Flexor Tendon Entrapment of the Index Finger After Monteggia Fracture in a Pediatric Patient.
conservative therapy
dynamic tenodesis effect
entrapment of FDP
forearm fracture
pediatric fracture
rehabilitation
Journal
Orthopedic research and reviews
ISSN: 1179-1462
Titre abrégé: Orthop Res Rev
Pays: New Zealand
ID NLM: 101531415
Informations de publication
Date de publication:
2020
2020
Historique:
received:
28
09
2020
accepted:
24
11
2020
entrez:
28
12
2020
pubmed:
29
12
2020
medline:
29
12
2020
Statut:
epublish
Résumé
The present case report describes a pediatric patient who presented with flexor digitorum profundus (FDP) entrapment after a forearm fracture. The patient was diagnosed with a Bado type I Monteggia fracture. The fracture was reduced using closed reduction under fluoroscopy followed by Kirschner's wire fixation. This case is unique because the FDP was found entrapped in the fracture site 2 weeks post-operation and was managed using conservative therapy. FDP entrapment is typically managed by surgical intervention, and there have been no previous reports of conservative management. The FDP was released using passive extension of the index finger under general anesthesia, and no irreversible damage to the tendon or muscle was found. This case report demonstrates the potential for conservative therapy in the management of FDP entrapment after forearm fractures.
Identifiants
pubmed: 33364860
doi: 10.2147/ORR.S284278
pii: 284278
pmc: PMC7751315
doi:
Types de publication
Case Reports
Langues
eng
Pagination
189-193Informations de copyright
© 2020 Toga et al.
Déclaration de conflit d'intérêts
The authors declare no potential conflicts of interest.
Références
Acta Orthop Belg. 2007 Dec;73(6):780-4
pubmed: 18260494
Acta Orthop Scand. 2004 Aug;75(4):503-4
pubmed: 15370599
J Hand Surg Am. 1992 Jul;17(4):691-3
pubmed: 1629550
J Pediatr Orthop. 1998 Jul-Aug;18(4):437-40
pubmed: 9661847
J Clin Ultrasound. 2008 Jul-Aug;36(6):371-3
pubmed: 18366091
J Surg Case Rep. 2014 May 15;2014(5):
pubmed: 24876509
Iowa Orthop J. 1999;19:127-8
pubmed: 10847527