Flexor tendon dysfunction due to a rare fracture of the proximal phalanx: A case report

Summary: Flexor tendon entrapment in fractures of the proximal phalanx is a rare occurrence. This complication has only been reported in association with displaced epiphyseal and diaphyseal fractures. Here we describe a case of an unusual proximal phalangeal fracture pattern with functional hindranc...

Full description

Bibliographic Details
Main Authors: Raghda Majeed, Waseemullah Khan, Adam Sierakowski
Format: Article
Language:English
Published: Elsevier 2021-03-01
Series:JPRAS Open
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352587820300474
_version_ 1819053408224542720
author Raghda Majeed
Waseemullah Khan
Adam Sierakowski
author_facet Raghda Majeed
Waseemullah Khan
Adam Sierakowski
author_sort Raghda Majeed
collection DOAJ
description Summary: Flexor tendon entrapment in fractures of the proximal phalanx is a rare occurrence. This complication has only been reported in association with displaced epiphyseal and diaphyseal fractures. Here we describe a case of an unusual proximal phalangeal fracture pattern with functional hindrance of the flexor mechanism. A 34-year-old man presented with an absent flexor digitorum superficialis (FDS) and flexor digitorum profundus (FDP) function of the ring finger 4 weeks after an injury. X-Ray Examination revealed a bony fragment on the radial volar aspect of the proximal phalanx. USS revealed an intact FDS and FDP tendons. Excision of the bony fragment with tenolysis led to restoration of function.
first_indexed 2024-12-21T12:35:15Z
format Article
id doaj.art-41e65506f3b74d60b4bb1916862cd4ec
institution Directory Open Access Journal
issn 2352-5878
language English
last_indexed 2024-12-21T12:35:15Z
publishDate 2021-03-01
publisher Elsevier
record_format Article
series JPRAS Open
spelling doaj.art-41e65506f3b74d60b4bb1916862cd4ec2022-12-21T19:03:56ZengElsevierJPRAS Open2352-58782021-03-01274447Flexor tendon dysfunction due to a rare fracture of the proximal phalanx: A case reportRaghda Majeed0Waseemullah Khan1Adam Sierakowski2Corresponding author.; St. Andrew's Centre for Plastic Surgery and Burns, Mid Essex Hospitals Trust, Broomfield Hospital, Chelmsford, United KingdomSt. Andrew's Centre for Plastic Surgery and Burns, Mid Essex Hospitals Trust, Broomfield Hospital, Chelmsford, United KingdomSt. Andrew's Centre for Plastic Surgery and Burns, Mid Essex Hospitals Trust, Broomfield Hospital, Chelmsford, United KingdomSummary: Flexor tendon entrapment in fractures of the proximal phalanx is a rare occurrence. This complication has only been reported in association with displaced epiphyseal and diaphyseal fractures. Here we describe a case of an unusual proximal phalangeal fracture pattern with functional hindrance of the flexor mechanism. A 34-year-old man presented with an absent flexor digitorum superficialis (FDS) and flexor digitorum profundus (FDP) function of the ring finger 4 weeks after an injury. X-Ray Examination revealed a bony fragment on the radial volar aspect of the proximal phalanx. USS revealed an intact FDS and FDP tendons. Excision of the bony fragment with tenolysis led to restoration of function.http://www.sciencedirect.com/science/article/pii/S2352587820300474Flexor tendonFractureProximal phalanxClosed injury
spellingShingle Raghda Majeed
Waseemullah Khan
Adam Sierakowski
Flexor tendon dysfunction due to a rare fracture of the proximal phalanx: A case report
JPRAS Open
Flexor tendon
Fracture
Proximal phalanx
Closed injury
title Flexor tendon dysfunction due to a rare fracture of the proximal phalanx: A case report
title_full Flexor tendon dysfunction due to a rare fracture of the proximal phalanx: A case report
title_fullStr Flexor tendon dysfunction due to a rare fracture of the proximal phalanx: A case report
title_full_unstemmed Flexor tendon dysfunction due to a rare fracture of the proximal phalanx: A case report
title_short Flexor tendon dysfunction due to a rare fracture of the proximal phalanx: A case report
title_sort flexor tendon dysfunction due to a rare fracture of the proximal phalanx a case report
topic Flexor tendon
Fracture
Proximal phalanx
Closed injury
url http://www.sciencedirect.com/science/article/pii/S2352587820300474
work_keys_str_mv AT raghdamajeed flexortendondysfunctionduetoararefractureoftheproximalphalanxacasereport
AT waseemullahkhan flexortendondysfunctionduetoararefractureoftheproximalphalanxacasereport
AT adamsierakowski flexortendondysfunctionduetoararefractureoftheproximalphalanxacasereport