Fracture of distal end of radius may results in loss of function of which tendon: September 2007
**Core Concept**
The underlying principle being tested is the anatomical relationship between the distal end of the radius and the surrounding tendons. The **distal radius** is closely associated with the tendons of the forearm, which control wrist and finger movements.
**Why the Correct Answer is Right**
Although the specific tendon is not mentioned, a common complication of distal radius fractures is the potential for **tendon rupture**, particularly of the **extensor pollicis longus (EPL) tendon**. This is due to the tendon's proximity to the fracture site and potential irritation from fracture fragments or hardware used in fixation.
**Why Each Wrong Option is Incorrect**
**Option A:** Without the specific option provided, it's challenging to address each incorrect choice directly. However, in general, the incorrect options would not accurately reflect the tendon most commonly affected by a distal radius fracture.
**Option B:** Similarly, without the option, we can't comment on its accuracy, but it would be incorrect if it doesn't relate to the EPL tendon or another tendon known to be affected by such fractures.
**Option C:** and **Option D:** would also be incorrect for similar reasons, assuming they do not correctly identify the tendon at risk due to a distal radius fracture.
**Clinical Pearl / High-Yield Fact**
A key point to remember is that the **extensor pollicis longus (EPL) tendon** is particularly vulnerable to rupture after a distal radius fracture, which can significantly impact thumb function and overall hand mobility.
**Correct Answer:** Correct Answer: B. Extensor pollicis longus.