Open Access and Peer-reviewed
Home Journal Issues Guide for Authors Editorial Board Aims & Scope About Journal News & Announcements


Original Article 


What Must Be the Volar Plate Screw Length to Prevent Extensor Tendon Injuries for Distal Radius Fractures Fixation?

Berkin Toker, Tunay Erden, Aydın Yücetürk.

Abstract
Objectives: We aimed to determine the appropriate screw lengths to prevent dorsal screw penetration in fixation with volar plate for distal radius fractures and to demonstrate the danger of relying on intraoperative fluoroscopic views to determine screw penetration.
Methods: Magnetic resonance imaging (MRI) scans of fifty patients’ wrists conducted with a 1.5-T scanner (Siemens, Erlangen, GY) were used. MRI scans evaluated independently and at different times by two musculoskeletal specialist radiologists and the means of each measurements from each patient’s images were used for the statistical analysis. All measurements were performed with standard MRI evaluation techniques. Volar to dorsal measurements were performed for extensor carpi radialis longus (ECRL), extensor carpi radialis brevis (ECRB), Lister’s tubercle (LT), extensor pollicis longus (EPL) and extensor digitorum communis (EDC) tendon compartments to find the real screw length and compared with the lateral view of the distal radius especially Lister’s tubercle.
Results: Patients ages ranged from 20 to 64 years and the mean age was 39.9 13.2 years. For female patients, the mean height lengths for LT and ECRL, ECRB, EPL and EDC compartments were 20.72.5 mm, 13.01.1 mm, 16.41.3 mm, 18.11.1 mm and 17.01.0 mm, respectively (Fig 2). For male patients, the mean height lengths for LT and ECRL, ECRB, EPL and EDC compartments were 23.52.2 mm, 15.11.8 mm, 18.92.4 mm, 20.62.1 mm and 19.52.4 mm, respectively.
Conclusion: To prevent extensor tendon injury/rupture, downsizing of screws is recommended as is careful checking of screw length on intraoperative fluoroscopic views often performed in multiple planes.

Key words: distal radius fracture, extensor tendon rupture, complication, screw penetration, volar plate.


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Berkin Toker
Articles by Tunay Erden
Articles by Aydın Yücetürk
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Berkin Toker| Tunay Erden| Aydın Yücetürk. What Must Be the Volar Plate Screw Length to Prevent Extensor Tendon Injuries for Distal Radius Fractures Fixation?. Hand Microsurg. 2021; 10(3): 269-273. doi:10.5455/handmicrosurg.64692


Web Style

Berkin Toker| Tunay Erden| Aydın Yücetürk. What Must Be the Volar Plate Screw Length to Prevent Extensor Tendon Injuries for Distal Radius Fractures Fixation?. http://handmicrosurgeryjournal.com/?mno=64692 [Access: December 26, 2021]. doi:10.5455/handmicrosurg.64692


AMA (American Medical Association) Style

Berkin Toker| Tunay Erden| Aydın Yücetürk. What Must Be the Volar Plate Screw Length to Prevent Extensor Tendon Injuries for Distal Radius Fractures Fixation?. Hand Microsurg. 2021; 10(3): 269-273. doi:10.5455/handmicrosurg.64692



Vancouver/ICMJE Style

Berkin Toker| Tunay Erden| Aydın Yücetürk. What Must Be the Volar Plate Screw Length to Prevent Extensor Tendon Injuries for Distal Radius Fractures Fixation?. Hand Microsurg. (2021), [cited December 26, 2021]; 10(3): 269-273. doi:10.5455/handmicrosurg.64692



Harvard Style

Berkin Toker| Tunay Erden| Aydın Yücetürk (2021) What Must Be the Volar Plate Screw Length to Prevent Extensor Tendon Injuries for Distal Radius Fractures Fixation?. Hand Microsurg, 10 (3), 269-273. doi:10.5455/handmicrosurg.64692



Turabian Style

Berkin Toker| Tunay Erden| Aydın Yücetürk. 2021. What Must Be the Volar Plate Screw Length to Prevent Extensor Tendon Injuries for Distal Radius Fractures Fixation?. Hand and Microsurgery, 10 (3), 269-273. doi:10.5455/handmicrosurg.64692



Chicago Style

Berkin Toker| Tunay Erden| Aydın Yücetürk. "What Must Be the Volar Plate Screw Length to Prevent Extensor Tendon Injuries for Distal Radius Fractures Fixation?." Hand and Microsurgery 10 (2021), 269-273. doi:10.5455/handmicrosurg.64692



MLA (The Modern Language Association) Style

Berkin Toker| Tunay Erden| Aydın Yücetürk. "What Must Be the Volar Plate Screw Length to Prevent Extensor Tendon Injuries for Distal Radius Fractures Fixation?." Hand and Microsurgery 10.3 (2021), 269-273. Print. doi:10.5455/handmicrosurg.64692



APA (American Psychological Association) Style

Berkin Toker| Tunay Erden| Aydın Yücetürk (2021) What Must Be the Volar Plate Screw Length to Prevent Extensor Tendon Injuries for Distal Radius Fractures Fixation?. Hand and Microsurgery, 10 (3), 269-273. doi:10.5455/handmicrosurg.64692








AUTHOR LOGIN

REVIEWER LOGIN

Indexed
&
Abstracted


DOAJ (Directory of Open Access Journals)

EuroPub Database

Hinari (World Health Organization)

Ulakbim

ScopeMed

Google Scholar

WordCat

 

 


ABOUT JOURNAL
POLICIES
STATEMENTS

This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author. This is in accordance with the Budapest Open Access Initiative (BOAI) definition of open access.

The articles in Hand and Microsurgery are open access articles licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc-sa/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.