Does skyline view prevent extensor tendon pathologies during volar plating of distal radius? An ultrasonographic evaluation
Sinan Yüksel1, Ali Nazmican Güröz1, Alper Öztürk2, Yenel Gürkan Bilgetekin1, Önder Ersan1, Arda Halil Ceylan3
1Department of Orthopedics and Traumatology, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Türkiye
2Department of Orthopedics and Traumatology, Ankara Training and Research Hospital, Ankara, Türkiye
3Department of Radiology, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Türkiye
Keywords: Radius fractures, tenosynovitis, ultrasonography, bone screws, tendon injuries.
Objectives: This study aims to compare extensor tendon complications of volar plating in distal radius fractures between skyline and lateral views by using postoperative ultrasonography (USG).
Patients and methods: Between January 2019 and February 2020, a total of 82 distal radius fractures of 79 patients (39 males, 43 females; median age: 56±12.9 years; range, 23 to 79 years) who were operated with distal four-hole plates and had a follow-up period of at least three months were retrospectively analyzed. During distal radius locking plating, standard lateral fluoroscopic view was used in 36 distal radius fractures and skyline view in addition to lateral view was used in 46 cases. A median of five months later, the protruding screws and extensor compartments were evaluated with USG. The number of screws with dorsal penetration, extent of penetration, and extensor tendon complications were compared between skyline and lateral view groups.
Results: In the skyline view group, the rate of dorsal screw penetration was significantly lower than that of the lateral view group (7.3% vs. 14.7%, respectively; p<0.05). Additionally, the rate of extensor tenosynovitis was lower in the skyline view group than in the lateral view group (15% vs. 39%, respectively; p<0.05). No significant difference was seen in the extent of penetration between the groups (1.4 vs. 1.65 mm, respectively; p=0.089). The second compartment had the highest risk for dorsal screw penetration. One case of tendon rupture in the third compartment occurred in the lateral view group.
Conclusion: The skyline view seems to be an effective method to prevent extensor tendon complications caused by protruding screws.
Citation: Yüksel S, Güröz AN, Öztürk A, Bilgetekin YG, Ersan Ö, Ceylan AH. Does skyline view prevent extensor tendon pathologies during volar plating of distal radius? An ultrasonographic evaluation. Jt Dis Relat Surg 2023;34(2):331-337. doi: 10.52312/jdrs.2023.738
The study protocol was approved by the Dışkapı Yıldırım Beyazıt Training and Research Hospital Ethics Committee Ethics Committee (date: 20.01.2020; no: 80/01). The study was conducted in accordance with the principles of the Declaration of Helsinki.
Idea/concept: S.Y., A.N.G.; Design: S.Y., Y.G.B; Data collection/processing: S.Y., A.N.G., A.H.C.; Analysis/interpretation: S.Y., A.Ö.; Literature review: A.Ö., Y.G.B., Ö.E. Drafting/writing: S.Y., A.Ö., M.Y.; Critical review: S.Y., Ö.E.; Materials: A.N.G., A.H.C.
The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.
The authors received no financial support for the research and/or authorship of this article.
A written informed consent was obtained from each patient.
The data that support the findings of this study are available from the corresponding author upon reasonable request.