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Review
. 2008 Mar;90(2):W14-6.
doi: 10.1308/147870808X257201.

Extensor tendon injury to the index and middle finger secondary to Kirschner wire insertion for a distal radial fracture

Sayyied Jamshead Kirmani  1 , Shaheel Bhuva, William Lo, Ajeet Kumar
Affiliations
Review

Extensor tendon injury to the index and middle finger secondary to Kirschner wire insertion for a distal radial fracture

Sayyied Jamshead Kirmani et al. Ann R Coll Surg Engl. 2008 Mar.

Abstract

We 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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Figures

Figure 1
Figure 1
Demonstrable extensor lags for the index and middle finger.
Figure 2
Figure 2
Ruptured extensor tendons to the index and middle finger.
See this image and copyright information in PMC

References

    1. Rayhack JM. The history and evolution of percutaneous pinning of displaced distal radius fractures. Orthop Clin North Am. 1993;24:287–300. - PubMed
    1. Goodsett J, Pahl A, Glaspy J, Schapira M. Kirschner wire embolisation to the heart. Chest. 1999;115:291–3. - PubMed
    1. Nonnenmacher J, Kempf I. Dynamic fixation of fractures of the lower end of the radius by percutaneous wires. Int Orthop. 1988;12:155.
    1. Milliez PY, Dallaserra M, Defives T, et al. Effect of early mobilization following Kapandji's method of intrafocal wiring in fractures of the distal end of the radius: results of a prospective study of 60 cases. Int Orthop. 1992;16:39. - PubMed
    1. Dowdy PA, Patterson SD, King GJW, Roth JH, Chess D. Intrafocal (Kapandji) pinning of unstable distal radius fractures: a preliminary report. J Trauma. 1996;40:194–8. - PubMed