Authors: Kirmani, Sayyied Jamshead; Bhuva, Shaheel; Lo, William; Kumar, Ajeet

Source: Annals of The Royal College of Surgeons of England, Volume 90, Number 2, March 2008 , pp. W14-W16(3)

Publisher: The Royal College of Surgeons of England

Abstract:

We describe a case with the highly unusual complication of attritional ruptures to both the extensor tendons to the index and middle finger following Kirschner wire placements for a distal radial fracture. This particular complication has never been previously described in the literature. We also review the literature, identifying certain techniques in the management of distal radial fractures with Kirschner wires which are considered to increase the risk of tendonous or neurovascular injury. Finally, recommendations are made that should reduce the complications of iatrogenic soft tissue injury associated with this very common procedure.

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Keywords: EXTENSOR TENDON; ATTRITIONAL RUPTURE; KIRSCHNER WIRE; IATROGENIC; DISTAL RADIAL FRACTURE

Document Type: Case report

DOI: http://dx.doi.org/10.1308/147870808X257201

Affiliations: 1: Department of Orthopaedics, Queen Elizabeth Hospital, Woolwich, London, UK

Publication date: 2008-03-01

More about this publication?

• The Annals of The Royal College of Surgeons of England is the official journal of the College and is published eight times a year in January, March, April, May, July, September, October and November. The main aim of the journal is to publish high quality, peer-reviewed papers that relate to all branches of surgery.
  
  The Annals also includes letters and comments, a regular technical section, NICE news, controversial topics, CORESS feedback, book reviews and the best trainee presentations from England and Wales. The editorial board is composed of members of the College Council and experts from across the surgical specialties.
  
  Archive issues of the Annals of The Royal College of Surgeons of England are available via the PubMed Central database
  
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