KMID : 0621520090140020089
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Journal of the Korean Society for Surgery of the Hand 2009 Volume.14 No. 2 p.89 ~ p.91
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Flexor Tendon Entrapment at the Malunited Base Fracture of the Proximal Phalanx of the Finger in Child - A Case Report -
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Lee Young-Keun
Nam Hyun-Jae Ahn Hee-Chan Cheon Ho-Jun Woo Sang-Hyun
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Abstract
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The proximal phalangeal base is the most commonly fractured hand bone in children. Such fractures are rarely reported to be irreducible as a consequence of flexor tendon entrapment. A 12-year-old male sustained a malunited base fracture of the proximal phalanx of the small finger on the right hand and was unable to flex the finger. 6 weeks ago he was treated with closed reduction and percutaneous K-wire fixation, at another hospital. In a subsequent operation, it was found that the flexor tendon was entrapped at the fracture site. Flexor tenolysis and realignment of the fracture and internal fixation with K-wires were performed. The patient could perform his work without discomfort in his hand and a normal range of motion was possible in the small finger 12 months after the operation.
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KEYWORD
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Epiphyses, Finger injury, Malunited Fracture, Tendon entrapment
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