Chen Qiang, Suo Yan, Pan Danhong, Xie QingPing
Department of Hand Surgery, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, Zhejiang, P.R. China.
Medicine (Baltimore). 2019 May;98(20):e15481. doi: 10.1097/MD.0000000000015481.
Mallet finger fracture is a common sports-related injury that may lead to the tearing of extensor tendon and protrusion of a bony fragment located at the base of the distal phalanx. We affirmed that the elastic fixation of with two K-wires technique is a good method to deal with Mallet Finger fractures that fractures could gain effective fixation than the conventional treatment method and avoid surgical incision complication PATIENT CONCERNS:: We reported a 33-year-old female patient came to our hospital complaining of mild pain, swelling and her right little finger was deformed because of sport's injury.
Acute mallet finger fracture type IV B according to Doyle classification of mallet injuries.
We performed an emergency operation for the elastic fixation of the mallet finger fractures with two K-wires.
After the surgery, the patient showed functional recovery. No evidence of recurrence was noted 6 months after the operation, and the patient showed no symptoms of sports-related injuries.
We discuss the clinical diagnosis, treatment, and follow-up of the patient and suggest that elastic fixation with two K-wires is a good method to treat mallet finger fractures.
锤状指骨折是一种常见的运动相关损伤,可能导致伸肌腱撕裂以及位于远节指骨基部的骨碎片突出。我们证实,双克氏针弹性固定技术是治疗锤状指骨折的一种好方法,该骨折能够比传统治疗方法获得更有效的固定,并避免手术切口并发症。
我们报告了一名33岁女性患者,因运动损伤前来我院就诊,主诉右小指轻度疼痛、肿胀且畸形。
根据多伊尔锤状指损伤分类,为急性IV B型锤状指骨折。
我们对该锤状指骨折行双克氏针弹性固定急诊手术。
术后患者功能恢复。术后6个月无复发迹象,且患者无运动相关损伤症状。
我们讨论了该患者的临床诊断、治疗及随访情况,并表明双克氏针弹性固定是治疗锤状指骨折的一种好方法。