{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,7]],"date-time":"2025-04-07T11:43:28Z","timestamp":1744026208538,"version":"3.37.3"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"06","funder":[{"name":"Orthopaedic Scientific Research Foundation","award":["#20_001"],"award-info":[{"award-number":["#20_001"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Volar locking plate fixation (VLP) is commonly used to treat distal radius fractures (DRF). Risk of dorsal compartment injury with distal screw hole fixation has been studied; however, the risk with proximal screw hole fixation is not well studied.<\/jats:p><jats:p>\n          Purpose\u2003The goal of this study was to investigate the risk of dorsal structure injury from the screw holes proximal to the two distal rows.<\/jats:p><jats:p>\n          Methods\u2003Nine cadaveric forearms were used. After volar distal radius exposure, a long VLP was applied. Kirschner wires were placed through the most proximal holes into the dorsal compartments. The extensor structures penetrated were noted and tagged with hemoclips. The distance from the dorsal cortex to the structures was measured.<\/jats:p><jats:p>\n          Results\u2003The abductor pollicis longus (APL) and extensor pollicis brevis (EPB) muscle bodies were only penetrated; no tendons were penetrated. Proportion of muscle penetration increased with the more proximal screw holes. EPB was more likely to be penetrated distally and APL proximally; both were injured at holes 2 and 3. The extensors were 2\u2009mm from the dorsal cortex of the radius on average; this did not decrease with compression of the forearm.<\/jats:p><jats:p>\n          Conclusions\u2003This is the first study to examine the anatomic risk of extensor structure injury with VLP proximal screw hole penetration. No extensor tendons were penetrated by these proximal screw holes; first dorsal compartment muscle bellies may be irritated with overpenetration. Our findings suggest that proximal VLP screws do not need to be downsized if they are not over 2\u2009mm prominent.<\/jats:p>","DOI":"10.1055\/s-0043-1768926","type":"journal-article","created":{"date-parts":[[2023,5,8]],"date-time":"2023-05-08T23:47:31Z","timestamp":1683589651000},"page":"534-539","source":"Crossref","is-referenced-by-count":2,"title":["Anatomic Risks with Overpenetration of the Volar Locking Plates' Proximal Holes"],"prefix":"10.1055","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1270-4200","authenticated-orcid":false,"given":"Daniel Y.","family":"Hong","sequence":"additional","affiliation":[{"name":"Columbia University Medical Center, New York City, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6820-4769","authenticated-orcid":false,"given":"Jennifer A.","family":"Kunes","sequence":"additional","affiliation":[{"name":"Columbia University Medical Center, New York City, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5927-4469","authenticated-orcid":false,"given":"Liana J.","family":"Tedesco","sequence":"additional","affiliation":[{"name":"Columbia University Medical Center, New York City, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9620-2023","authenticated-orcid":false,"given":"Nicholas C.","family":"Danford","sequence":"additional","affiliation":[{"name":"Columbia University Medical Center, New York City, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6695-5414","authenticated-orcid":false,"given":"Robert J.","family":"Strauch","sequence":"additional","affiliation":[{"name":"Columbia University Medical Center, New York City, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,5,8]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1186\/s12891-021-04128-5","article-title":"Epidemiology of distal radius fractures in children and adults during the COVID-19 pandemic - a two-center study","volume":"22","author":"J Olech","year":"2021","journal-title":"BMC Musculoskelet Disord"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1016\/S0363-5023(97)80069-X","article-title":"Prospective multicenter trial of a plate for dorsal fixation of distal radius fractures","volume":"22","author":"D Ring","year":"1997","journal-title":"J Hand Surg Am"},{"issue":"09","key":"ref3","doi-asserted-by":"crossref","first-page":"1303","DOI":"10.2106\/00004623-199709000-00004","article-title":"Treatment of displaced intra-articular fractures of the distal end of the radius with plates","volume":"79","author":"F Fitoussi","year":"1997","journal-title":"J Bone Joint Surg Am"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1142\/S2424835518500248","article-title":"Three year review of dorsal plating for complex intra-articular fractures of the distal radius","volume":"23","author":"M Spiteri","year":"2018","journal-title":"J Hand Surg Asian Pac Vol"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1016\/j.otsr.2010.11.011","article-title":"Dorsally displaced extra-articular distal radius fractures fixation: dorsal IM nailing versus volar plating. A randomized controlled trial","volume":"97","author":"J Chappuis","year":"2011","journal-title":"Orthop Traumatol Surg Res"},{"issue":"02","key":"ref6","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1177\/1558944718793171","article-title":"The effect of radial shaft dorsal screw prominence in volar locking plate fixation of distal radius fractures","volume":"15","author":"N Pulos","year":"2020","journal-title":"Hand (N Y)"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1016\/j.injury.2009.08.024","article-title":"Locked volar plating for unstable distal radial fractures: clinical and radiological outcomes","volume":"41","author":"D Knight","year":"2010","journal-title":"Injury"},{"issue":"03","key":"ref8","doi-asserted-by":"crossref","first-page":"717e","DOI":"10.1097\/PRS.0000000000003076","article-title":"Tendon rupture and tenosynovitis following internal fixation of distal radius fractures: a systematic review","volume":"139","author":"A J Azzi","year":"2017","journal-title":"Plast Reconstr Surg"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"87S","DOI":"10.1177\/15589447211068186","article-title":"Extensor tendon injury after volar locking plating for distal radius fractures: a systematic review","volume":"17","author":"J A Kunes","year":"2022","journal-title":"Hand (N Y)"},{"issue":"01","key":"ref10","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1016\/j.jor.2018.01.030","article-title":"Incidence of tendon rupture following volar plate fixation of distal radius fractures: a survey of 2787 cases","volume":"15","author":"K Sato","year":"2018","journal-title":"J Orthop"},{"issue":"05","key":"ref11","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1016\/j.jhsa.2017.12.018","article-title":"A prospective observational assessment of unicortical distal screw placement during volar plate fixation of distal radius fractures","volume":"43","author":"A Z Dardas","year":"2018","journal-title":"J Hand Surg Am"},{"issue":"06","key":"ref12","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1055\/s-0039-1681026","article-title":"Volar plating: imaging modalities for the detection of screw penetration","volume":"8","author":"M Bergsma","year":"2019","journal-title":"J Wrist Surg"},{"issue":"01","key":"ref13","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1308\/003588411X12851639107151","article-title":"Minimising the risk of extensor pollicis longus rupture following volar plate fixation of distal radius fractures: a cadaveric study","volume":"93","author":"D C Perry","year":"2011","journal-title":"Ann R Coll Surg Engl"},{"issue":"03","key":"ref14","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1016\/j.jhsa.2011.12.013","article-title":"The effects of screw length on stability of simulated osteoporotic distal radius fractures fixed with volar locking plates","volume":"37","author":"L B Wall","year":"2012","journal-title":"J Hand Surg Am"}],"container-title":["Journal of Wrist Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0043-1768926.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T16:21:44Z","timestamp":1730823704000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0043-1768926"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,8]]},"references-count":14,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2024,1,10]]},"published-print":{"date-parts":[[2023,12]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0043-1768926","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2163-3916","2163-3924"],"issn-type":[{"type":"print","value":"2163-3916"},{"type":"electronic","value":"2163-3924"}],"subject":[],"published":{"date-parts":[[2023,5,8]]}}}