[Avulsion fracture of the distal phalanx caused by the deep finger flexor tendon--case report].
A fairly uncommon case of avulsion fracture of the distal phalanx caused by the deep finger flexor tendon is presented. The mechanism of injury usually involves a forceful grasp with the fingers accompanied with sudden hyperextension of the finger by an opposing force. It usually occurs in athletes. In the presented case the patient sustained after slipping in the bathroom and strongly grasping the tub. Surgical treatment included anatomic reduction and stable fixation of the fracture with a cortical screw, along with insertion of the tendon. Seven weeks post surgery consolidation of the fracture and full active ROM was achieved. A review of the literature concerning the mechanism, classification and treatment of such injuries is also presented.
Szlarb
Paweł
P
Klinika Chirurgii Ogólnej i Chirurgii Reki, Pomorska Akademia Medyczna w Szczecinie.
Zyluk
Andrzej
A
D000058:Accidental Falls; D001863:Bone Screws; D005383:Finger Injuries / Q000209:etiology* / Q000601:surgery; D005384:Finger Joint / Q000503:physiopathology; D005592:Fracture Fixation / Q000379:methods; D050723:Fractures, Bone / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D016059:Range of Motion, Articular; D013708:Tendon Injuries; D013710:Tendons / Q000601:surgery