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


Original Article 


Is Pronator Quadratus Affected In Volar Approach To Distal Radius Fractures?

Mahmut Tunçez, Hüseyin Tamer Ursavaş, Hülya Çetin Tunçez, Mesut Tahta.

Abstract
Objective: One of the structures encountered in surgical incision in volar Henry approach to distal end of the radius is the pronator quadratus (PQ) muscle. It may be preferable to repair the PQ after the surgery on radius, but due to the structure of the muscle tissue, the success of repair and therefore repair indications are still controversial. Therefore, in this study, we aimed to evaluate the PQ muscle placement and functional conclusions of patients with radial distal end fractures treated with volar locking plate.
Methods:74 patients with closed distal radius fractures who underwent osteosynthesis with volar plate, are over 18 year were evaluated. Quick DASH, Stewart Scoring Board, AO classification, Frykman classification, thickness of the PQ muscle with USG, ranges of motion of wrist and grip strengths were recorded.
Results:In 26 patients with PQ repair and 48 without PQ repair; no significant difference was found in QDASH scores (p=0.954), grip strength (p=0.300), ranges of motion of wrist and Stewart scores. No statistically significant thickness difference was found in USG transverse (p=0.312) and longitudinal (p=0.137) measurements made in patients with or without repair. Loss of thickness compared to the intact side was found as 15.4% in all patients.
Conclusion:We found that PQ repair had no significant effect on range of motion of wrist, QDASH score or grip strength. We found an average 15.4% atrophy whether it was repaired or not. We believe that the portion of PQ removed from the radius does not affect the function of hand.

Key words: pronator quadratus, distal radius, wrist ultrasonography


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Mahmut Tunçez
Articles by Hüseyin Tamer Ursavaş
Articles by Hülya Çetin Tunçez
Articles by Mesut Tahta
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Tuncez M, Ursavas HT, Tuncez HC, Tahta M. Is Pronator Quadratus Affected In Volar Approach To Distal Radius Fractures?. Hand Microsurg. 2020; 9(2): 86-92. doi:10.5455/handmicrosurg.94388


Web Style

Tuncez M, Ursavas HT, Tuncez HC, Tahta M. Is Pronator Quadratus Affected In Volar Approach To Distal Radius Fractures?. http://handmicrosurgeryjournal.com/?mno=94388 [Access: August 30, 2020]. doi:10.5455/handmicrosurg.94388


AMA (American Medical Association) Style

Tuncez M, Ursavas HT, Tuncez HC, Tahta M. Is Pronator Quadratus Affected In Volar Approach To Distal Radius Fractures?. Hand Microsurg. 2020; 9(2): 86-92. doi:10.5455/handmicrosurg.94388



Vancouver/ICMJE Style

Tuncez M, Ursavas HT, Tuncez HC, Tahta M. Is Pronator Quadratus Affected In Volar Approach To Distal Radius Fractures?. Hand Microsurg. (2020), [cited August 30, 2020]; 9(2): 86-92. doi:10.5455/handmicrosurg.94388



Harvard Style

Tuncez, M., Ursavas, . H. T., Tuncez, . H. C. & Tahta, . M. (2020) Is Pronator Quadratus Affected In Volar Approach To Distal Radius Fractures?. Hand Microsurg, 9 (2), 86-92. doi:10.5455/handmicrosurg.94388



Turabian Style

Tuncez, Mahmut, Huseyin Tamer Ursavas, Hulya Cetin Tuncez, and Mesut Tahta. 2020. Is Pronator Quadratus Affected In Volar Approach To Distal Radius Fractures?. Hand and Microsurgery, 9 (2), 86-92. doi:10.5455/handmicrosurg.94388



Chicago Style

Tuncez, Mahmut, Huseyin Tamer Ursavas, Hulya Cetin Tuncez, and Mesut Tahta. "Is Pronator Quadratus Affected In Volar Approach To Distal Radius Fractures?." Hand and Microsurgery 9 (2020), 86-92. doi:10.5455/handmicrosurg.94388



MLA (The Modern Language Association) Style

Tuncez, Mahmut, Huseyin Tamer Ursavas, Hulya Cetin Tuncez, and Mesut Tahta. "Is Pronator Quadratus Affected In Volar Approach To Distal Radius Fractures?." Hand and Microsurgery 9.2 (2020), 86-92. Print. doi:10.5455/handmicrosurg.94388



APA (American Psychological Association) Style

Tuncez, M., Ursavas, . H. T., Tuncez, . H. C. & Tahta, . M. (2020) Is Pronator Quadratus Affected In Volar Approach To Distal Radius Fractures?. Hand and Microsurgery, 9 (2), 86-92. doi:10.5455/handmicrosurg.94388








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.