Kent Mike Jr, Harding Claire, Walsh Sean
Department of Trauma and Orthopaedics, Dorset County Hospital, Dorchester, Dorset DT1 2JY, UK
Department of Trauma and Orthopaedics, Dorset County Hospital, Dorchester, Dorset DT1 2JY, UK.
J Surg Case Rep. 2015 May 1;2015(5):rjv049. doi: 10.1093/jscr/rjv049.
We describe a case of a delayed presentation of a traumatic soft tissue mallet injury to the distal phalanx of the hallux in a teenager. Reports of this rare injury are sparse and there is no consensus in their treatment. This injury was treated with open repair of the tendon using a Mitek suture anchor, and stabilization with a 1.2-mm K-wire and extension splinting for 8 weeks. Following this treatment, she regained full power and a range of movement compared with the contralateral side, and achieved full function. We advocate surgical reconstruction of these injuries with suture anchors and stabilization of the interphalangeal joint.
我们描述了一例青少年外伤性软组织锤状趾损伤累及拇趾远节指骨的延迟就诊病例。关于这种罕见损伤的报道很少，且在其治疗上尚无共识。该损伤采用Mitek缝合锚钉进行肌腱开放修复，并用1.2毫米克氏针固定及伸展位夹板固定8周。经过这种治疗，与对侧相比，她恢复了全部力量和活动范围，并实现了完全功能。我们主张用缝合锚钉对这些损伤进行手术重建并固定指间关节。
