J Korean Soc Surg Hand.  2009 Jun;14(2):89-91.

Flexor Tendon Entrapment at the Malunited Base Fracture of the Proximal Phalanx of the Finger in Child : A Case Report

• Lee YK
• Nam HJ
• Ahn HC
• Cheon HJ
• Woo SH

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.

Keyword

Epiphyses; Finger injury; Malunited Fracture; Tendon entrapment

MeSH Terms

Child
Epiphyses
Finger Injuries
Fingers
Fractures, Malunited
Hand
Humans
Male
Reference Values
Tendon Entrapment
Tendons
Trigger Finger Disorder