Irreducible Phalangeal Fractures Due to Incarceration into the Extensor Tendon Apparatus – A Report of Two Patients

Author:

KRISHNA Sathya Vamsi1,GIRISH Akshay Bailahalli2,REDAPPA Jainath3,HOSAHALLI Chandrashekar2

Affiliation:

1. Department of Hand Surgery, Sanjay Gandhi Institute of Orthopaedics and Trauma, Byrasandra, Jayanagar, Bangalore, India

2. Department of Orthopaedics Surgery, Sanjay Gandhi Institute of Orthopaedics and Trauma, Byrasandra, Jayanagar, Bangalore, India

3. Department of Plastic Surgery, Sanjay Gandhi Institute of Orthopaedics and Trauma, Byrasandra, Jayanagar, Bangalore, India

Abstract

Irreducible phalangeal fractures are uncommon, and if neglected can cause fracture non-union or functional deficits of the affected digit. We present two patients with irreducible phalangeal fractures – one in a child with a juxta-epiphyseal middle phalanx fracture incarcerated into the triangular ligament of the extensor apparatus and another in an adult following incarceration of a fractured proximal phalanx into the common intrinsic tendon on the radial side. Both required open reduction to extricate the incarcerated fracture ends, achieving good union and excellent functional outcomes. Level of Evidence: Level V (Therapeutic)

Publisher

World Scientific Pub Co Pte Ltd

Subject

General Medicine

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