A report of two cases of volar and dorsal fractures of the middle phalanx caused by a basketball.
We present two rare cases of volar and dorsal fractures of the middle phalanx at the proximal interphalangeal joint (PIPJ). The first case was a 16-year-old girl. She hurt her middle finger while playing basketball. A lateral radiograph revealed volar and dorsal fractures of the middle phalanx. She underwent external immobilization of the PIPJ in 30 degrees of flexion with a splint for 3 weeks. The fractures healed 7 weeks after the injury with neither tenderness nor limitation of range of motion. The second case was a 16-year-old boy. He injured his index finger while playing basketball, and underwent immobilization of the PIPJ for 3 weeks. At 10 weeks after the injury, the dorsal fracture was almost healed, but the displacement of the volar fragment had worsened. At a 3-year follow-up, the dorsal fragment was healed, but the volar fragment remained in a site of nonunion. However, there was neither residual deformity nor restriction of movement.
Department of Orthopaedic Surgery, Nippon Medical School Second Hospital, Japan.
Ryouichi
R
Murashige
Yoshihito
Y
Nakayama
Kaoru
K
Kobayashi
Shinji
S
Uesaka
Kouichi
K
Tanaka
Hiromoto
H
Ito
Takuya
T
Sawaizumi
Kiyoshi
K
Yoshihara
D000293:Adolescent; D001490:Basketball / Q000293:injuries*; D005260:Female; D005383:Finger Injuries / Q000000981:diagnostic imaging*; D050723:Fractures, Bone / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D011859:Radiography