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Date Published:
29/04/2025
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Views PDF: 40
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Quoc Doanh, T. ., Quoc Hung, V. ., Long, H. ., Thi Loan, T. ., My Huyen, L. ., Hoang Anh, D. ., & Anh Sang, N. . (2025). A CASE STUDY: RUPTURE OF THE FLEXOR POLLICIS LONGUS TENDON FOLLOWING DISTAL RADIUS FRACTURE TREATMENT WITH PLATING. Vietnam Medical Journal, 550(1). https://doi.org/10.51298/vmj.v550i1.13877
A CASE STUDY: RUPTURE OF THE FLEXOR POLLICIS LONGUS TENDON FOLLOWING DISTAL RADIUS FRACTURE TREATMENT WITH PLATING
Main Article Content
Abstract
Damage to the flexor pollicis longus (FPL) tendon is an uncommon but serious complication after plating for distal radius fractures. This report presents a clinical case of FPL tendon rupture following distal radius fracture fixation, highlighting the potential risk factors for this complication, methods to minimize its occurrence, and the appropriate treatment strategies when it arises.
Article Details
Keywords
tendon rupture, distal radius fracture, osteosynthesis
References
1. Soong M., Earp B.E., Bishop G., et al. (2011) Volar locking plate implant prominence and flexor tendon rupture. J Bone Joint Surg Am. 93 (4):328-335. 
2. Selvan D.R., Perry D., Machin D.G., et al. (2014) The role of post-operative radiographs in predicting risk of flexor pollicis longus tendon rupture after volar plate fixation of distal radius fractures – A case control study. Injury. 45 (12):1885-1888.
3. Floquet A., Druart T., Lavantes P., et al. (2021) Flexor tendon rupture after volar plating of distal radius fracture: A systematic review of the literature. Hand Surgery and Rehabilitation. 40 (5):535-546.
4. Soong M., van Leerdam R., Guitton T.G., et al. (2011) Fracture of the Distal Radius: Risk Factors for Complications After Locked Volar Plate Fixation. The Journal of Hand Surgery. 36 (1):3-9.
5. Asadollahi S., Keith P.P. (2013) Flexor tendon injuries following plate fixation of distal radius fractures: a systematic review of the literature. J Orthop Traumatol. 14 (4):227-234.
6. Wurtzel C.N.W., Burns G.T., Zhu A.F., et al. (2017) Effects of Volar Tilt, Wrist Extension, and Plate Position on Contact Between Flexor Pollicis Longus Tendon and Volar Plate. The Journal of Hand Surgery. 42 (12):996-1001.
7. Hardie K.A., Bergeson A.J., Anderson M.C., et al. (2024) Flexor tendon rupture following repeated corticosteroid injections for carpal tunnel syndrome: A case report. Int J Surg Case Rep. 123:110277.
8. Lin Y.C., Shieh S.J. (2016) Extensor-pollicis-longus or -brevis tendon rupture after corticosteroid injection. Formosan Journal of Surgery. 49 (1):15-19.
9. Bhat A.K., Acharya A.M., Mane P.P., et al. (2021) Correlation of Flexor Pollicis Longus Tendon Status by Ultrasonography with Plate Position on Radiographs Following Volar Plate Fixation of Distal Radius Fractures with Pronator Quadratus Repair. Indian Journal of Orthopaedics. 55 (4):1015-1021.
10. Armangil M., Bezirgan U., Başarır K., et al. (2014) The pronator quadratus muscle after plating of distal radius fractures: is the muscle still working? European Journal of Orthopaedic Surgery & Traumatology. 24 (3):335-339.
11. Oulianski M., Avraham D., Lubovsky O. (2022) Radiographic Evaluation of Distal Radius Fracture Healing by Time: Orthopedist versus Qualitative Assessment of Image Processing. Trauma Care. 2:481-486.
12. de Jong J.J.A., Willems P.C., Arts J.J., et al. (2014) Assessment of the healing process in distal radius fractures by high resolution peripheral quantitative computed tomography. Bone. 64:65-74.
2. Selvan D.R., Perry D., Machin D.G., et al. (2014) The role of post-operative radiographs in predicting risk of flexor pollicis longus tendon rupture after volar plate fixation of distal radius fractures – A case control study. Injury. 45 (12):1885-1888.
3. Floquet A., Druart T., Lavantes P., et al. (2021) Flexor tendon rupture after volar plating of distal radius fracture: A systematic review of the literature. Hand Surgery and Rehabilitation. 40 (5):535-546.
4. Soong M., van Leerdam R., Guitton T.G., et al. (2011) Fracture of the Distal Radius: Risk Factors for Complications After Locked Volar Plate Fixation. The Journal of Hand Surgery. 36 (1):3-9.
5. Asadollahi S., Keith P.P. (2013) Flexor tendon injuries following plate fixation of distal radius fractures: a systematic review of the literature. J Orthop Traumatol. 14 (4):227-234.
6. Wurtzel C.N.W., Burns G.T., Zhu A.F., et al. (2017) Effects of Volar Tilt, Wrist Extension, and Plate Position on Contact Between Flexor Pollicis Longus Tendon and Volar Plate. The Journal of Hand Surgery. 42 (12):996-1001.
7. Hardie K.A., Bergeson A.J., Anderson M.C., et al. (2024) Flexor tendon rupture following repeated corticosteroid injections for carpal tunnel syndrome: A case report. Int J Surg Case Rep. 123:110277.
8. Lin Y.C., Shieh S.J. (2016) Extensor-pollicis-longus or -brevis tendon rupture after corticosteroid injection. Formosan Journal of Surgery. 49 (1):15-19.
9. Bhat A.K., Acharya A.M., Mane P.P., et al. (2021) Correlation of Flexor Pollicis Longus Tendon Status by Ultrasonography with Plate Position on Radiographs Following Volar Plate Fixation of Distal Radius Fractures with Pronator Quadratus Repair. Indian Journal of Orthopaedics. 55 (4):1015-1021.
10. Armangil M., Bezirgan U., Başarır K., et al. (2014) The pronator quadratus muscle after plating of distal radius fractures: is the muscle still working? European Journal of Orthopaedic Surgery & Traumatology. 24 (3):335-339.
11. Oulianski M., Avraham D., Lubovsky O. (2022) Radiographic Evaluation of Distal Radius Fracture Healing by Time: Orthopedist versus Qualitative Assessment of Image Processing. Trauma Care. 2:481-486.
12. de Jong J.J.A., Willems P.C., Arts J.J., et al. (2014) Assessment of the healing process in distal radius fractures by high resolution peripheral quantitative computed tomography. Bone. 64:65-74.