Remodelling in a malunited phalangeal neck fracture

Comparison Between Buddy Taping With a Short-Arm Splint and Operative Treatment for Phalangeal Neck Fractures in Children

“…[6][7][8][9] However, surgical treatment, particularly open reduction, can lead to adhesions and joint stiffness, and can result in nonunion and potential necrosis of the small distal fragment. 10 However, the patient's age is an advantage for remodeling in phalangeal neck fractures in children, and some authors [11][12][13][14] have presented reports on the remarkable remodeling potential of phalangeal neck fractures in children, particularly in cases of sagittal displacement. Another reason for choosing operative care over conservative treatment is that a true lateral radiograph of the injured finger, which is an essential tool in conservative treatment, is difficult to obtain after immobilization.…”

Remodeling Potential of Phalangeal Distal Condylar Malunions in Children

“…In fact, over the last several years, surgeons have recognized this remodeling potential at the distal phalanx, and 5 cases have been reported in the literature. [15][16][17][18] Although all of these 5 children were young (the oldest being 7 y old), all patients regained good range of motion, with 4 of 5 reportedly regaining full range of motion.…”

“…13,14 A small number of case reports have shown remodeling of these injuries to occur in young children. [15][16][17][18] We present a series of 8 DCP malunions with a 5.3-year mean follow-up, demonstrating the impressive remodeling capability of these fractures.…”

Nonunion and Avascular Necrosis Following Phalangeal Neck Fractures in Children

“…The author has developed a special interest in phalangeal neck fractures over the last 15 years 1,4,9,[13][14][15][16] and gets referrals of complicated cases from all over the city of Riyadh, with a population of about 5 million). For the last 10 years, a database of all phalangeal neck fractures has been established.…”

“…4 Several problems are known to occur with this fracture. [3][4][5][6][7][8][9][10][11][12] The displaced fracture is unstable after closed reduction, and hence, internal fixation is often required. In severely displaced fractures, the distal fragment can rotate 90°or even 180°, requiring open reduction and internal fixation.…”