title: Irreducible distal radial fracture due to extensor pollicis longus tendon interposition: a case report.
abstract: Various causes have been reported for irreducible fractures of the distal radius. Most of them have been reported in children.We report a case of irreducible distal radial fracture in an 18-year-old Caucasian male patient. The fracture was not reducible by closed methods and extensor pollicis tendon was found to be interposed during surgical intervention. At one year follow-up, the patient had good radiological evidence of fracture healing and a good functional outcome.This case report highlights the need for a high index of suspicion to rule out soft tissue interposition in cases of irreducible distal radial fractures and a low threshold for open reduction.
authors.affiliation: Department of Trauma and Orthopaedics, Medway Maritime Hospital Medway, ME7 5NY UK. drmpkumar@hotmail.co.uk
authors.forename: Paraskumar
authors.initials: P
authors.lastname: Mohanlal
authors.forename: Sunil
authors.initials: S
authors.lastname: Jain