Irreducible phalangeal fracture in a child due to flexor tendon entrapment

Nogueira, A.; Alvarez, Rocío; Iglesias, F Calvo

doi:10.1053/jhsu.1999.0924

Cited by 6 publications

(9 citation statements)

References 7 publications

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“…The proximal phalanx fracture is a common fracture in children with Type II Salter Harris as the most common fracture pattern (Nogueira et al 1999). However, few authors have suggested that the fracture line may be entirely metaphyseal, 1 to 2 mm distal to the physis, hence the more appropriate termed is juxtaepiphyseal fractures (Peter & Seth 2009;Rodriguez-Vega et al 2012).…”

Section: Discussionmentioning

confidence: 99%

Adhesions as an Uncommon Complication of K-Wiring in Paediatric Phalangeal Fractures

Abdullah¹

2019

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Section: Discussionmentioning

confidence: 99%

Adhesions as an Uncommon Complication of K-Wiring in Paediatric Phalangeal Fractures

Abdullah¹

2019

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“…[1][2][3][4][5][6][7] In most instances it involves the flexor tendons, 2,4,5,7 but the extensor tendons can also be affected. 1,3,5,6 The FDP tendon is the most commonly involved tendon in such entrapment due to its proximity to the bone.…”

Section: Discussionmentioning

confidence: 99%

“…This condition is often reported in patients with immature skeletons, because in these patients the tendon becomes trapped between the fractured epiphyseal fragments. 1,4,[5][6][7][8] However, cases of tendon entrapment in fractures of the phalangeal shaft have also been reported. 2,3 This is usually associated with injury of the involved tendon or its supports.…”

Section: Discussionmentioning

confidence: 99%

“…2 Tendon entrapment is diagnosed clinically during fracture reduction according to the resistance encountered during manipulation of the fragments or due to a lack of satisfactory reducibility on plain radiographs. 7 In such cases, open reduction may be required. In some cases, however, tendon entrapment may remain unnoticed and present late as tendon dysfunction.…”

Section: Discussionmentioning

confidence: 99%

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Sonographic diagnosis of the entrapment of the flexor digitorum profundus tendon complicating a fracture of the index finger

Pandey

Kandari

Shammari

2008

J of Clinical Ultrasound

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Flexor digitorum tendon entrapment is a known complication of proximal phalangeal fractures and is commonly diagnosed clinically. However, it can sometimes be subtle and may not be suspected initially. A case of proximal phalangeal fracture of the index finger complicated by entrapment of the flexor digitorum profundus tendon is presented in which the diagnosis was made based on sonographic findings subsequently confirmed by CT and later surgical findings. This case demonstrates that tendon entrapment complicating phalangeal fractures can be diagnosed using sonography.

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“… 2 Such fractures are rarely reported as irreducible, due of flexor tendon entrapment. 3 – 5 Harryman II et al 4 reported on a 12-year-old female with physeal phalangeal fracture with flexor tendon entrapment. In addition, they asserted that treatment required early recognition to avoid further injury, open identification of the tissue derangement, and careful reduction to restore normal function.…”

Section: Introductionmentioning

confidence: 99%

Flexor Tendon Entrapment at the Malunited Base Fracture of the Proximal Phalanx of the Finger in Child

2015

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The proximal phalangeal base is the most commonly fractured hand bone in children. Such fractures are rarely reported as irreducible due to flexor tendon entrapment. Here, we describe a patient who sustained a malunited fracture on the right fifth finger proximal phalanx with flexor tendon entrapment after treatment with closed reduction with K-wires fixation.A 13-year-old patient came to the clinic following a bicycle accident 6 weeks ago. He presented with flexion limitation in his small finger on the right hand. During physical examination, the patient felt no pain, and the neurovascular structures were intact. However range of motion (ROM) in his small finger was not normal. Plain radiographs displayed a Salter–Harris type II fracture of the small finger proximal phalanx base and volar angulation with callus formation. During the operation, it was established that the flexor digitorum superficialis (FDS) around the fracture had a severe adhesion, whereas the flexor digitorum profundus (FDP) was entrapped between the volarly displaced metaphyses and the epiphyses and united with the bone. We removed the volarly displaced metaphyses and freed FDP and repaired the A2 pulley. The bone was anatomically fixed with K-wires. In the treatment after the operation, on the 2nd day, the patient was permitted the DIP joint motion by wearing a dynamic splint.At the 12-months follow-up, the patient had regained full ROM with no discomfort and the proximal phalanx growth plate of the small finger closed naturally with normal alignment.When treating a proximal phalangeal base fracture in children, the possibility of flexor tendon entrapment should be considered and should be carefully dealt with in its treatment.

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Irreducible phalangeal fracture in a child due to flexor tendon entrapment

Cited by 6 publications

References 7 publications

Adhesions as an Uncommon Complication of K-Wiring in Paediatric Phalangeal Fractures

Adhesions as an Uncommon Complication of K-Wiring in Paediatric Phalangeal Fractures

Sonographic diagnosis of the entrapment of the flexor digitorum profundus tendon complicating a fracture of the index finger

Flexor Tendon Entrapment at the Malunited Base Fracture of the Proximal Phalanx of the Finger in Child

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