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Rupture of Extensor Pollicis Longus Secondary to Prominent Screw of Volar Locking Compression Plate Fixation for Distal Radius Fracture-A Case Report

治療遠端橈骨骨折之掌側鎖定式加壓骨板突出螺絲造成伸姆長肌腱斷裂:一病例報告

並列摘要


The use of locking compression plate (LCP) systems in the treatment of distal radius fractures has increased during the last years. The solid purchase of bony fragment and less tissue damage have made it more popular in clinical practices. Several studies have reported complications like tendon rupture, tenosynovitis and carpal tunnel syndrome. We reported a case of rupture of extensor pollicis longus (EPL) two weeks after volar LCP fixation for distal radius fracture due to a protruding screw into the third extensor compartment of wrist. We recommend the screw should not penetrate over distal cortex of fractured fragment in correspondent holes of LCP to the third extensor compartment of wrist.

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