Concomitant Extensor Pollicis Longus and Extensor Digitorum Longus Tendon Rupture may Complicate Surgical Reconstruction following Volar Plate Fixation of the Distal Radius: A Case Report
Bibliographic record
Abstract
Introduction: Hardware prominence is one of the major established complications following volar plating of distal radius fractures. In particular, dorsal prominence of screws is the leading risk factor associated with post-surgical extensor pollicis longus (EPL) tendon rupture. Although there are many descriptions of attritional EPL ruptures in the literature, concomitant presentation of attritional EPL and extensor digitorum communis (EDC) ruptures following volar plating of distal radius fractures are minimal. Case Report: We present a case of concomitant rupture of the EPL and occult rupture of the EDC to the index finger following volar plating of the distal radius. This was discovered intraoperatively and complicated the proposed tendon transfer reconstruction. Conclusion: Locked volar plate fixation has become the preferred technique for surgical management of distal radius fractures. The complication of multiple extensor tendon ruptures is rare but nevertheless may be encountered. We discuss strategies for diagnosis, treatment, and prevention. Surgeons should be aware of and prepared to proceed with alternative reconstructive procedures if this complication is discovered.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".