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Ann R Coll Surg Engl · Mar 2008
Review Case ReportsExtensor tendon injury to the index and middle finger secondary to Kirschner wire insertion for a distal radial fracture.
- Sayyied Jamshead Kirmani, Shaheel Bhuva, William Lo, and Ajeet Kumar.
- Department of Orthopaedics, Queen Elizabeth Hospital, Woolwich, London, UK. ymmij26@hotmail.com
- Ann R Coll Surg Engl. 2008 Mar 1;90(2):W14-6.
AbstractWe describe a case with the highly unusual complication of attritional ruptures to both the extensor tendons to the index and middle finger following Kirschner wire placements for a distal radial fracture. This particular complication has never been previously described in the literature. We also review the literature, identifying certain techniques in the management of distal radial fractures with Kirschner wires which are considered to increase the risk of tendonous or neurovascular injury. Finally, recommendations are made that should reduce the complications of iatrogenic soft tissue injury associated with this very common procedure.
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