Distal Forearm Fracture Open Reduction-Internal Fixation: Sonographic Detection of Hardware Malalignment and Associated Tendon Injuries Missed by Radiography.

作者: Tara A. Morgan , Samantha L. Piper , Lisa L. Lattanza , Ruth B. Goldstein , Thomas Link

DOI: 10.1002/JUM.14241

关键词: Distal forearmFixation (surgical)Internal fixationComplicationComputer hardwareOccultRadiologyTendonSurgeryRadiographyMedicineDistal radius fracture

摘要: Tendon injury is a known complication of distal radius fracture plate and screw fixation. Targeted musculoskeletal sonography uniquely capable assessing both tendon integrity hardware abnormalities not recognized on radiographs. Each the 3 patients described presented with pain after an open reduction-internal fixation following forearm fracture. In each patient, radiographic findings, specifically position, were interpreted as normal. Important radiographically occult observations subsequently made sonography, including proud screws injuries, all which required surgical treatment. This case series demonstrates clinical utility in symptomatic negative findings. our practice, has been most useful modality for precluding missing or delaying diagnosis treatment these complications. We advocate its use adjunct any department performing imaging.

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