Zusammenfassung
Implantatbedingte Veränderungen treten dort auf, wo körperfremdes Material in den Organismus eingebracht wurde und durch bioadversive Eigenschaften, Implantatüberstände oder Dislokationen zur Irritation der umgebenden Weichteil- und Knochenstrukturen führt. Meist sind diese Veränderungen asymptomatisch oder ziehen nur geringe, zeitlich begrenzte funktionelle Defizite nach sich. In anderen Fällen sind jedoch relevante Einschränkungen und Läsionen anatomischer Strukturen die Folge. Relevant für die sonografische Beurteilung dieser Veränderungen ist die Kenntnis der jeweiligen Operationsmethode, der präoperativen Ausgangssituation, möglicher Abweichungen vom operativen Standardvorgehen und der genauen Lage und Funktion der an das Implantat angrenzenden anatomischen Strukturen, einschließlich ihrer möglicher Interaktionen. Diese Faktoren sind ein wesentlicher Bestandteil dieses Kapitels und werden anhand zahlreicher Beispiele erläutert.
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Literatur
Adham MN, Porembski M, Adham C (2009) Flexor tendon problems after volar plate fixation of distal radius fractures. Hand 4: 406–409
Al-Najjim M, Fenton C, Scott T (2012) Closed rupture of abductor pollicis longus and extensor pollicis brevis associated with fracture of the distal radius. J Hand Surg Eur 37:176–177
Al-Rashid M, Theivendran K, Craigen MA (2006) Delayed ruptures of the extensor tendon secondary to the use of volar locking compression plates for distal radial fractures. J Bone Joint Surg Br 88:1610–1612
Asadollahi S, Keith PP (2013) Flexor tendon injuries following plate fixation of distal radius fractures: a systematic review of the literature. Journal of Orthopaedics and Traumatology 14:227–234
Benson EC, DeCarvalho A, Mikola EA, Veitch JM, Moneim MS (2006) Two potential causes of EPL rupture after distal radius volar plate fixation. Clinical Orthopaedics and Related Research 451:218–222
Casaletto JA, Machin D, Leung R, Brown DJ (2009) Flexor pollicis longus tendon ruptures after palmar plate fixation of fractures of the distal radius. J Hand Surg Eur 34:471–474
Cho CH, Lee KJ, Song KS, Bae KC (2012) Delayed rupture of flexor pollicis longus after volar plating for a distal radius fracture. Clinics in Orthopedic Surgery 4:325–328
Cross AW, Schmidt CC (2008) Flexor tendon injuries following locked volar plating of distal radius fractures. J Hand Surg Am 33:164–167
Drobetz H, Kutscha-Lissberg E (2003) Osteosynthesis of distal radial fractures with a volar locking screw plate system. International Orthopaedics 27:1–6
Ducharne G, Frick L, Schoofs M (2009) Flexor carpi radialis tendon rupture following percutaneous osteosynthesis of the scaphoid: a case report. Chirurgie de la Main 28:50–52
Haug LC, Glodny B, Deml C, Lutz M, Attal R (2013) A new radiological method to detect dorsally penetrating screws when using volar locking plates in distal radial fractures. The dorsal horizon view. J Bone Joint Surg Br:1101–1105
Joseph SJ, Harvey JN (2011) The dorsal horizon view: detecting screw protrusion at the distal radius. J Hand Surg Am 36:1691–1693
Kambouroglou GK, Axelrod TS (1998) Complications of the AO/ASIF titanium distal radius plate system (pi plate) in internal fixation of the distal radius: a brief report. J Hand Surg Am 23:737–741
Limthongthang R, Bachoura A, Jacoby SM, Osterman AL (2014) Distal Radius Volar Locking Plate Design and Associated Vulnerability of the Flexor Pollicis Longus. J Hand Surg Am: 39:852–860
Maschke SD, Evans PJ, Schub D, Drake R, Lawton JN (2007) Radiographic evaluation of dorsal screw penetration after volar fixed-angle plating of the distal radius: a cadaveric study. Hand 2:144–150
Owers KL, Lee J, Khan N, Healy J, Eckersley R (2007) Ultrasound changes in the extensor pollicis longus tendon following fractures of the distal radius – a preliminary report. J Hand Surg Eur 32:467–471
Park DH, Goldie BS (2012) Volar plating for distal radius fractures – do not trust the image intensifier when judging distal subchondral screw length. Techniques in Hand and Upper Extremity Surgery 16:169–172
Roth KM, Blazar PE, Earp BE, Han R, Leung A (2012) Incidence of extensor pollicis longus tendon rupture after nondisplaced distal radius fractures. J Hand Surg Am 37:942–947
Soong M, Earp BE, Bishop G, Leung A, Blazar P (2011) Volar locking plate implant prominence and flexor tendon rupture. J Bone Joint Surg Am 93:328–335
Suganuma S, Tada K, Tsuchiya H (2014) Reducing the risk of flexor pollicis longus tendon rupture after volar plate fixation for distal radius fractures: validation of the tendon irritation test. European Journal of Orthopaedic Surgery and Traumatology. Epub ahead of print
Tarallo L, Mugnai R, Zambianchi F, Adani R, Catani F (2013) Volar plate fixation for the treatment of distal radius fractures: analysis of adverse events. Journal of Orthopaedic Trauma 27:740–745
Yamazaki H, Hattori Y, Doi K (2008) Delayed rupture of flexor tendons caused by protrusion of a screw head of a volar plate for distal radius fracture: a case report. J Hand Surg Eur 13:27–29
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Kluge, S. (2015). Implantatbedingte Veränderungen. In: Kluge, S. (eds) Ultraschalldiagnostik der Hand. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-44940-6_8
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