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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...

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Autores principales: Toga, Akira, Balaji, Ayush, Matsumoto, Taisuke, Fujimaru, Atsuki, Murakami, Hideaki, Katoh, Shojiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2020
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.
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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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