Volar plating: functional recovery of the pronator quadratus

Patrick Porter (Lead / Corresponding author), Alasdair MacInnes, Tim Drew, Weijie Wang, Rami Abboud, Graeme Nicol

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)
83 Downloads (Pure)

Abstract

Purpose: The pronator quadratus (PQ) is reflected in the surgical approach to the distal radius. This study explores the functional strength of PQ, 12 months after volar plating without repair of PQ.

Methods: A total of 135 patients were identified from our prospectively collected database. All volunteers had grip strength and pronation power tested in the treated and contralateral forearms at 45, 90 and 135 degrees of elbow flexion using a custom-built torque measuring device and hydraulic hand dynamometer to evaluate forearm pronation.

Results: Twenty-seven participants were included in the study. No significant difference was identified in mean peak pronation torque between the volar plated and non-treated forearms. Pronation strength was identified as being independent of angle of elbow flexion. Grip strength was correlated with forearm pronation showing no significant difference between groups.

Conclusions: Our results suggest adequate long-term (15–32 months) functional recovery of the pronator quadratus after volar plating.

Level of Evidence: III.

Original languageEnglish
Pages (from-to)1535-1541
Number of pages7
JournalEuropean Journal of Orthopaedic Surgery and Traumatology
Volume32
Early online date30 Sept 2021
DOIs
Publication statusPublished - Dec 2022

Keywords

  • Forearm pronation
  • Grip strength
  • Pronator quadratus
  • Pronator teres
  • Torque

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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