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Flexor pollicis longus entrapment in distal radius fracture treated with flexible intramedullary nailing

Show simple item record 2016-06-15T11:08:28Z 2017-05-31T21:00:33Z 2016-06-15
dc.title Flexor pollicis longus entrapment in distal radius fracture treated with flexible intramedullary nailing en
ethesis.discipline Hand Surgery en
ethesis.discipline Käsikirurgia fi
ethesis.discipline Handkirurgi sv
ethesis.faculty Medicinska fakulteten sv
ethesis.faculty Lääketieteellinen tiedekunta fi
ethesis.faculty Faculty of Medicine en
ethesis.faculty.URI Helsingfors universitet sv University of Helsinki en Helsingin yliopisto fi
dct.creator Malkamäki, Teppo
dct.issued 2016
dct.language.ISO639-2 eng
dct.abstract Background: Injuries of the extensor tendons can take place as complications of treatment in forearm fractures stabilized with flexible intramedullary nails (FIN). We do not know of any previous reports of flexor pollicis longus (FPL) entrapment in a distal radius fracture treated with FIN. Patient and Methods: A 14-year-old boy sustained a displaced fracture of distal radius and a greenstick fracture of distal ulna. Fracture of the radius was percutaneously fixed with a flexible intramedullary nail. Extension deficit of the IP joint of the thumb was recorded after nailing. Extensor pollicis longus (EPL) was explored and found intact at the time of nail removal, four months after surgery. The patient was referred to the Children's Hospital, where entrapment of the flexor pollicis longus (FPL) at the fracture site was suspected, imaged with MRI and released surgically 13 months after the initial injury. Results: Thumb IP joint extension improved intra-operatively after the muscle release and returned to normal within a year. Conclusions: FPL entrapment at the fracture site should be remembered as a possible complication of the fracture itself, or as a complication of the percutaneous FIN of distal radius fractures. en
dct.subject Flexor pollicis longus entrapment en
dct.subject forearm fracture en
dct.subject flexible intramedullary nail en
dct.language en
ethesis.language English en
ethesis.language englanti fi
ethesis.language engelska sv
ethesis.supervisor Nietosvaara, Yrjänä
ethesis.supervisor Sommarhem, Antti
ethesis.thesistype pro gradu-avhandlingar sv
ethesis.thesistype pro gradu -tutkielmat fi
ethesis.thesistype master's thesis en
dct.identifier.ethesis E-thesisID:edb1c030-83c9-4c13-af8c-728ecbb23f37
ethesis.degreeprogram Lääketieteen koulutusohjelma fi
ethesis.degreeprogram Medical curriculum en
ethesis.degreeprogram Medicinska utbildningsprogrammet sv
ethesis-internal.timestamp.reviewStep 2016-05-31 15:21:47:483
dct.identifier.urn URN:NBN:fi:hulib-201606152433
dc.type.dcmitype Text

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