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Flexor Tendon Entrapment of the Index Finger After Monteggia Fracture in a Pediatric Patient
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 wi...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7751315/ https://www.ncbi.nlm.nih.gov/pubmed/33364860 http://dx.doi.org/10.2147/ORR.S284278 |
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author | Toga, Akira Balaji, Ayush Matsumoto, Taisuke Fujimaru, Atsuki Murakami, Hideaki Katoh, Shojiro |
author_facet | Toga, Akira Balaji, Ayush Matsumoto, Taisuke Fujimaru, Atsuki Murakami, Hideaki Katoh, Shojiro |
author_sort | Toga, Akira |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-7751315 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-77513152020-12-22 Flexor Tendon Entrapment of the Index Finger After Monteggia Fracture in a Pediatric Patient Toga, Akira Balaji, Ayush Matsumoto, Taisuke Fujimaru, Atsuki Murakami, Hideaki Katoh, Shojiro Orthop Res Rev Case Report 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. Dove 2020-12-16 /pmc/articles/PMC7751315/ /pubmed/33364860 http://dx.doi.org/10.2147/ORR.S284278 Text en © 2020 Toga et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Case Report Toga, Akira Balaji, Ayush Matsumoto, Taisuke Fujimaru, Atsuki Murakami, Hideaki Katoh, Shojiro Flexor Tendon Entrapment of the Index Finger After Monteggia Fracture in a Pediatric Patient |
title | Flexor Tendon Entrapment of the Index Finger After Monteggia Fracture in a Pediatric Patient |
title_full | Flexor Tendon Entrapment of the Index Finger After Monteggia Fracture in a Pediatric Patient |
title_fullStr | Flexor Tendon Entrapment of the Index Finger After Monteggia Fracture in a Pediatric Patient |
title_full_unstemmed | Flexor Tendon Entrapment of the Index Finger After Monteggia Fracture in a Pediatric Patient |
title_short | Flexor Tendon Entrapment of the Index Finger After Monteggia Fracture in a Pediatric Patient |
title_sort | flexor tendon entrapment of the index finger after monteggia fracture in a pediatric patient |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7751315/ https://www.ncbi.nlm.nih.gov/pubmed/33364860 http://dx.doi.org/10.2147/ORR.S284278 |
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