The use of ultrasound to predict flexor tendinopathy after anterior locking plating of the distal radius

This study compares ultrasound to clinical and radiographic measurements for assessing tendon pathology associated with distal radial anterior locking plates. A total of 46 patients undergoing removal of a distal radial plate had a preoperative clinical examination, radiographs and ultrasound evalua...

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Published inThe Journal of hand surgery, European volume p. 17531934241268971
Main Authors Estermann, Lea, Donaldson, Matthew, Spasojevic, Milos, Lurie, Brett, Sivakumar, Brahman, Ledgard, James, Hile, Mark
Format Journal Article
LanguageEnglish
Published England 22.08.2024
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Abstract This study compares ultrasound to clinical and radiographic measurements for assessing tendon pathology associated with distal radial anterior locking plates. A total of 46 patients undergoing removal of a distal radial plate had a preoperative clinical examination, radiographs and ultrasound evaluation to detect evidence of tendon irritation. Gross changes to the tendon were assessed during plate removal. In total, 32 patients demonstrated clinical abnormality. Soong 2 position was noted in 13 patients. Ultrasound revealed tenosynovitis in nine patients, tendon fibrillation or thickening in four patients and a single case of partial discontinuity. Intraoperative assessment revealed tenosynovitis in 28 patients and tendon fibre discontinuity in eight patients. Ultrasound findings were not predictive of intraoperative tenosynovitis and discontinuity. A relationship was noted between higher Soong grade, especially grade 2, and intraoperative presence of tenosynovitis, as well as Soong grade and amount of soft-tissue coverage. This study negates our hypothesis that ultrasound is useful for identifying tendinopathy after distal radial anterior plate fixation. II.
AbstractList This study compares ultrasound to clinical and radiographic measurements for assessing tendon pathology associated with distal radial anterior locking plates. A total of 46 patients undergoing removal of a distal radial plate had a preoperative clinical examination, radiographs and ultrasound evaluation to detect evidence of tendon irritation. Gross changes to the tendon were assessed during plate removal. In total, 32 patients demonstrated clinical abnormality. Soong 2 position was noted in 13 patients. Ultrasound revealed tenosynovitis in nine patients, tendon fibrillation or thickening in four patients and a single case of partial discontinuity. Intraoperative assessment revealed tenosynovitis in 28 patients and tendon fibre discontinuity in eight patients. Ultrasound findings were not predictive of intraoperative tenosynovitis and discontinuity. A relationship was noted between higher Soong grade, especially grade 2, and intraoperative presence of tenosynovitis, as well as Soong grade and amount of soft-tissue coverage. This study negates our hypothesis that ultrasound is useful for identifying tendinopathy after distal radial anterior plate fixation. II.
Author Hile, Mark
Donaldson, Matthew
Spasojevic, Milos
Lurie, Brett
Estermann, Lea
Ledgard, James
Sivakumar, Brahman
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  organization: Department of Hand and Peripheral Nerve Surgery, Balgrist University Hospital, Zurich, Switzerland
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  surname: Hile
  fullname: Hile, Mark
  organization: Department of Hand and Peripheral Nerve Surgery, Royal North Shore Hospital, St Leonards, NSW, Australia
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Keywords Flexor tendon tendinopathy
distal radial anterior locking plates
complications
ultrasound
tendon attrition
Language English
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PublicationTitle The Journal of hand surgery, European volume
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Title The use of ultrasound to predict flexor tendinopathy after anterior locking plating of the distal radius
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