J Wrist Surg 2023; 12(06): 540-542
DOI: 10.1055/s-0043-1761424
Case Report

Rupture of the Flexor Pollicis Longus Tendon Involved between the Radial Shaft and the Volar Locking Plate

Yuri Hiraishi
1   Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan 35 Shinanomachi, Shinjuku-ku, Tokyo, Japan
,
1   Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan 35 Shinanomachi, Shinjuku-ku, Tokyo, Japan
,
Taku Suzuki
1   Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan 35 Shinanomachi, Shinjuku-ku, Tokyo, Japan
,
Noboru Matsumura
1   Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan 35 Shinanomachi, Shinjuku-ku, Tokyo, Japan
,
Takuji Iwamoto
1   Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan 35 Shinanomachi, Shinjuku-ku, Tokyo, Japan
,
Morio Matsumoto
1   Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan 35 Shinanomachi, Shinjuku-ku, Tokyo, Japan
,
Masaya Nakamura
1   Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan 35 Shinanomachi, Shinjuku-ku, Tokyo, Japan
› Author Affiliations
Funding The authors received no financial support for the research, authorship, or publication of this article.

Abstract

We report the case of a 61-year-old woman with right-sided flexor pollicis longus (FPL) tendon ruptured a month after volar locking plate fixation. Five months after the initial operation, hardware removal and reconstruction of the FPL tendon with the ipsilateral palmaris longus were performed. The proximal stump of the ruptured FPL tendon was found in the space between the distal radius and plate.

Patient Consent

Informed consent has been obtained from the patient for publication.




Publication History

Received: 05 March 2022

Accepted: 28 December 2022

Article published online:
05 April 2023

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  • References

  • 1 Soong M, Earp BE, Bishop G, Leung A, Blazar P. Volar locking plate implant prominence and flexor tendon rupture. J Bone Joint Surg Am 2011; 93 (04) 328-335
  • 2 Strickland JW, Glogovac SV. Digital function following flexor tendon repair in Zone II: a comparison of immobilization and controlled passive motion techniques. J Hand Surg Am 1980; 5 (06) 537-543
  • 3 Chiu YC, Kao FC, Tu YK. Flexor pollicis longus tendon entrapment after performing minimally invasive plate osteosynthesis of a distal radius fracture: a case report. Hand Surg 2013; 18 (03) 403-406
  • 4 Uemura T, Okano T, Onode E. et al. Flexor pollicis longus tendon rupture by sandwiched underlying volar locking plate and distal radius. J Med Ultrason 2018; 45 (04) 647-651