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Volar collapse after dorsal plating of comminuted distal radius fractures.

Publication ,  Journal Article
Elsaidi, GA; Deal, N; Smith, BP; Ruch, DS
Published in: Am J Orthop (Belle Mead NJ)
May 2007

Between 1997 and 2001, 58 patients received dorsal plating for comminuted distal radius fractures. In 8 of these patients, subsequent collapse led to palmar flexion deformity, loss of rotation, and hardware prominence. In retrospectively reviewing this subgroup's range of motion, radiographic volar tilt, and complications, including tenosynovitis and extensor tendon rupture, we found that (1) with both palmar and dorsal comminution of distal radius fractures, dorsal plating may not prevent palmar cortex collapse; (2) deformity of the distal radius fragment causes palmar displacement of the radius relative to the intact ulna; (3) resultant incongruity at the distal radioulnar joint causes a significant loss of supination; and (4) palmar distal radius displacement leads to dorsal hardware prominence and may contribute to tenosynovitis and attritional extensor tendon ruptures.

Duke Scholars

Published In

Am J Orthop (Belle Mead NJ)

ISSN

1078-4519

Publication Date

May 2007

Volume

36

Issue

5

Start / End Page

269 / 272

Location

United States

Related Subject Headings

  • Radius Fractures
  • Postoperative Complications
  • Humans
  • Fractures, Comminuted
  • Fracture Fixation, Internal
  • Forearm
  • Biomechanical Phenomena
  • 42 Health sciences
  • 32 Biomedical and clinical sciences
  • 11 Medical and Health Sciences
 

Citation

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Elsaidi, G. A., Deal, N., Smith, B. P., & Ruch, D. S. (2007). Volar collapse after dorsal plating of comminuted distal radius fractures. Am J Orthop (Belle Mead NJ), 36(5), 269–272.
Elsaidi, Gamal A., Nicole Deal, Beth P. Smith, and David S. Ruch. “Volar collapse after dorsal plating of comminuted distal radius fractures.Am J Orthop (Belle Mead NJ) 36, no. 5 (May 2007): 269–72.
Elsaidi GA, Deal N, Smith BP, Ruch DS. Volar collapse after dorsal plating of comminuted distal radius fractures. Am J Orthop (Belle Mead NJ). 2007 May;36(5):269–72.
Elsaidi, Gamal A., et al. “Volar collapse after dorsal plating of comminuted distal radius fractures.Am J Orthop (Belle Mead NJ), vol. 36, no. 5, May 2007, pp. 269–72.
Elsaidi GA, Deal N, Smith BP, Ruch DS. Volar collapse after dorsal plating of comminuted distal radius fractures. Am J Orthop (Belle Mead NJ). 2007 May;36(5):269–272.

Published In

Am J Orthop (Belle Mead NJ)

ISSN

1078-4519

Publication Date

May 2007

Volume

36

Issue

5

Start / End Page

269 / 272

Location

United States

Related Subject Headings

  • Radius Fractures
  • Postoperative Complications
  • Humans
  • Fractures, Comminuted
  • Fracture Fixation, Internal
  • Forearm
  • Biomechanical Phenomena
  • 42 Health sciences
  • 32 Biomedical and clinical sciences
  • 11 Medical and Health Sciences