Treatment of an Extruded Middle Phalanx Epiphysis in a 6-Year-Old Boy: A Case Report.
| Autor: | Lentz J; The Johns Hopkins Hospital, Baltimore, Maryland., Klingbeil L; Regions Hospital, St. Paul, Minnesota., Hochwald N; Long Island Hand to Shoulder Center, Huntington, New York., Dagly K; Long Island Hand to Shoulder Center, Huntington, New York. |
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| Jazyk: | angličtina |
| Zdroj: | JBJS case connector [JBJS Case Connect] 2021 Oct 20; Vol. 11 (4). Date of Electronic Publication: 2021 Oct 20. |
| DOI: | e21.00184 |
| Abstrakt: | Case: A Salter-Harris II fracture of the small finger middle phalanx with complete extrusion of the epiphyseal fragment in a 6-year-old boy is described. Closed reduction was unsuccessful. Open reduction was performed, the epiphysis was reduced, and a single Kirschner wire was placed obliquely across the fracture and joint. Conclusion: This is an extremely rare injury. Open reduction and pinning was successful in preserving functional range of motion. Despite eventual growth arrest, there was no clinically significant angular deformity, and the joint was preserved. Surgical technique and early hand therapy allowed the patient to return to high-level activity without pain or functional limitation thus far at the 27-month follow-up. Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B687). (Copyright © 2021 by The Journal of Bone and Joint Surgery, Incorporated.) |
| Databáze: | MEDLINE |
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