Marked Resorption of the Thumb Proximal Phalanx Following Open Reduction and K-Wire Fixation of a Phalangeal Neck Fracture in a Child: Case Report

2015 ◽  
Vol 40 (4) ◽  
pp. 688-691
Author(s):  
Mohammad M. Al-Qattan
Keyword(s):  
Case Report ◽  
Open Reduction ◽  
Proximal Phalanx ◽  
Wire Fixation ◽  
Neck Fracture

NON-UNION OF ISOLATED RADIAL NECK FRACTURE USING A BONE GRAFT AND TEMPORARY K-WIRE FIXATION: A CASE REPORT

Hand Surgery ◽  
2013 ◽  
Vol 18 (03) ◽  
pp. 389-392 ◽  
Author(s):  
Soo-Min Cha ◽  
Hyun-Dae Shin ◽  
Kyung-Cheon Kim ◽  
Jae-Hwang Song
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
Elbow Joint ◽  
External Rotation ◽  
Non Union ◽  
Radial Neck Fracture ◽  
Radial Neck ◽  
Iliac Bone Graft ◽  
Wire Fixation ◽  
Neck Fracture

Introduction: Non-union of radial neck fractures is not common in adults, and surgical treatment is rarely required. This case report documents non-union of the radial neck with persistent pain around the elbow joint and tenderness over the neck of the radius, limited range of motion for 12 months. The authors performed an iliac bone graft and temporary K-wire fixation for non-union of the radial neck after an isolated radial neck fracture. Case presentation: A 54-year-old woman slipped with her hand outstretched 12 months prior to presentation. She was diagnosed with a radial neck fracture, but her injury was eventually diagnosed as a non-union fracture, and she was transferred to our hospital. The patient had tenderness of the radial head and neck and an increasing tendency of pain in the forearm during external rotation with resistance. Flexion was a maximum of 80°, extension was limited to 20°, and internal rotation and external rotation were decreased to 60°. On plain radiographs, a clear radiolucent shadow was present between the bone fragment and radius. After the autogenous iliac bone graft, a temporary K-wire was fixed, and at eight weeks postoperatively, the bone was united. The patient is in the month 24 of postoperative follow-up and is able to perform daily activities without tenderness. Conclusion: If elbow joint pain, tenderness, and limitation of range of motion are present in non-union of radial neck fracture, surgical treatment is necessary. If there is no injury to the ligament around the elbow or instability, the authors consider bone graft and temporary K-wire fixation as an excellent treatment option for bony union and early exercise of the joint.

Open Reduction and Cerclage Wire Fixation for Long Oblique/Spiral Fractures of the Proximal Phalanx of the Fingers

2008 ◽  
Vol 33 (2) ◽  
pp. 170-173 ◽  
Author(s):  
M. M. AL-QATTAN ◽  
K. AL-ZAHRANI
Keyword(s):  
Open Reduction ◽  
Full Range ◽  
Proximal Phalanx ◽  
Pain Syndrome ◽  
Flexion Contracture ◽  
Proximal Interphalangeal Joint ◽  
Active Motion ◽  
Cerclage Wire ◽  
Wire Fixation ◽  
Total Active Motion

Fifteen cases of long oblique/spiral fractures of the shaft of the proximal phalanx of the fingers treated by open reduction, cerclage wire fixation and immediate postoperative mobilisation were studied prospectively. Twelve patients presented early (within 24 hour of injury) and the remaining three cases were treated initially elsewhere by closed reduction and percutaneous oblique K-wire fixation with failure of the fixation. The latter three patients presented to our clinic late (10–14 days after injury). Following internal fixation with cerclage wires, no cases of infection, complex regional pain syndrome (CRPS) Type 1, fracture re-displacement, wire migration or extrusion were noted. One patient complained of a palpable wire which was removed 4 months after surgery. All fractures united and all patients returned to work at a mean of 8 (range 7–11) weeks after surgery. Twelve patients obtained a full range of motion (total active motion–TAM = 260°) and the remaining three patients had a mild (5–15°) flexion contracture of the proximal interphalangeal joint. Cerclage wire fixation is an acceptable technique of fixation for these fractures.

scholarly journals Neglected Neck of Femur Fracture Managed by Surgical Hip Dislocation: A Case Report and Literature Review

2021 ◽  
Vol 11 (5) ◽  
Author(s):  
Mohammed S Alshehri ◽  
Mohammed A Alzahrani ◽  
Abdullah A Ghaddaf ◽  
Mohammed S Alomari
Keyword(s):  
Young Adults ◽  
Case Report ◽  
Femoral Neck ◽  
Internal Fixation ◽  
Open Reduction ◽  
Military Training ◽  
Hip Dislocation ◽  
Surgical Hip Dislocation ◽  
Neck Of Femur ◽  
Neck Fracture

Introduction: Femoral neck fractures (FNFs) in young adults are relatively uncommon emergency that requires early diagnosis and management possible to prevents joint complications. Case Report: A 24-year-old male presented with a right hip pain for 3 months after a heavy physical exercise during military training. The imaging exhibited a transcervical FNF with displacement and a potential of avascular necrosis (AVN). The patient was managed by Open reduction and internal fixation through surgical hip dislocation (SHD) and bone grafting from the right iliac bone. The patient returned to his full military services 14 weeks following the surgery and was followed for 3 years without any symptomatic or functional problems. Conclusion: SHD could be one of the surgical options hired in the management of late presentations of FNFs in young adults with high suspicion of AVN. Keywords: Femoral neck fracture, open reduction and internal fixation, surgical hip dislocation.

EXTENSOR CARPI RADIALIS LONGUS AVULSION: A LITERATURE REVIEW AND CASE REPORT

Hand Surgery ◽  
2008 ◽  
Vol 13 (03) ◽  
pp. 187-192 ◽  
Author(s):  
D. Clark ◽  
R. Amirfeyz ◽  
P. McCann ◽  
R. Bhatia
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Internal Fixation ◽  
Open Reduction ◽  
Early Mobilisation ◽  
Rare Injury ◽  
Wrist Extensor ◽  
Wire Fixation ◽  
Wrist Function ◽  
Extensor Carpi Radialis

Extensor Carpi Radialis Longus (ECRL) avulsion is a rare injury which follows resisted wrist hyperflexion. Treatment of this condition with open reduction and internal fixation is not previously described in the literature, and treatment with plaster immobilisation or k-wire fixation requires a prolonged period of immobilisation. We believe that open reduction and internal fixation of these fractures with early mobilisation will result in the best possible wrist function. We describe a sign to raise the index of suspicion for this injury: a palpable bone lump on the dorsum of the hand in the presence of wrist extensor pain or weakness after wrist hyperflexion injury is a sign of wrist extensor avulsion.

Nonunion Following Subcapital (Neck) Fractures of the Proximal Phalanx of the Thumb in Children

1999 ◽  
Vol 24 (6) ◽  
pp. 693-698 ◽  
Author(s):  
M. M. AL-QATTAN ◽  
E. CARDOSO ◽  
J. HASSANAIN ◽  
M. B. HAWARY ◽  
N. NANDAGOPAL ◽  
...  
Keyword(s):  
Closed Reduction ◽  
Open Reduction ◽  
Proximal Phalanx ◽  
Bone Grafts ◽  
Limited Range ◽  
Interphalangeal Joint ◽  
Mechanism Of Injury ◽  
Fractures In Children ◽  
Wire Fixation

Six cases of nonunion of subcapital (neck) fractures of the proximal phalanx of the thumb in children were seen over a period of 5 years. Ages at the time of injury ranged between 2 and 3 years. Entrapment of the thumb in a closing door was the mechanism of injury in all cases. All fractures were closed and were significantly displaced. Immediate management was by closed reduction and splinting in four cases, closed reduction and K-wire fixation in one case and no treatment in one case, which was later treated by delayed open reduction and K-wire fixation. Only two of the six ununited fractures were eventually treated with bone grafts and both fractures united resulting in a stable thumb but with a limited range of flexion of the interphalangeal joint. Factors that may increase the risk of nonunion of these fractures in children are discussed.

scholarly journals Late Presenting Pediatric Radial Neck Fracture: A Case Report and Review of the Literature

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Kaya Turan ◽  
Cenk Köroglu ◽  
Haluk Çabuk
Keyword(s):  
Case Report ◽  
Radial Head ◽  
Open Reduction ◽  
Full Range ◽  
Vascular Supply ◽  
Complete Healing ◽  
Radial Neck Fracture ◽  
Radial Neck ◽  
Epiphyseal Injury ◽  
Neck Fracture

Introduction: A pediatric radial neck fracture, when the diagnosis is delayed, is still a challenging problem for the treating orthopedic surgeon. We report a pediatric patient with late presenting radial neck fracture and results of open reduction and fixation with Kirschner wires. Case Report: A 13-year-old right-handed girl fell on an out-stretched right arm after being tackled during playing basketball and had a radial neck fracture. However, the diagnosis of her fracture was delayed for 3 weeks. At the first radiologic examination, the anteroposterior and lateral radiographs were showing over 80 degrees of angulation at the radial neck and subluxation of the radiocapitellar joint. We tried to obtain a closed reduction, but we could not succeed. Then, we performed open reduction while preserving medial periosteal continuity and vascular supply of the radial head by meticulous surgical dissection. Sixth-month radiography control and clinical examination confirmed the complete healing of the fracture without any epiphyseal injury. Painless full range of motion without any restriction of pronation and supination was achieved. The patient and her parents were satisfied with the outcome. Conclusions: Even if the diagnosis of pediatric radial fractures is delayed if we can preserve medial periosteal continuity and vascularity of the radial head with open reduction, satisfactory results are obtainable. Keywords: Pediatric, radial neck fracture, open reduction, late diagnosis.

scholarly journals A Case Report of Comminuted Mandibular Fracture with Condylar Neck Fracture

2019 ◽  
pp. 7-10
Author(s):  
Dr. Kavita Wadde ◽  
Dr. Nazmul Alam ◽  
Dr. Ashwini Chapane ◽  
Dr. Sandip Rathod
Keyword(s):  
Case Report ◽  
Internal Fixation ◽  
Open Reduction ◽  
Mandibular Fracture ◽  
Treatment Modalities ◽  
Mandibular Fractures ◽  
Pin Fixation ◽  
Short Period ◽  
Neck Fracture ◽  
Condylar Neck Fracture

The fracture of the comminuted type has a prevalence of 30 to 50 % when related to the affecting mandibular bone. They are characterized by the presence of multiple bone involving several lines of fracture, resulting in small fragments within the same area. Treatment modalities for the management of comminuted mandibular fractures include closed reduction, external pin fixation, internal wire fixation, and open reduction and internal fixation using miniplates, titanium mesh tray and screws. The following case report highlights open reduction and internal fixation of a comminuted mandibular fracture in a 24-year-old male patient. The patient treated with open reduction and with a reconstruction plate followed by a short period of maxillomandibular fixation.

Combined Reverse Perilunate and Axial–Ulnar Dislocation of the Wrist: A Case Report

2008 ◽  
Vol 33 (5) ◽  
pp. 672-676 ◽  
Author(s):  
A. CHIN ◽  
M. GARCIA-ELIAS
Keyword(s):  
Case Report ◽  
Open Reduction ◽  
Functional Results ◽  
Wire Fixation

A 31 year-old professional motorcycle racer had an accident, resulting in an axial–ulnar dislocation of his right dominant wrist with derangement of the trapeziocapitate joint and dorsal dislocation of the capitate together with the triquetrum, the hamate and the corresponding metacarpals. Open reduction and wire fixation obtained excellent functional results at 1 year. This pattern of carpal derangement has not been previously described in the literature.

scholarly journals Irreducible Dislocation of Great Toe Interphalangeal Joint by an Accessory Sesamoid Bone: A Case Report and Review of Literature

2016 ◽  
Vol 3 (1) ◽  
pp. 56-58
Author(s):  
S Rajasekaran ◽  
Sundararajan Silvampatti
Keyword(s):  
Case Report ◽  
Open Reduction ◽  
Proximal Phalanx ◽  
Interphalangeal Joint ◽  
Asia Pacific ◽  
Volar Plate ◽  
Review Of Literature ◽  
Great Toe ◽  
Sesamoid Bone ◽  
Dorsal Aspect

ABSTRACT Irreducible dislocation of interphalangeal joint is a rare condition with only a few case reports in literature. Here, we report a case with irreducible dislocation of interphalangeal joint due to sesamoid bone interposition, which required open reduction. A 45-year-old male had a fall from height with irreducible dislocation of interphalangeal joint of great toe. Intraoperatively, the interposition of sesamoid bone over the dorsal aspect of proximal phalanx was identified. Displaced volar plate with sesamoid bone was reduced into the position, and the joint was stabilized with k wire. On follow-up, we observed that the patient had no discomfort or pain for 6 months. The displacement of sesamoid bone with volar plate and intact collateral ligaments locks the joint in extension and obstructs the reduction of interphalangeal joint dislocation. One should have the suspicion of possibility of open reduction after observing the interposition of sesamoid bone over the dorsal aspect of the proximal phalanx. Dorsal approach is usually advocated; medial approach can be used if there is wound over the plantar aspect. How to cite this article Silvampatti S, Rajasekaran S. Irreducible Dislocation of Great Toe Interphalangeal Joint by an Accessory Sesamoid Bone: A Case Report and Review of Literature. J Foot Ankle Surg (Asia-Pacific) 2016;3(1):56-58.

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