Universität zu Köln

Hohendorff, B., Unglaub, F., Spies, C. K., Mueller, L. P. and Ries, C. (2020). Repair of the pronator quadratus muscle with a part of the brachioradialis muscle insertion in volar plate fixation of a distal radius fracture. Oper. Orthopade Traumatol., 32 (1). S. 82 - 87. MUNICH: URBAN & VOGEL. ISSN 1439-0981

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Abstract

The problem Stable pronator quadratus repair following volar plate fixation of distal radius fractures with complete plate coverage is often difficult. The solution Detachment of the pronator quadratus muscle (PQ) with a strong rim of connective tissue consisting of a fibrous portion of the roof of the first extensor compartment and the volar limb of the brachioradialis muscle (BR) insertion; stable suture repair of the PQ with complete coverage of a volar plate after osteosynthesis of a distal radius fracture. Surgical technique Radiopalmar approach between the radial artery and the flexor carpi radialis tendon to the PQ; sharp dissection below the radial artery onto the first extensor compartment, which is opened; retraction of the extensor pollicis brevis and abductor pollicis longus tendon; presentation of the BR insertion at the bottom of the first extensor compartment; incision of the BR insertion halfway to proximal and dissection of the volar limb at the transition to the free BR tendon; release of the PQ from the distal radius; after reduction and internal fixation repair of the PQ with complete coverage of the volar locking plate due to slight distal transposition. Results Pronator quadratus repair with a part of the brachioradialis muscle insertion is a reliable technique for coverage of a volar plate by slight distal transposition. In the repair of distal radius fractures, this may protect the finger flexor tendons against irritation and/or rupture.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Hohendorff, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Unglaub, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Spies, C. K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, L. P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ries, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-346798
DOI:	10.1007/s00064-019-0601-0
Journal or Publication Title:	Oper. Orthopade Traumatol.
Volume:	32
Number:	1
Page Range:	S. 82 - 87
Date:	2020
Publisher:	URBAN & VOGEL
Place of Publication:	MUNICH
ISSN:	1439-0981
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language Orthopedics Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/34679