AI Article Synopsis
- * A case report details a 16-year-old climber who received delayed surgical treatment for a closed epiphyseal line fracture and ultimately had a positive recovery outcome.
- * The surgical procedure involved refreshing the fracture site and using tension-band wiring for fixation, resulting in improved extension and pain relief three months after surgery, demonstrating effective management of such fractures.
Article Abstract
Proximal interphalangeal joint stress fractures commonly occur as epiphyseal line injuries in teenage climbers; however, fractures with closed epiphyseal lines are rare. Poor outcomes are more common if treatment is delayed. We report the case of a 16-year-old climber who underwent delayed surgical treatment for a fracture with a closed epiphyseal line, with a favorable outcome. There was 20 ° extension lag at the proximal interphalangeal joint and a fracture on the dorsal aspect of the base of the metaphyseal bone, with osteosclerosis at the fracture site. The fracture site was refreshed and internal fixation was performed using the tension-band wiring technique. At 3 months postoperatively, there was no pain, extension had improved, and bone union was achieved. This case illustrates the effectiveness of surgery in achieving favorable outcomes for delayed proximal interphalangeal joint stress fractures in climbers with epiphyseal line closure. LEVEL OF EVIDENCE: V.
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| http://dx.doi.org/10.1016/j.hansur.2024.101790 | DOI Listing |
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