Digital Physeal Arrest Following Dactylitis in a Child.
Dactylitis
growth arrest
orthopedics
pediatric orthopedics
premature growth arrest
rheumatology
Journal
Journal of orthopaedic case reports
ISSN: 2250-0685
Titre abrégé: J Orthop Case Rep
Pays: India
ID NLM: 101641392
Informations de publication
Date de publication:
Oct 2023
Oct 2023
Historique:
received:
14
07
2023
revised:
05
08
2023
medline:
27
10
2023
pubmed:
27
10
2023
entrez:
27
10
2023
Statut:
ppublish
Résumé
Following trauma, premature growth arrest is a common outcome when the injury affects the pediatric growth plate. Dactylitis describes global inflammation affecting one or more digits in the hand or foot. It occurs in various seronegative arthropathies and septic arthritis. Physeal fusion following dactylitis is uncommon and is not described in the current literature. We report the case of a 12-year-old boy, whose minor non-penetrating injury resulted in circumferential edema of his left third upper limb digit, typical of dactylitis. No evidence of infection was found during clinical examination or blood work. Significant stiffness of the digit remained over the course of a few months with spontaneous resolution following functional hand therapy. The child presented to pediatric orthopedics with cessation of longitudinal growth. Evidence of premature physeal fusion of the involved phalanges was confirmed on radiographs. Growth arrest following dactylitis has not previously been reported. Clinicians managing this condition should be aware of this rare complication. We recommend that inflammation is treated promptly, and patients are monitored clinically and radiologically to address any potential functional deficit.
Identifiants
pubmed: 37885628
doi: 10.13107/jocr.2023.v13.i10.3966
pii: JOCR-13-137
pmc: PMC10599377
doi:
Types de publication
Case Reports
Langues
eng
Pagination
137-140Informations de copyright
Copyright: © Indian Orthopaedic Research Group.
Déclaration de conflit d'intérêts
Conflict of Interest: Nil
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