CC BY-NC-ND 4.0 · J Wrist Surg 2021; 10(06): 536-538
DOI: 10.1055/s-0041-1726407
Case Report

Flexor Carpi Radialis Brevis Resection for Treatment of a Distal Radius Fracture: A Case Report

Ryan L. Werntz
1   Orthopaedic Surgery Residency Program, Larkin University Hospital, Miami, Florida
,
Andrew J. Hadeed
1   Orthopaedic Surgery Residency Program, Larkin University Hospital, Miami, Florida
,
Giacomo L. Cappelleti
2   Department of Orthopaedic Surgery, The Miami Hand & Upper Extremity Institute, Miami, Florida
,
Jorge L. Orbay
2   Department of Orthopaedic Surgery, The Miami Hand & Upper Extremity Institute, Miami, Florida
› Institutsangaben
Funding None.

Abstract

The flexor carpi radialis brevis (FCRB) is an anomalous muscle of the forearm that is only present in 3.5 to 8.6% of the population. In the case of volar plating of distal radius fractures, the FCRB inhibits proper fracture exposure and thus hinders proper reduction. A 78-year-old female presented with right distal radius fracture which necessitated internal fixation. Following mobilization and retraction of the flexor carpi radialis tendon, an anomalous muscle belly was identified as the FCRB. With continued difficulty in exposure and fracture site reduction, resection of the FCRB was performed. The patient was able to return to her activities of daily living without pain and demonstrated no appreciable functional deficit. This case report demonstrates a distal radius fracture where FCRB resection was used, resulting in no detrimental clinical outcomes.



Publikationsverlauf

Eingereicht: 10. November 2020

Angenommen: 08. Februar 2021

Artikel online veröffentlicht:
14. April 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Mantovani G, Lino Jr W, Fukushima WY, Cho AB, Aita MA. Anomalous presentation of flexor carpi radialis brevis: a report of six cases. J Hand Surg Eur Vol 2010; 35 (03) 234-235
  • 2 Kosiyatrakul A, Luenam S, Prachaporn S. Symptomatic flexor carpi radialis brevis: case report. J Hand Surg Am 2010; 35 (04) 633-635
  • 3 Andring N, Kennedy SA, Iannuzzi NP. Anomalous forearm muscles and their clinical relevance. J Hand Surg Am 2018; 43 (05) 455-463
  • 4 Lee Y-M, Song S-W, Sur Y-J, Ahn CY. Flexor carpi radialis brevis: an unusual anomalous muscle of the wrist. Clin Orthop Surg 2014; 6 (03) 361-364
  • 5 Carleton A. Flexor carpi radialis brevis vel profundus. J Anat 1935; 69 (Pt 2): 292-293
  • 6 Kang L, Carter T, Wolfe SW. The flexor carpi radialis brevis muscle: an anomalous flexor of the wrist and hand. A case report. J Hand Surg Am 2006; 31 (09) 1511-1513
  • 7 Tountas CP, Bergman RA. Anatomic Variations of the Upper Extremity. New York, NY: Churchill Livingstone; 1993: 139-140
  • 8 Dodds SD. A flexor carpi radialis brevis muscle with an anomalous origin on the distal radius. J Hand Surg Am 2006; 31 (09) 1507-1510
  • 9 Orbay JL, Badia A, Indriago IR. et al. The extended flexor carpi radialis approach: a new perspective for the distal radius fracture. Tech Hand Up Extrem Surg 2001; 5 (04) 204-211
  • 10 Orbay JL, Gray R, Vernon LL, Sandilands SM, Martin AR, Vignolo SM. The EFCR approach and the radial septum-understanding the anatomy and improving volar exposure for distal radius fractures: imagine what you could do with an extra inch. Tech Hand Up Extrem Surg 2016; 20 (04) 155-160