also reviewed. The clinical presentation, injured tendons, type of the plate, causes of the injuries and preventions of this complication were discussed.

Keywords : Flexor tendon injury, Distal radius fracture, Volar plating


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MEDICAL ASSOCIATION OF THAILAND
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