Online ISSN: 2515-8260

RADIOLOGICAL EVALUATION OF FLEXOR POLLICIS LONGUS TENDON EXCURSION IN TRANSVERSE PLANE ON DISTAL RADIUS DURING WRIST MOVEMENTS IN HEALTHY VOLUNTEERS

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Dr. N. Abhinav Reddy1* , Dr. Rajeev Pulimi2 , Dr.U.Thiyagarajan3 , Dr.Gayathri

Abstract

Introduction:Distal radius fractures are the most common fractures occuring in upper extremity and can be usually treated with volar locking plate fixation. In 1.8% to 12% cases following the mentioned procedure rupture of flexor pollicis longus tendon is an identified problem for functional outcome. These ruptures can be caused by fracture malunion or plate prominence or poor plate positioning. To prevent this ruptures of flexor pollicis longus tendon its movement on distal radius has been evaluated. Several studies using longitudinal ultrasonography have found a relation between position of volar plate and movement of FPL (flexor pollicis longus tendon) at distal radius following volar locking plate fixation .These studies have found that flexor pollicis longus tendon runs longitudinally and also shifts dorsally towards volar plate. Few studies evaluated transverse ultrasonographic displacement of FPL in relation to varied wrist and finger movements, this would offer a more detailed understanding of FPL orientation at distal radius.Therefore in the present study we performed a quantitative analysis with transverse ultrasonography of displacement and location of FPL on distal radius at varied wrist and finger movements in healthy individuals. We hope this study could help further knowledge of FPL kinematics and moreover could help to suggest implant design, plate profile, and positioning of implant in the distal radius fractures helping to prevent rupture of FPL and to develop a rehabilitation protocol for finger and wrist movements. Materials and Methods: An observational study was done between 2022-2023 with Sixty eight normal healthy individuals. The age of the individuals range between 24-40years. Volunteers with any history of trauma, tendon damage, neurological deficit,hand pain,numbness and comorbid conditions like type 2 diabetes mellitus,systemic hypertension,hypothyroidism, etc are not included in the present study.Therefore, in the present study we performed a quantitative analysis with transverse ultrasonography of displacement and location of FPL on distal radius at varied wrist and finger movements in healthy individuals.

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