Proximal phalangeal fracture after tendon pulley reconstruction.
A case is presented in which an A2 pulley reconstruction was done, encircling a previously fractured, multiply-operated proximal phalanx. Bone resorption occurred directly under the pulley, and the bone then fractured. It is postulated that the cumulative effect of these operations on the blood supply to the bone and abnormal pressure forces led to resorption of bone and subsequent fracture.
Sanger
J R
JR
Department of Plastic and Reconstructive Surgery, Medical College of Wisconsin, Milwaukee.
Buebendorf
N D
ND
Matloub
H S
HS
Yousif
N J
NJ
D001862:Bone Resorption; D001842:Bone and Bones / Q000098:blood supply; D005205:Fascia / Q000503:physiopathology; D000071938:Fasciotomy; D005260:Female; D005383:Finger Injuries / Q000503:physiopathology / Q000601:surgery*; D005598:Fractures, Spontaneous / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000503:physiopathology; D011312:Pressure; D012008:Recurrence; D013708:Tendon Injuries / Q000601:surgery*