Document Detail


Malunion of fractures of the proximal phalangeal neck in children.
MedLine Citation:
PMID:  20158424     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report three cases of malunion after fractures of the proximal phalangeal neck in children. A 12-year-old boy and a 7-year-old girl had malunited fractures with dorsal and ulnar deviation of their fingers. Several years later remodeling had been achieved well for dorsal deviation but little for the ulnar deviation in each case. A 10-year-old boy had a similar malunited fracture with dorsal and ulnar deviation of his finger. The proximal bony spike, which protruded to the volar side, collided with the middle phalanx during flexion of the proximal interphalangeal (PIP) joint, so we shaved it. One year after operation, flexion of the PIP joint had improved. In cases of these malunited fractures in children, remodeling is considered possible for dorsal deviation but difficult for ulnar deviation. Surgical shaving of the protruding bone should be considered.
Authors:
Kaoru Tada; Kazuo Ikeda; Katsuro Tomita
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Scandinavian journal of plastic and reconstructive surgery and hand surgery / Nordisk plastikkirurgisk forening [and] Nordisk klubb for handkirurgi     Volume:  44     ISSN:  1651-2073     ISO Abbreviation:  Scand J Plast Reconstr Surg Hand Surg     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-04-06     Completed Date:  2010-07-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8707869     Medline TA:  Scand J Plast Reconstr Surg Hand Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  69-71     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, School of Medicine, Kanazawa University, Takaramachi, Kanazawa, Japan. tdkr@med.kanazawa-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Child
Female
Finger Phalanges / injuries*,  radiography,  surgery*
Fractures, Malunited / radiography,  surgery*
Hand Deformities, Acquired / etiology*,  radiography,  surgery*
Humans
Male
Range of Motion, Articular

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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