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Hand Surg. 2013;18(3):403-6. doi: 10.1142/S0218810413720246.

Flexor pollicis longus tendon entrapment after performing minimally invasive plate osteosynthesis of a distal radius fracture: a case report.

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  • 1Department of Orthopedics, E-Da Hospital/I-Shou University, Kaohsiung, Taiwan.


In this study, we report a case of a 60-year-old woman with diabetes mellitus, who had a left distal radius fracture and could not flex the interphalangeal joint of her left thumb after we performed an open reduction and internal fixation procedure using minimally invasive plate osteosynthesis. Nine days after the first operation, we explored her wrist. We observed that the flexor pollicis longus tendon was compressed by the inserted plate. Then revision surgery and tendon repair were performed. Three months later, the fracture was healed and flexor pollicis longus function recovered well without sequelae. Approach through the interval between flexor carpi radialis and radial artery is preferred to prevent tendon entrapement.

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