Mallet Finger Fracture through Enchondroma of the Distal Phalanx
| Autor: | Hidetsugu Suzuki, Ritsuro Shirasaka, Takuma Wakasugi |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Orthodontics
030222 orthopedics Osteosynthesis Pathologic fracture business.industry Avulsion fracture 030230 surgery Phalanx medicine.disease body regions 03 medical and health sciences 0302 clinical medicine Mallet finger medicine.anatomical_structure medicine Deformity Enchondroma Surgery medicine.symptom business Cancellous bone |
| Zdroj: | J Hand Microsurg |
| ISSN: | 0974-6897 0974-3227 |
| Popis: | A 46-year-old man injured his ring finger and developed a mallet deformity. Radiographs showed a mallet finger fracture through an osteolytic lesion of the distal phalanx. Magnetic resonance imaging showed low intensity on T1-weighted imaging and high intensity on T2-weighted imaging, which suggested the clinical diagnosis of enchondroma. The bone tumor was excised, and osteosynthesis was performed using Ishiguro's extension block pinning, and a flexion block pin was added to prevent flexor tendon avulsion fracture through the enchondroma, followed by an autologous iliac cancellous bone graft. One year after surgery, the patient had no pain or extension lag of the affected ring finger, and his quickDASH score was 0 points. Radiographs showed no recurrence and minimal arthritic change of the distal interphalangeal joint. One-stage treatment of a mallet finger fracture through an enchondroma using Ishiguro's method was effective. |
| Databáze: | OpenAIRE |
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