{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T19:52:04Z","timestamp":1779911524457,"version":"3.53.1"},"reference-count":31,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Hintergrund Eine seltene, aber typische perioperative Komplikation bei der\n                    operativen Versorgung von kindlichen Unterarmfrakturen ist die Verletzung der\n                    Extensor pollicis longus (EPL) Sehne. Im vorliegenden Artikel werden die\n                    Langzeitergebnisse nach Rekonstruktion der EPL-Sehne mit Transposition der\n                    Extensor-indicis-Sehne (EI-Sehne) bei Kindern und Jugendlichen nach operativ\n                    versorgter Unterarmfraktur vorgestellt.<\/jats:p><jats:p>\n          Patienten und Methoden Im Zeitraum von 15 Jahren wurden 22 Kinder bis zum\n                    Alter von 16 Jahren mit einer EI-Transposition analog zur Versorgung bei\n                    Erwachsenen behandelt. In einer Nachuntersuchung wurden die\n                    Bewegungsumf\u00e4nge der Finger- und Daumengelenke, die Retropulsion des\n                    Daumens und Zeigefingers, die Abduktion und Opposition untersucht.\n                    Zus\u00e4tzlich wurde die Handspanne und die Kraft im Grob-,\n                    Schl\u00fcssel- und Spitzgriff gemessen. Das subjektive Beschwerdebild wurde\n                    befragt und der DASH-Score erhoben.<\/jats:p><jats:p>\n          Ergebnisse Die Ruptur der EPL-Sehne ist mit 1% aller operativ\n                    versorgten kindlichen Unterarmfrakturen eine seltene Komplikation. 15 Patienten\n                    mit einem Durchschnittsalter von 10,9 Jahren konnten durchschnittlich 66,5\n                    Monate nach Transposition der EI-Sehne nachuntersucht werden. Signifikante\n                    messtechnische Unterschiede fanden sich in der reduzierten Beweglichkeit des\n                    Daumengrundgelenkes, der isolierten Streckf\u00e4higkeit des Zeigefingers,\n                    einer reduzierten Spanne zwischen Daumen und Zeigefinger in der Palmarduktion\n                    sowie eine reduzierte Kraft im Spitzgriff. Subjektiv wurden die\n                    Seitendifferenzen von den Patienten und ihren Eltern im Alltag nicht\n                    bemerkt.<\/jats:p><jats:p>\n          Schlussfolgerung Die Transposition der EI-Sehne zur Rekonstruktion einer\n                    rupturierten EPL-Sehne als seltene Komplikation nach kindlicher Unterarmfraktur\n                    f\u00fchrt langfristig zwar zu einer messtechnisch signifikanten Reduktion\n                    der Zeigefingerbeweglichkeit auf der betroffenen Seite, jedoch ohne subjektive\n                    Einschr\u00e4nkungen der Kinder.<\/jats:p>","DOI":"10.1055\/a-1901-9100","type":"journal-article","created":{"date-parts":[[2022,8,26]],"date-time":"2022-08-26T00:45:26Z","timestamp":1661474726000},"page":"16-23","source":"Crossref","is-referenced-by-count":4,"title":["Langzeitergebnisse der Extensor-indicis-Transposition bei Ruptur der\n                    Extensor pollicis longus Sehne nach kindlicher Unterarmfraktur"],"prefix":"10.1055","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4866-2164","authenticated-orcid":false,"given":"Richard-Tobias","family":"Moeller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Mentzel","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum Ulm, Klinik f\u00fcr Unfall-, Hand-,\n                    Plastische und Wiederherstellungschirurgie"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Vergote","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum Ulm, Klinik f\u00fcr Unfall-, Hand-,\n                    Plastische und Wiederherstellungschirurgie"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Bauknecht","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum Ulm, Klinik f\u00fcr Unfall-, Hand-,\n                    Plastische und Wiederherstellungschirurgie"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,8,25]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"810","DOI":"10.1097\/BPO.0000000000000568","article-title":"Incidence and risk factors for extensor pollicis longus rupture in elastic\n                    stable intramedullary nailing of pediatric forearm shaft fractures","volume":"36","author":"A K Lee","year":"2016","journal-title":"J Pediatr Orthop"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"309","DOI":"10.1097\/01.bpo.0000153943.45396.22","article-title":"Treatment of pediatric both-bone forearm fractures: a comparison of operative\n                    techniques","volume":"25","author":"V A Smith","year":"2005","journal-title":"J Pediatr Orthop"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"713","DOI":"10.1097\/01241398-199011000-00002","article-title":"Distribution of physeal and 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Orthop"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"e11167","DOI":"10.1097\/MD.0000000000011167","article-title":"Intraoperative sonography may reduce the risk of extensor pollicis longus tendon\n                    injury during dorsal entry elastic intramedullary nailing of the radius in\n                    children","volume":"97","author":"M Varga","year":"2018","journal-title":"Medicine (Baltimore)"}],"container-title":["Handchirurgie \u00b7 Mikrochirurgie \u00b7 Plastische Chirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1901-9100.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,29]],"date-time":"2024-06-29T11:31:03Z","timestamp":1719660663000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1901-9100"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,25]]},"references-count":31,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2023,2,16]]},"published-print":{"date-parts":[[2023,2]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1901-9100","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0722-1819","1439-3980"],"issn-type":[{"value":"0722-1819","type":"print"},{"value":"1439-3980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,25]]}}}