AI Article Synopsis

  • Periosteal sleeve fractures are common in young kids but can be easily overlooked, requiring careful evaluation for proper diagnosis and treatment.
  • Though often seen in areas like the patella, shoulder, and clavicle, this type of injury has not been documented in the hand until now.
  • The first known case involves a 3-year-old boy with a periosteal sleeve avulsion fracture in his thumb metacarpal, which was successfully treated with surgery.

Article Abstract

Periosteal sleeve fractures, or avulsions of cartilage and/or periosteum with or without an osseous fragment in skeletally immature individuals, are notoriously easy to miss and a high index of suspicion is necessary for accurate diagnosis and treatment. While periosteal sleeve avulsion fractures are classically reported in the patella, they have also been reported in the shoulder, clavicle, and elsewhere in the knee. However, no published reports exist for a periosteal sleeve avulsion fracture in the hand. This case details the first reported instance of such an injury involving a thumb metacarpal in a 3-year-old boy, treated with open reduction and percutaneous pinning of the thumb metacarpal.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571593PMC
http://dx.doi.org/10.1177/15589447241260074DOI Listing

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