Ultrasound imaging for preoperative assessment of extensor tendon tear following distal radius fracture

Hand Surg Rehabil. 2024 Jun;43(3):101708. doi: 10.1016/j.hansur.2024.101708. Epub 2024 Apr 24.

Abstract

Open reduction with internal fixation is a common approach for treating distal radius fractures. However, complications such as extensor tendon rupture can occur following this procedure. In this case report, we present a patient who experienced extensor tendon rupture following volar plate fixation of a distal radius fracture. The rupture was diagnosed preoperatively using ultrasound. We highlight the potential usefulness of ultrasound as a convenient and sensitive tool for diagnosing tendon injuries in patients with suspected complications following internal fixation of distal radius fractures. Furthermore, we discuss how ultrasound images can aid in localizing the site of tendon rupture and guide surgical incisions for smaller postoperative wound care, resulting in improved cosmetic outcomes.

Keywords: Complications; Distal radius fracture; Extensor tendon tear; Hand surgery; Ultrasound.

Publication types

  • Letter

MeSH terms

  • Bone Plates
  • Fracture Fixation, Internal*
  • Humans
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / etiology
  • Preoperative Care
  • Radius Fractures* / diagnostic imaging
  • Radius Fractures* / surgery
  • Rupture / diagnostic imaging
  • Rupture / surgery
  • Tendon Injuries* / diagnostic imaging
  • Tendon Injuries* / surgery
  • Ultrasonography*
  • Wrist Fractures