Ultrasound changes in the extensor pollicis longus and flexor pollicis longus tendons following open reduction and internal fixation of displaced intra-articular fractures of the distal radius.
A previous ultrasound study showed inflammation around the extensor pollicis longus tendon and surrounding structures at 6 weeks after manipulation, with or without pin fixation, and immobilization for distal radius fracture. Ultrasound examination after plating of distal radius fracture followed by early active mobilization of the wrist showed a short-lived inflammatory response, evident at 2 weeks but not at 6 weeks, around the extensor pollicis longus tendon (26 wrists examined) and flexor pollicis longus tendon (18 wrists examined). Early active mobilization of the wrist appears to limit the duration of inflammation around these tendons.
Hand Unit and Departments of Radiology and Hand Therapy, Chelsea & Westminster Hospital, London, UK. kate.owers@chelwest.nhs.uk
K L
KL
Owers
P P
PP
Grieve
S
S
Mee
N S
NS
Chew
G
G
Ansede
J
J
Lee
D000328:Adult; D000368:Aged; D001860:Bone Plates; D001864:Bone Wires; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D007249:Inflammation / Q000000981:diagnostic imaging / Q000503:physiopathology; D057072:Intra-Articular Fractures / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011885:Radius Fractures / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery*; D018709:Statistics, Nonparametric; D013708:Tendon Injuries / Q000000981:diagnostic imaging* / Q000503:physiopathology*; D013710:Tendons / Q000000981:diagnostic imaging*; D013997:Time Factors; D014463:Ultrasonography