Displaced Epiphyseal Plate of the Terminal Phalanx in a Child

HAND ◽  
1980 ◽  
Vol os-12 (1) ◽  
pp. 51-53 ◽  
Author(s):  
E. Michelinakis ◽  
H. Vourexaki
Keyword(s):  
Open Reduction ◽  
Extensor Tendon ◽  
Normal Growth ◽  
Epiphyseal Plate ◽  
Mallet Finger

A case of mallet finger in a child is described. The epiphysis of the terminal phalanx was displaced dorsally with the extensor tendon attached to it, and was first diagnosed two weeks after injury. The treatment was by open reduction. Radiograph three years later showed that a satisfactory position of the epiphysis and normal growth of the terminal phalanx had occurred.

scholarly journals Comparison Between Y- and S-Shaped Incisions for Open Reduction and Hook-Plate Fixation of the Mallet Finger

2017 ◽  
Vol 5 (2) ◽  
pp. 68-73
Author(s):  
Gokcer UZER ◽  
Fatih YILDIZ ◽  
Mehmet KAPICIOGLU ◽  
Mehmet ELMADAG ◽  
Deniz KARA ◽  
...  
Keyword(s):  
Open Reduction ◽  
Plate Fixation ◽  
Hook Plate ◽  
Mallet Finger

NEGLECTED VOLAR DISLOCATIONS OF THE INTERPHALANGEAL JOINT

Hand Surgery ◽  
2004 ◽  
Vol 09 (01) ◽  
pp. 71-75 ◽  
Author(s):  
N. V. Deshmukh ◽  
S. V. Sonanis ◽  
J. Stothard
Keyword(s):  
Open Reduction ◽  
Extensor Tendon ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Tendon Entrapment ◽  
Prompt Diagnosis

Volar dislocations of the proximal interphalangeal joint, if missed, with extensor tendon entrapment will lead to permanent impairment. Prompt diagnosis followed by open reduction and aggressive rehabilitation is necessary.

Distal phalanx fracture in adults: Seymour-type fracture

2013 ◽  
Vol 39 (3) ◽  
pp. 237-241 ◽  
Author(s):  
M. Ugurlar ◽  
G. Saka ◽  
N. Saglam ◽  
A. Milcan ◽  
T. Kurtulmus ◽  
...  
Keyword(s):  
Closed Reduction ◽  
Open Fracture ◽  
Extensor Tendon ◽  
Distal Phalanx ◽  
Mallet Finger ◽  
Surgical Methods ◽  
Type Fracture ◽  
K Wires ◽  
Type Of Fracture ◽  
Metaphyseal Region

Seymour’s fracture is an extra-articular, transverse, physeal, and juxta-epiphyseal open fracture of the distal phalanx seen in childhood. In this study, we present 10 adult cases of fractures localized to the metaphyseal region, 1–2 mm distal to the insertion of the extensor tendon. Mean age was 38 years. Four patients were treated conservatively with a mallet finger splint. Closed reduction and osteosynthesis with Kirschner wires (K-wires) was performed in three of the patients. Three of the patients had open fractures in whom closed reduction could not be performed. They underwent open reduction and osteosynthesis with K-wires. We recommend that extra-articular distal phalanx fractures mimicking mallet finger in adults are called Seymour-type fracture to establish a common language among clinicians to define this type of fracture. These fractures generally occur by hyperflexion of the distal phalanx and can be treated by conservative or surgical methods. The outcomes of conservative and surgical management of Seymour-type fractures depend on the appropriate reduction as well as efficient physical therapy.

REVIEW ON MALLET FINGER TREATMENT

Hand Surgery ◽  
2012 ◽  
Vol 17 (03) ◽  
pp. 439-447 ◽  
Author(s):  
Jason Pui Yin Cheung ◽  
Boris Fung ◽  
Wing Yuk Ip
Keyword(s):  
Avulsion Fracture ◽  
Articular Surface ◽  
Extensor Tendon ◽  
Distal Phalanx ◽  
Mallet Finger ◽  
Distal Interphalangeal Joint ◽  
Dorsal Aspect ◽  
Surgical Fixation ◽  
Distal Interphalangeal ◽  
Open Injuries

Mallet finger is a common injury involving either an extensor tendon rupture at its insertion or an avulsion fracture involving the insertion of the terminal extensor tendon. It is usually caused by a forceful blow to the tip of the finger causing sudden flexion or a hyperextension injury. Fracture at the dorsal aspect of the base of the distal phalanx is commonly associated with palmar subluxation of the distal phalanx. Most mallet finger injuries are recommended to be treated with immobilisation of the distal interphalangeal joint in extension by splints. There is no consensus on the type of splint and the duration of use. Most studies have shown comparable results with different splints. Surgical fixation is still indicated in certain conditions such as open injuries, avulsion fracture involving at least one third of the articular surface with or without palmar subluxation of the distal phalanx and also failed splinting treatment.

scholarly journals Bony mallet finger without epiphyseal plate injury in childhood

2015 ◽  
Vol 14 ◽  
pp. 172-174 ◽  
Author(s):  
Cheolsun Han ◽  
Kiyohito Naito ◽  
Yoichi Sugiyama ◽  
Osamu Obayashi ◽  
Kazuo Kaneko
Keyword(s):  
Epiphyseal Plate ◽  
Mallet Finger

scholarly journals Near-Complete Traumatic Amputation of the Forefoot After Motorboat Propeller Injury

2019 ◽  
Vol 4 (1) ◽  
pp. 247301141882227
Author(s):  
Julia S. Retzky ◽  
Casey Jo Humbyrd
Keyword(s):  
Antibiotic Prophylaxis ◽  
Open Reduction ◽  
Tendon Repair ◽  
Extensor Tendon ◽  
Foot And Ankle ◽  
Percutaneous Pinning ◽  
Traumatic Amputation ◽  
Extended Course

We report a case of a near-complete amputation of the forefoot of a 20-year-old man as a result of a motorboat propeller injury sustained in a saltwater river. He was treated with open reduction, percutaneous pinning, extensor tendon repair, and an extended course of antibiotic prophylaxis. We review the literature regarding motorboat propeller injuries to the foot and ankle.

Fowler’s Tenotomy for Mallet Deformity

1993 ◽  
Vol 18 (4) ◽  
pp. 499-500 ◽  
Author(s):  
P. HOUPT ◽  
R. DIJKSTRA ◽  
J. B. STORM VAN LEEUWEN
Keyword(s):  
Extensor Tendon ◽  
Mallet Finger ◽  
Residual Deformity ◽  
Full Extension ◽  
The Mean

35 patients with established mallet finger deformities were treated with Fowler’s tenotomy of the central extensor tendon. The mean lack of extension before operation was 45° 26 patients regained full extension, eight patients had a residual deformity of 10–20° and one patient of 30°

Open reduction and plate fixation of dorsally displaced fractures of the distal radius: surgical technique, clinical and radiological outcome

2009 ◽  
Vol 35 (1) ◽  
pp. 56-60 ◽  
Author(s):  
T. E. J. Hems ◽  
B. Rooney
Keyword(s):  
Distal Radius ◽  
Open Reduction ◽  
Articular Surface ◽  
Plate Fixation ◽  
Young Patients ◽  
Extensor Tendon ◽  
Articular Fractures ◽  
Clinical And Radiological Outcome ◽  
Evaluation Measure

Thirty-five unstable dorsally displaced fractures of the distal radius in 34 patients (mean age 39) were studied; 28 fractures were intra-articular. All fractures had open reduction and fixation, through a dorsal approach, with mini-fragment plates placed between the first and second dorsal tendon compartments and deep to the fourth compartment. A congruous reduction of the articular surface was obtained in all cases. Twenty-four patients were available for follow-up (median 38 months). The Modified Mayo wrist score was excellent in 12 cases, good in four, and fair in eight. The median Patient Evaluation Measure score was 23.5. There were no cases of extensor tendon rupture. Radiographic assessment at follow-up showed a mean palmar angle of 6°. There was evidence of osteoarthritis in six patients who had had intra-articular fractures. Open reduction and plating gives satisfactory medium term results for treatment of displaced intra-articular fractures of the distal radius in young patients.

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