{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T00:22:10Z","timestamp":1758673330197,"version":"3.44.0"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This retrospective study aimed to evaluate median nerve displacement observed during hardware removal procedures following volar plating for distal radius fractures.<\/jats:p><jats:p>We reviewed all cases involving removal of distal radial volar locking plates at our institution by two surgeons from 2016 to 2021. Plating procedures and hardware removals were performed using the flexor carpi radialis (FCR) approach. We examined the position of the median nerve at the time of hardware removal.<\/jats:p><jats:p>Median nerve displacement to the radial side of the FCR occurred in 17 out of 67 cases (25%). There were no significant differences in the degree of fracture severity or involved surgeons between the normal position and displaced groups.<\/jats:p><jats:p>The median nerve may be displaced radially from the FCR during hardware removal, and care should be taken to avoid causing iatrogenic nerve injury.<\/jats:p><jats:p>Level II.<\/jats:p>","DOI":"10.1055\/s-0044-1791956","type":"journal-article","created":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T19:10:13Z","timestamp":1733771413000},"page":"419-422","source":"Crossref","is-referenced-by-count":0,"title":["Median Nerve Displacement during Hardware Removal after Distal Radius Fractures"],"prefix":"10.1055","volume":"14","author":[{"given":"Hiroshi","family":"Ninomiya","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Tachikawa General Hospital, Niigata, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makito","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Tachikawa General Hospital, Niigata, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,12,9]]},"reference":[{"issue":"08","key":"ref1","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1016\/j.injury.2006.04.130","article-title":"Epidemiology of adult fractures: a review","volume":"37","author":"C M Court-Brown","year":"2006","journal-title":"Injury"},{"issue":"09","key":"ref2","doi-asserted-by":"crossref","first-page":"1855","DOI":"10.2106\/JBJS.G.01569","article-title":"Fractures of the distal part of the radius. The evolution of practice over time. Where's the evidence?","volume":"90","author":"K J Koval","year":"2008","journal-title":"J Bone Joint Surg Am"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1016\/j.jhsa.2005.10.010","article-title":"Functional outcome and complications after volar plating for dorsally displaced, unstable fractures of the distal radius","volume":"31","author":"T D Rozental","year":"2006","journal-title":"J Hand Surg Am"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s00264-002-0393-x","article-title":"Osteosynthesis of distal radial fractures with a volar locking screw plate system","volume":"27","author":"H Drobetz","year":"2003","journal-title":"Int Orthop"},{"issue":"12","key":"ref5","doi-asserted-by":"crossref","first-page":"2410","DOI":"10.1016\/j.jhsa.2015.09.017","article-title":"Incidence of hardware removal following volar plate fixation of distal radius fracture","volume":"40","author":"K F Lutsky","year":"2015","journal-title":"J Hand Surg Am"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1016\/j.jhsa.2014.11.022","article-title":"Incidence and reasons for hardware removal following operative fixation of distal radius fractures","volume":"40","author":"M C Snoddy","year":"2015","journal-title":"J Hand Surg Am"},{"issue":"06","key":"ref7","doi-asserted-by":"crossref","first-page":"982","DOI":"10.1016\/j.jhsa.2011.03.032","article-title":"Removal of locked volar plates after distal radius fractures","volume":"36","author":"C Gyuricza","year":"2011","journal-title":"J Hand Surg Am"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1053\/j.oto.2009.09.012","article-title":"Volar approach to distal radius fractures","volume":"19","author":"S Berdia","year":"2009","journal-title":"Oper Tech Orthop"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1007\/s11552-010-9281-9","article-title":"Surgical approaches to the distal radius","volume":"6","author":"A M Ilyas","year":"2011","journal-title":"Hand (N Y)"},{"issue":"07","key":"ref10","doi-asserted-by":"crossref","first-page":"430","DOI":"10.5435\/00124635-201107000-00006","article-title":"Surgical exposures of the radius and ulna","volume":"19","author":"L W Catalano III","year":"2011","journal-title":"J Am Acad Orthop Surg"},{"issue":"01","key":"ref11","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/j.jor.2016.10.015","article-title":"Anatomic considerations when performing the modified Henry approach for exposure of distal radius fractures","volume":"14","author":"M A Conti Mica","year":"2016","journal-title":"J Orthop"},{"issue":"04","key":"ref12","doi-asserted-by":"crossref","first-page":"328","DOI":"10.2106\/JBJS.J.00193","article-title":"Volar locking plate implant prominence and flexor tendon rupture","volume":"93","author":"M Soong","year":"2011","journal-title":"J Bone Joint Surg Am"},{"issue":"10","key":"ref13","doi-asserted-by":"crossref","first-page":"1012","DOI":"10.1016\/j.injury.2010.02.031","article-title":"The volar anatomy of the distal radius: an MRI study of the FCR approach","volume":"41","author":"P A McCann","year":"2010","journal-title":"Injury"},{"key":"ref14","first-page":"67","volume-title":"Extensile Exposure","author":"A K Henry","year":"1957","edition":"2nd ed."}],"container-title":["Journal of Wrist Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0044-1791956.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T22:43:30Z","timestamp":1758667410000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0044-1791956"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,9]]},"references-count":14,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2025,9,23]]},"published-print":{"date-parts":[[2025,10]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0044-1791956","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":[[2024,12,9]]}}}