Is sparing the pronator quadratus muscle possible in volar plating of the distal radius?

被引：23

作者：

Heidari, N. ^{[1
]}

Clement, H. ^{[1
]}

Kosuge, D. ^{[2
]}

Grechenig, W. ^{[1
]}

Tesch, N. P. ^{[3
]}

Weinberg, A. M. ^{[4
]}

机构：

[1] Med Univ Graz, Dept Traumatol, A-8036 Graz, Austria

[2] Princess Alexandra Hosp, Dept Trauma & Orthopaed Surg, Harlow, Essex, England

[3] Med Univ Graz, Inst Anat, A-8036 Graz, Austria

[4] Med Univ Graz, Dept Pediat Surg, A-8036 Graz, Austria

来源：

JOURNAL OF HAND SURGERY-EUROPEAN VOLUME | 2012年 / 37E卷 / 05期

关键词：

Distal radius fracture; pronator quadratus sparing approach; volar plating of distal radius; cadaver study;

D O I：

10.1177/1753193411424706

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

100224 [整形外科学];

摘要：

We measured the length of the distal radius that can be exposed by mobilizing the distal edge of pronator quadratus (PQ) without detaching its radial attachment. Measurements were made in 20 cadaveric upper limbs from the distal margin of the radius in line with the scaphoid and lunate fossae to the distal margin of the PQ, before and after mobilization of the muscle from its distal attachment. The mean distance from the distal edge of the PQ to the scaphoid fossa was 13.1 mm and to the lunate fossa was 10.7 mm. This increased to a mean of 26.2 mm for the scaphoid and a mean of 23.8 mm for the lunate fossa following mobilization of PQ. Subperiosteal retrograde release of the PQ from its distal margin will allow for the placement of a volar plate and insertion of locking peri-articular screws in the great majority of volar locking plate systems on the market.

引用

页码：402 / 406

页数：5

共 10 条

[1]

Flexor Tendon Irritations after Locked Plate Fixation of the Distal Radius with the 3.5 mm T-Plate: Identification of Risk Factors [J].