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Related Experiment Videos

Extensor tendon rupture associated with Smith's fracture. A case report.

Y Uchida1, Y Sugioka

  • 1Department of Orthopedics, Faculty of Medicine, Kyushu University, Fukuoka, Japan.

Acta Orthopaedica Scandinavica
|August 1, 1990
PubMed
Summary

A 14-year-old boy experienced tendon ruptures after a distal radius fracture. Surgical repair with tendon grafts resulted in some persistent metacarpophalangeal flexion limitation.

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Area of Science:

  • Orthopedic Surgery
  • Pediatric Traumatology
  • Hand Surgery

Background:

  • Salter-Harris Type II fractures of the distal radius are common in pediatric populations.
  • Closed tendon ruptures are rare complications associated with distal radius fractures.
  • Extensor tendon involvement can significantly impact hand function.

Observation:

  • A 14-year-old male presented with a closed rupture of the extensor digitorum communis, extensor pollicis longus, and extensor indicis proprius tendons.
  • The tendon rupture occurred secondary to a volarly displaced Salter-Harris Type II fracture of the distal radius.
  • The patient underwent surgical intervention utilizing tendon grafts for reconstruction.

Findings:

  • Successful reconstruction of the extensor tendons was achieved through grafting.

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  • Despite surgical repair, a residual limitation in metacarpophalangeal joint flexion was noted.
  • This case highlights a rare but significant complication following distal radius fractures in adolescents.

    • Implications:

    • Early recognition and management of extensor tendon injuries are crucial in pediatric distal radius fractures.
    • Tendon grafting can restore continuity but may not fully recover range of motion.
    • Further research into optimizing outcomes for pediatric extensor tendon injuries is warranted.