Flexor Tendon Entrapment at the Malunited Base Fracture of the Proximal Phalanx of the Finger in Child : A Case Report.
- Author:
Young Keun LEE
1
;
Hyun Jae NAM
;
Hee Chan AHN
;
Ho Jun CHEON
;
Sang Hyun WOO
Author Information
1. Department of Woo & Lee's Institute for Hand Surgery & Reconstructive Microsurgery, W Hospital, Daegu, Korea. handwoo@hotmail.com
- Publication Type:Case Report
- Keywords:
Epiphyses;
Finger injury;
Malunited Fracture;
Tendon entrapment
- MeSH:
Child;
Epiphyses;
Finger Injuries;
Fingers;
Fractures, Malunited;
Hand;
Humans;
Male;
Reference Values;
Tendon Entrapment;
Tendons;
Trigger Finger Disorder
- From:Journal of the Korean Society for Surgery of the Hand
2009;14(2):89-91
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The proximal phalangeal base is the most commonly fractured hand bone in children. Such fractures are rarely reported to be irreducible as a consequence of flexor tendon entrapment. A 12-year-old male sustained a malunited base fracture of the proximal phalanx of the small finger on the right hand and was unable to flex the finger. 6 weeks ago he was treated with closed reduction and percutaneous K-wire fixation, at another hospital. In a subsequent operation, it was found that the flexor tendon was entrapped at the fracture site. Flexor tenolysis and realignment of the fracture and internal fixation with K-wires were performed. The patient could perform his work without discomfort in his hand and a normal range of motion was possible in the small finger 12 months after the operation.