Introduction: Techniques for treating phalangeal fractures are evolving. Intramedullary screws are a trendy surgical choice that leads to optimal results. Metacarpals and proximal phalanges could tolerate two screws. We want to demonstrate that middle phalanx fractures could also be treated with double-cannulated screws.
Case Report: A 19-year-old patient with a middle phalanx fracture of the 4th left digit was treated with Kirschner wires leading eventually to malunion. We revised the fracture with a redo, recreating the fracture and introducing retrograde crossed-cannulated screws with excellent stability that allowed an immediate range of motion. The patient achieved union with full grip and range of motion.
Conclusion: Middle phalanx fractures could be treated with two screws in a crossed configuration achieving stable fixation and obviating the proximal interphalangeal joint.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11823848 | PMC |
| http://dx.doi.org/10.13107/jocr.2025.v15.i02.5262 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Finger osteochondroma presenting as non-traumatic mallet finger in pediatric: A case report.
Int J Surg Case Rep
March 2025
Pathology Anatomy Department, Eka Hospital, Bekasi, West Java, Indonesia.
Introduction And Importance: A terminal extensor tendon disruption, with or without bony avulsion, may lead to a mallet deformity. In most cases, trauma precedes deformity. Non-traumatic causes are less probable.
View Article and Find Full Text PDFReconstruction of the middle phalanx condyle using a small finger metacarpal base autograft.
J Hand Surg Eur Vol
March 2025
Department of Hand Surgery, Affiliated Hospital of Nantong University, 20 West Temple Road, Nantong 226001, Jiangsu, China.
We reconstructed a middle phalanx condyle fracture defect using a small finger metacarpal base autograft regaining a painless, functional distal interphalangeal joint and restoring articular congruency. V.
View Article and Find Full Text PDFSecond metatarsophalangeal joint dislocation in hallux valgus: a radiographic study using a two-dimensional coordinate system.
BMC Musculoskelet Disord
February 2025
Department of Orthopaedic Surgery, Nara Medical University, Kashihara, Nara, Japan.
Background: Hallux valgus (HV) poses additional challenges when accompanied by second metatarsophalangeal (MTP) joint dislocation, often requiring complex surgical intervention. This study aimed to analyze HV feet with second MTP joint dislocation using a 2-dimensional coordinate system to better understand the anatomical structure of this condition.
Methods: Weightbearing foot radiographs of 49 HV feet with second MTP joint dislocation (group D), 68 HV feet without second MTP joint dislocation (group W), and 54 control feet (group N) were analyzed.
Custom-made non-vascularized toe-to-finger graft for proximal phalanx condyle reconstruction.
Hand Surg Rehabil
February 2025
Orthopédie, CHU Cavale Blanche, Boulevard Tanguy Priget, 29200 Brest, France.
Proximal phalanx condylar lesions are well known injuries. Total condylar defect, however, is an exceptional therapeutic challenge. We report the case of a 19-year-old male who sustained complex hand trauma following a circular saw accident, including a lesion that destroyed the entire lateral condyle of the middle finger's proximal phalanx.
View Article and Find Full Text PDFDouble X Configuration Screw Fixation for Middle Phalanx Fracture - A Case Report.
J Orthop Case Rep
February 2025
Meuhedet Health Services, Israel.
Introduction: Techniques for treating phalangeal fractures are evolving. Intramedullary screws are a trendy surgical choice that leads to optimal results. Metacarpals and proximal phalanges could tolerate two screws.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!