Non-Union in a Fracture of the Shaft of the Distal Phalanx

HAND ◽  
1982 ◽  
Vol os-14 (1) ◽  
pp. 85-88 ◽  
Author(s):  
L. Read

Fracture of the shaft of the distal phalanx is less common than more distal fractures involving the tuft: non-union in such a fracture is even more unusual. A case is described in which troublesome non-union of the shaft of the distal phalanx of the middle finger was successfully treated by open reduction and Kirschner wire fixation. The type of fracture and its treatment is discussed: it is emphasised that the principles applied to shaft fractures of the middle and proximal phalanges also apply to the distal phalanx.

2020 ◽  
Vol 9 (1) ◽  
pp. 30
Author(s):  
ChandrashekharMartand Badole ◽  
H Lalrinchhana ◽  
GirishBalasaheb Mote

2015 ◽  
Vol 16 (1) ◽  
pp. 51-54
Author(s):  
Bekir Eray Kilinc ◽  
Adnan Kara ◽  
Mehmet Mesut Sonmez ◽  
Yunus Oc ◽  
Savas Camur

ABSTRACTTrapezium fractures and dislocations of the trapezium are both extremely rare injuries whether they occured with or without fractures of the surrounding bones. Specific radiological images can be difficult to help for the diagnosis. CT scan may be necessary for the diagnosis and adequate treatment. We are presenting an unusual case of volar and radial isolated trapezium dislocation concomitant second metacarpal basis fracture in which is treated by using open reduction and Kirschner wire fixation. In our case, isolated dislocation of trapezium was a result of violent and direct trauma. Different techniques have been proposed to achieve a stable fixation and the treatment outcomes. In our case, open reduction, Kirschner wire fixation and intercarpal ligament repair through dorsal approach are recommended for satisfactory outcomes in similiar cases.


2017 ◽  
Vol 45 (1) ◽  
pp. 65-71 ◽  
Author(s):  
E. M. van Bussel ◽  
R. M. Houwert ◽  
T. J. M. Kootstra ◽  
M. van Heijl ◽  
D. Van der Velde ◽  
...  

2013 ◽  
Vol 103 (3) ◽  
pp. 246-249 ◽  
Author(s):  
Robert C. Andersen ◽  
Katherine Neiderer ◽  
Billy Martin ◽  
James Dancho

Body fractures of the tarsal navicular are relatively uncommon. To date, there is little literature discussing a navicular body fracture with dorsal subluxation of the first and second cuneiforms over the navicular. This case study presents a 30-year-old patient with this injury. He underwent open reduction internal fixation of the navicular body fracture successfully but failed adequate reduction of the navicular cuneiform joint after ligamentous reconstruction. After revisional surgery, he also failed 6 weeks of percutanous pinning with Kirschner-wire fixation. When comparing the literature of a similar injury, the Lisfranc fracture disclocation, the same principles may apply. One should consider rigid open reduction internal fixation or even primary fusion to treat disclocation of the naviculocuneiform joint following a navicular body fracture. (J Am Podiatr Med Assoc 103(3): 246–249, 2013)


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