AI Article Synopsis
- - A 16-year-old boy experienced a type 1 open forearm fracture from a skateboard accident, initially treated with surgery and fixation.
- - Seven weeks post-surgery, he developed a flexion contracture in his thumb, which did not improve despite hardware removal and hand therapy.
- - During a second surgery for tendon issues, the flexor pollicis longus tendon was found entrapped around the radial shaft, leading to necessary tendon reconstruction—marking a unique case in pediatric medicine.
Article Abstract
Tendon entrapment is a rare complication of closed forearm fractures. A 16-year-old boy sustained a type 1 open both bone forearm fracture after falling from a skateboard. The injury was initially managed with irrigation, debridement, and flexible intramedullary nailing. Seven weeks after surgery, a flexion contracture of the ipsilateral thumb interphalangeal joint was noted. Subsequent hardware removal and hand therapy failed to improve thumb extension. The patient was taken to the operating room for planned tenolysis and possible tendon reconstruction. Intraoperatively, the flexor pollicis longus tendon was found to be wrapped around the radial shaft as an apparent complication of the initial procedure, which necessitated division and reconstruction of the tendon. To our knowledge, this is the first pediatric reported case of dorsal flexor pollicis longus tendon entrapment through the fracture site in a both bone forearm fracture requiring tendon reconstruction. This case highlights a unique surgical approach to a novel complication of pediatric both bone forearm fracture.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11456662 | PMC |
| http://dx.doi.org/10.1016/j.jhsg.2024.06.007 | DOI Listing |
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