Locking plate fixationDislocationFractures with a volar lockiDiagnosis of Volar Plate injuryHyperextensionOpen reductioTendonRadialDorsally displacedLigamentsPalmarArticular surfaceFibrocartilaginousDRFsPhalangealInternal fixationFlexionExtra ArticularRuptureDislocationsDistal end radiusOsteosynthesisInjuryEvaluationIntra-articularAnatomicWristScrewRadius fractureCollateral ligamentFunctional outcomeSurgicalRecessJointsLateral approachJointFingerBoneWristsHolesTreatment
Locking plate fixation4
- We conducted a study of a small group to evaluate the functional outcome of ORIF & volar locking plate fixation done for distal end radius fractures after one year. (jebmh.com)
- Records of 19 men and 41 women aged 17 to 78 years who underwent volar locking plate fixation for distal radial fractures were reviewed. (jebmh.com)
- However, this minimally invasive approach is extremely useful for utilizing the advantages of volar locking plate fixation without being affected by the soft tissue environment. (hindawi.com)
- 6. Singh HP, Srinivasan S, Ullah A. Closed rupture of the extensor indicis and extensor digitorum tendons to the index finger after locking plate fixation of a fracture of the distal radius. (koreamed.org)
Dislocation2
- Dislocation of a digit dorsally necessitates failure of the volar plate. (medscape.com)
- On the other hand, lateral dislocation violates at least one of the collateral ligaments and produces a partial or complete tear in the volar plate. (medscape.com)
Fractures with a volar locki1
- Conclusion: Internal fixation of distal radial fractures with a volar locking plate system through a direct lateral incision is a safe and stable fixation with good clinical outcomes can be achieved. (jotsrr.org)
Diagnosis of Volar Plate injury1
- You can start to work on getting your finger bending again as soon as the diagnosis of Volar Plate injury has been confirmed. (flex.physio)
Hyperextension2
- In the human hand, palmar or volar plates (also referred to as palmar or volar ligaments) are found in the metacarpophalangeal (MCP) and interphalangeal (IP) joints, where they reinforce the joint capsules, enhance joint stability, and limit hyperextension. (wikipedia.org)
- Due to its fibrocartilaginous composition, the plate is thus able to (1) resist tensile stresses while (2) restricting hyperextension and compression and (3) protecting the volar articular surface. (wikipedia.org)
Open reductio5
- In distal end radius fractures open reduction and internal fixation with volar locking compression plate followed by early rehabilitation gives good functional outcome and less complications. (jebmh.com)
- A 70-year-old female underwent open reduction and internal fixation with a 3.5 mm volar locking plate for the treatment of a right intra-articular distal radius fracture with volar displacement. (fortuneonline.org)
- Open reduction and internal fixation with volar locking plate is reliable and excellent methods of management of intra-articular fracture of distal end of radius especially shear type of injury (AO type B2 and B3) in adults. (ijoro.org)
- We used open reduction and internal fixation with a 3.5mmT-buttress plates and lockingplate in volarly displaced, intraarticular fractures of the distal radius which were displaced volarly. (orthopaper.com)
- Open reduction and internal fixation using volar plating for the treatment of distal radial fractures (DRFs) is becoming an increasingly popular method. (koreamed.org)
Tendon10
- These locking plates despite advancement in their design and biomechanical construct have been shown to result in flexor tendon rupture and tenosynovitis in up to 15% of patients. (fortuneonline.org)
- Dorsal to this ligament on each side of the metacarpal heads are sagittal bands that connect the volar plates to the tendon of the extensor digitorum and to the extensor expansion. (wikipedia.org)
- The purpose of the study is to demonstrate a technique in which a distally based extensor pollicis brevis tendon autograft is utilized to reconstruct the deficient volar plate. (psu.edu)
- All structures were evaluated including the tendons and ligaments, related enthesis organs, pulleys, volar/plantar plates and tendon sheaths. (whiterose.ac.uk)
- Tenosynovitis of extensor tendons causes delayed extensor pollicis longus (EPL) tendon rupture which known as complication following screw penetration of the dorsal cortex after volar plating for DRFs. (koreamed.org)
- However, tendon injuries of the fourth compartment, which includes the extensor digitorum communis or EIP, can be caused by screw irritation after volar plating for DRFs. (koreamed.org)
- We encountered a rare case of failed EIP tendon transfer for delayed EPL tendon rupture after volar plating for a DRF. (koreamed.org)
- Because the EIP tendon can also be damaged by screw penetration, care must be taken to use EIP tendon for treatment of delayed EPL rupture after volar plating for DRFs. (koreamed.org)
- Delayed ruptures of the extensor tendon secondary to the use of volar locking compression plates for distal radial fractures. (koreamed.org)
- 7. Hattori Y, Doi K, Sakamoto S, Yukata K. Delayed rupture of extensor digitorum communis tendon following volar plating of distal radius fracture. (koreamed.org)
Radial6
- Results: The radiographic results at the final follow-up showed a mean of 18.15° of radial inclination, 17.25° of volar tilt, 9.7 mm of ulnar variance. (jotsrr.org)
- Treatment of unstable distal radial fractures with volar locking plate system. (ijoro.org)
- Drobetz H, Kutscha-Lissberg E. Osteosynthesis of distal radial fractures with a volar locking screw plate system. (ijoro.org)
- Volar fixation of dorsally displaced distal radial fracture using locking compression plate. (ijoro.org)
- The volar tilt, radial length, articular step-off and intraarticular gap between fragments were improved after surgery. (orthopaper.com)
- Complications associated with anterior plate fixation of distal radial fractures: a retrospective study of 599 patients. (nih.gov)
Dorsally displaced1
- A volar approach is usually used for volarly displaced fractures, and may be preferable for some dorsally displaced fractures. (suhradamortho.com)
Ligaments4
- Dr. Vedder tested my collateral ligaments and was not concerned about those, or that I had fully torn the volar plate (which would require surgery). (rvproj.com)
- Each IP and MCP joint has 2 collateral ligaments and a volar fibrocartilaginous plate. (medscape.com)
- Such forces break the volar plate, joint capsule, and at least part of one of the collateral ligaments. (medscape.com)
- Finger dislocations (dorsal, lateral, or volar) may rupture various combinations of supporting ligaments. (msdmanuals.com)
Palmar3
- The palmar plate moves in three phases during joint flexion. (wikipedia.org)
- 2. Esenwein P, Sonderegger J, Gruenert J, Ellenrieder B, Tawfik J, Jakubietz M. Complications following palmar plate fixation of distal radius fractures: a review of 665 cases. (koreamed.org)
- 9. Arora R, Lutz M, Hennerbichler A, Krappinger D, Espen D, Gabl M. Complications following internal fixation of unstable distal radius fracture with a palmar locking-plate. (koreamed.org)
Articular surface1
- The plate is widely used to provide support to the articular surface. (suhradamortho.com)
Fibrocartilaginous1
- This fibrocartilaginous structure is attached to the volar base of the phalanx distal to the joint. (wikipedia.org)
DRFs1
- The purpose of this scoping review was to provide a comprehensive overview of factors that have been evaluated for their influence on hand functioning following volar plate fixation of DRFs. (actaorthop.org)
Phalangeal1
- Buddy stap no more - management of dorsal and volar phalangeal fractures. (westerned.org)
Internal fixation2
- Open reduction and volar internal fixation with a locking T plate through a direct lateral approach were done. (jotsrr.org)
- The VariAx 2 Distal Radius Locking System including the XXL Volar Distal Radius Plates is intended for internal fixation of small bone fractures, primarily including distal radius fractures. (stryker.com)
Flexion2
- During flexion, the plate glides proximally down the volar surface of the metacarpal head. (wikipedia.org)
- Flexion of the proximal phalanx is facilitated by the shape of the proximal edge, known as the volar recess, but this diaphanous end of the volar plate is also the part of the metacarpophalangeal joint that is most susceptible to injury during dislocations. (wikipedia.org)
Extra Articular2
- distal radius - extra articular/juexta articular, standard/wide , right angle …etc Plates. (suhradamortho.com)
- Extra articular volar distal radius plates can be used for simple intra or extra articular fractures. (suhradamortho.com)
Rupture1
- 3. Benson EC, DeCarvalho A, Mikola EA, Veitch JM, Moneim MS. Two potential causes of EPL rupture after distal radius volar plate fixation. (koreamed.org)
Dislocations5
- Volar finger PIP joint dislocations are extremely uncommon. (medscape.com)
- Finger dislocations can be dorsal, lateral, or volar. (msdmanuals.com)
- Dorsal dislocations are reduced using axial traction and volar force. (msdmanuals.com)
- Volar dislocations are uncommon and occur when volar forces are applied to a rotated finger joint. (msdmanuals.com)
- Volar dislocations are reduced using axial traction and dorsal force, then splinted in extension for 1 to 2 weeks. (msdmanuals.com)
Distal end radius1
- The present study was undertaken to evaluate the results of using volar locking plate for fixation of intra-articular fractures of distal end radius, with emphasis on return to pre-injury employment assessment. (ijoro.org)
Osteosynthesis7
- To evaluate the outcomes of adding arthroscopy to osteosynthesis of distal radius fractures (DRF) with volar locking plate (VLP), by Patient -Rated Wrist Evaluation (PRWE) 1 year after surgery . (bvsalud.org)
- Minimally invasive locking plate osteosynthesis was performed, and there was no skin lesion at this incision site. (hindawi.com)
- We reported volar locking plate osteosynthesis using the minimally invasive approach in a patient with skin disorder of the forearm. (hindawi.com)
- In recent years, there have been some studies on a minimally invasive approach in volar locking plate osteosynthesis for distal radius fractures [ 1 , 2 ]. (hindawi.com)
- Based on the skin condition, we considered conservative treatment by external fixation using a splint or cast to be difficult, and surgery after improvement of the skin state would be more invasive due to bone union and, therefore, planned minimally invasive locking plate osteosynthesis. (hindawi.com)
- After reduction of the distal bone fragment using a Kirschner wire, osteosynthesis was performed using a volar locking plate (Acu-Loc 2 proximal plate standard, Nihon Medical Next, Osaka Japan) (Figures 3(b) and 3(c) ). (hindawi.com)
- 12 ] first introduced the idea of integrating a digitized model of an osteosynthesis plate into the preoperative plan [ 12 ] in order to predrill the screw holes intraoperatively according to the preoperative plan previous to the osteotomy. (biomedcentral.com)
Injury6
- If there is a small fracture your injury will heal slightly faster, but in either case it will be at least 8 weeks before the volar plate is strong enough again to minimise the risk of re-injury. (flex.physio)
- Volar plate injury is also referred to as a jammed finger or sprain. (davidrmillermd.com)
- Volar plate injury is diagnosed with the help of a physical examination of the hand to check for any abnormalities by moving your fingers in different directions. (davidrmillermd.com)
- Volar plate injury can be treated by immobilizing your finger to allow it to heal. (davidrmillermd.com)
- They occasionally displace the volar joint structures intra-articularly (volar plate injury). (msdmanuals.com)
- If volar plate injury is suspected or if closed reduction is difficult (suggesting volar plate injury), open reduction may be necessary. (msdmanuals.com)
Evaluation1
Intra-articular1
- Twenty patients of intra-articular fractures of distal end of radius (AO type B2 and B3) were treated with volar locking plate through volar approach. (ijoro.org)
Anatomic1
- Distal Radius Volar Plates are precontoured for anatomic fit on the volar aspect of the distal radius. (suhradamortho.com)
Wrist4
- Small Bone Innovations, Inc. (SBi, www.totalsmallbone.com ), a leading provider of products, technology and education for the small bone and joint (SB&J) segment of the orthopaedics industry, announced that it has received the European Union (EU) CE Mark (Conformité Européene) for its PRECISE SD Distal Volar Radius Plating System for a wide range of wrist trauma repair and reconstruction procedures. (medlatest.com)
- The result is a locking plate that provides a more optimal anatomical fit and improved articular support in wrist fractures. (medlatest.com)
- Jesse B. Jupiter, MD*, Orthopaedic Hand Service, Massachusetts General Hospital, Boston, MA noted that: "Technological advances in three-dimensional imaging present a more precise picture of wrist fractures and that has led inevitably to demand for screw and plating systems capable of providing a correspondingly precise fit - as is the case with the PRECISE SD design. (medlatest.com)
- The affected sites are (1) the dorsal and volar aspects of the wrist, because the tendons are covered by synovium as they pass under the flexor and extensor retinaculum and under the wrist, and (2) the volar aspect of the digits, because the tendons are covered by synovium in the fibro-osseous canals in the finger. (medscape.com)
Screw4
- The polyaxial screw which locks into the plate for enhanced fixation and a jig to test screw positioning before they are placed ensuring the screws don't enter the joint space. (lsm-med.com)
- Because the screws and pegs are slightly harder than the plates, the thread in the locking screw reshapes the softer titanium of the PRECISE SD plate, creating a secure construct between the head of the screw and the plate," Dr. Jupiter added. (medlatest.com)
- Patient-specific drill and cutting guides including the preoperative planned screw direction of the angular-stable locking plates and the osteotomy planes were used for the intraoperative realization of the preoperative plan. (biomedcentral.com)
- After osteotomy, by inserting the screw through the plate into the predrilled holes an indirect - automatic - reduction can be achieved. (biomedcentral.com)
Radius fracture2
- The VRP plate has been designed for distal radius fracture fixing to the Vloar surface of the radius. (lsm-med.com)
- Hand numbness and carpal tunnel syndrome after volar plating of distal radius fracture. (ijoro.org)
Collateral ligament1
- [ 4 ] They occur when a longitudinal blow to a moderately flexed middle phalanx causes disruption of a collateral ligament and partial avulsion of the volar plate. (medscape.com)
Functional outcome1
- Adjuvant Arthroscopy Does Not Improve the Functional Outcome of Volar Locking Plate for Distal Radius Fractures: A Randomized Clinical Trial. (bvsalud.org)
Surgical2
- 6 databases were searched from 2005 to 2021 for publications regarding surgical treatment for a DRF with a volar locking plate. (actaorthop.org)
- Primary surgical options would include internal locked volar or dorsal plating, joint bridging, or nonbridging external fixation with or without percutaneous pinning using Kirschner- (K-) wires, sole percutaneous pinning, and internal distraction plating. (hindawi.com)
Recess1
- Last, a lip on the middle phalanx rolls into a recess on the plate. (wikipedia.org)
Joints5
- The Volar Plate is the name for the tough ligament that covers the front (palm side) of the joints in your fingers. (flex.physio)
- The volar plate helps to limit how far backwards the joints can bend, while allowing unrestricted movement into a forward bending position. (flex.physio)
- The plates of the MCP and IP joints are structurally and functionally similar, except that in the MCP joints they are interconnected by a deep transverse ligament. (wikipedia.org)
- In the MCP joints, the four volar plates of the fingers and the capsules within which they lie are blended with and interconnected by the deep transverse metacarpal ligament which ties the metacarpal heads together. (wikipedia.org)
- In contrast to the volar plates of the MCP joints of the fingers, the volar plate of the thumb MCP joint is a thick structure firmly attached to the base of the proximal phalanx. (wikipedia.org)
Lateral approach2
- With the APTUS Distal Radius System 2.5 Medartis offers a multidirectional and angular stable product line with implant plates in different designs, lengths and widths for a volar, dorsal and/or lateral approach. (promedionics.eu)
- Background: The purpose of this prospective study was to evaluate the results of volar plating for distal radius fractures using a single direct lateral approach. (jotsrr.org)
Joint1
- The volar plate of the thumb MCP joint has a transverse longitudinal rectangular shape, shorter than those in the fingers. (wikipedia.org)
Finger2
- If the finger is forced backwards too hard the volar plate may be injured. (flex.physio)
- Any impact on the fingertip which forces the finger backwards may potentially injure the volar plate. (flex.physio)
Bone3
- In its proximal end, the volar plate becomes membranous and blends with the volar capsule which is attached to the head of the metacarpal bone. (wikipedia.org)
- Plate preserves blood supply to soft tissues and bone. (suhradamortho.com)
- In volar plate injuries, x-rays occasionally show a small bone fragment avulsed from the middle phalanx. (msdmanuals.com)
Wrists2
- Simultaneous volar plate fixation via open surgery to wrists was performed allowing him to go back to his trade. (drbadia.com)
- Despite titanium plates in both wrists, he can now do more pushups and bench press much more weight than before the surgery. (drbadia.com)
Holes1
- Plate features locking compression holes and round locking holes that accepts 2.4/2.7mm screws. (suhradamortho.com)
Treatment2
- There are numerous treatment options available for their management with the most recent advancement being the use of volar locking plates. (fortuneonline.org)
- Treatment of volar Barton's fractures of the distal radius with a 3.5mm T-buttress plate or locking plate leads to satisfactory results, provided the operative technique is carefully performed to prevent complications. (orthopaper.com)