کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4066342 1604359 2015 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Risk of Tendon Entrapment Under a Dorsal Bridge Plate in a Distal Radius Fracture Model
ترجمه فارسی عنوان
خطر برداشت تاندون در یک پل پشتی در مدل شکستگی رادیوس دیستال
کلمات کلیدی
شکستگی شعاع دفاعی، صفحه پل صفحه انحرافی پشتی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
چکیده انگلیسی

PurposeTo determine the risk of iatrogenic damage to the extensor tendons and sensory nerves under a bridge plate along the second versus third metacarpal.MethodsUsing 6 paired (left–right) cadaver forearms–wrists and via a volar approach, we created a distal radius fracture with metaphyseal comminution. We then applied a dorsal distraction plate to either the second or third metacarpal. We next performed dorsal dissection of the hand and wrist over the zone of injury to determine the position of the plate relative to the extensor tendons and sensory nerves.ResultsThe bridge plate on the third metacarpal entrapped tendons of the first and third compartment in all 6 specimens. When the plate was applied to the second metacarpal there were no cases of tendon entrapment. There were no instances of nerve entrapment in plating to either the second or third metacarpal.ConclusionsDistraction plating has been proposed for use in the second and third metacarpals for unstable comminuted distal radius fractures. We recommend formal exposure of the extensor tendons over the zone of injury when applying a distraction bridge plate to the third metacarpal.Clinical relevancePlating to the second metacarpal decreases the risk of entrapment of extensor tendons compared with plating to the third metacarpal.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Hand Surgery - Volume 40, Issue 3, March 2015, Pages 500–504
نویسندگان
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