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Fractures: Bone Repair

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...

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Updated: Oct 3, 2025

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

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Extensor Tendon Injury After Volar Locking Plating for Distal Radius Fractures: A Systematic Review.

Jennifer A Kunes¹, Daniel Y Hong¹, Justin E Hellwinkel¹

¹Columbia University Medical Center, New York, NY, USA.

Hand (New York, N.Y.)

|February 16, 2022

Summary

This summary is machine-generated.

Extensor tendon injury is an uncommon complication following volar locking plate fixation for distal radius fractures. The extensor pollicis longus is most frequently affected, requiring careful surgical management.

Keywords:

anatomy basic science bone diagnosis distal radius fracture/dislocation research and health outcomes specialty surgery tendon treatment wrist

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Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Published on: January 5, 2015

Area of Science:

Orthopedic Surgery
Biomechanics
Musculoskeletal Research

Background:

Distal radius fractures are prevalent orthopedic injuries.
Volar locking plates are the predominant surgical treatment.
Extensor tendon injury is a less-studied complication compared to flexor tendon injury.

Approach:

A comprehensive literature review was conducted using Cochrane, EMBASE, PubMed, and SCOPUS databases.
Search terms included "volar," "radius," "plate" or "plating," and "extensor."
Ninety studies were analyzed to determine the epidemiology, presentation, and treatment of extensor tendon injury.

Key Points:

The incidence of extensor tendon rupture ranges from 0% to 12.5%.
The extensor pollicis longus is the most commonly ruptured tendon.
Risk factors include dorsal screw prominence and fracture fragments.

Conclusions:

Extensor tendon injury is an uncommon complication of volar locking plates for distal radius fractures.
Early detection and management, including potential hardware removal and tendon reconstruction, are crucial.
Radiographic assessment is vital for identifying screw prominence and mitigating intraoperative risks.