Kirmani Sayyied Jamshead, Bhuva Shaheel, Lo William, Kumar Ajeet
Department of Orthopaedics, Queen Elizabeth Hospital, Woolwich, London, UK.
Ann R Coll Surg Engl. 2008 Mar;90(2):W14-6. doi: 10.1308/147870808X257201.
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.
我们描述了一例罕见的并发症，即桡骨远端骨折克氏针固定后示指和中指伸肌腱出现磨损性断裂。这种特殊并发症此前从未在文献中被描述过。我们还回顾了文献，确定了克氏针治疗桡骨远端骨折时的某些技术，这些技术被认为会增加肌腱或神经血管损伤的风险。最后，我们提出了一些建议，这些建议应能减少与这种非常常见的手术相关的医源性软组织损伤并发症。
