000 02896na a2200265 4500
003 PC8568
005 20180417112751.0
008 130622s2013
040 _cH12O
041 _aeng
100 _9877
_aRodríguez Vega, Víctor
_eCirugía Ortopédica y Traumatología
100 _9878
_aPretell Mazzini, Juan
_eCirugía Ortopédica y Traumatología
100 _9879
_aMarti Ciruelos, Rafael
_eOrtopedia y Traumatología
100 _aJorge Mora, Alberto
_9880
_eOrtopedia y Traumatología
100 _9881
_aCurto de la Mano, Ángel
_eCirugía Ortopédica y Traumatología
245 0 0 _aSimultaneous juxta-epiphyseal proximal phalanx fracture with flexor tendon entrapment in a child: a case report and review of literature
_h[artículo]
260 _bJournal of Pediatric Orthopedics. Part B,
_c2013.
300 _a22(2):148-152.
500 _aFormato Vancouver: Rodríguez Vega V, Pretell Mazzini J, Marti Ciruelos R, Jorge Mora A, Curto de la Mano A. Simultaneous juxta-epiphyseal proximal phalanx fracture with flexor tendon entrapment in a child: a case report and review of literature. J Pediatr Orthop B. 2013;22(2):148-52.
504 _aContiene 12 referencias, 5 figuras y 1 tabla.
520 _aResumen: Juxta-epiphyseal/Salter-Harris fractures are the most common hand fractures in children and the proximal phalanx is involved in most cases. In the absence of soft-tissue interposition, these growth plate injuries are simple to reduce and are stable. However, in some cases, flexor tendon entrapment could be present. We report on an 11-year-old girl who sustained a fall onto her outstretched hand with subsequent injuries in her long, ring, and small fingers. Plain radiographs showed a severely displaced juxta-epiphyseal proximal phalanx fracture in her ring finger associated with mildly displaced juxta-epiphyseal proximal phalanx fractures of the long and small fingers. Fracture reduction could not be achieved after a closed reduction attempt. An open reduction and stabilization using Kirschner wires was performed in the fourth and fifth fingers, because of entrapment of the flexor digitorum profundus tendon. Excellent functional as well as radiological outcomes were achieved. These types of injuries are very uncommon and a high index of suspicion on the basis of clinical as well as radiological findings is needed to make an early diagnosis and for adequate treatment. Multiple proximal phalangeal fractures could be associated with the simultaneous entrapment of flexor tendons in different fingers as in our case; this is important to keep in mind as it is useful when planning the definitive surgical treatment and doing so will have a positive impact on the final functional as well as radiological outcomes.
710 _9371
_aServicio de Cirugía Ortopédica y Traumatología
856 _uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/8/pc8568.pdf
_ySolicitar documento
942 _2ddc
_cART
_n0
999 _c8568
_d8568