AI Article Synopsis
- Distal phalangeal fractures usually heal with conservative methods, but some patients may still feel pain afterwards.
- Two female patients, aged 63 and 33, were treated with low-intensity pulsed ultrasound (LIPUS) therapy after their fractured fifth toes failed to properly heal despite buddy-taping.
- After three months of LIPUS treatment, both patients achieved bone union and their pain was resolved, highlighting LIPUS as a beneficial option for treating persistent issues post-fracture.
Article Abstract
Case: Distal phalangeal fractures are often treated conservatively. However, some patients experience residual pain. We report 2 cases of patients who underwent low-intensity pulsed ultrasound (LIPUS) therapy for pseudarthrosis after fracture of the distal phalanx of the fifth toe with symphalangism. Both patients (female, 63 and 33-year-old, respectively) underwent conservative treatment with buddy-taping fixation; however, bone union failed, and LIPUS therapy was initiated. In both cases, bone union was achieved and pain resolved after 3 months.
Conclusion: Bone union occasionally fails after conservative treatment of distal phalangeal fractures. LIPUS is a useful treatment of symptomatic pseudarthrosis after such fractures.
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| http://dx.doi.org/10.2106/JBJS.CC.23.00227 | DOI Listing |
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