Flexor Tendon Entrapment at the Malunited Base Fracture of the Proximal Phalanx of the Finger in Child : A Case Report |
Young Keun Lee, Hyun Jae Nam, Hee Chan Ahn, Ho Jun Cheon, Sang Hyun Woo |
1Department of Woo & Lee's Institute for Hand Surgery & Reconstructive Microsurgery, W Hospital, Daegu, Korea. handwoo@hotmail.com 2Department of Plastic & Reconstructive Surgery, College of Medicine, Yeungnam University, Daegu, Korea. |
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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. |
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