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CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2023; 51(02): e110-e115
DOI: 10.1055/s-0043-1776977
Técnica Quirúrgica | Surgical Technique

Rotational Sequelae of the Phalanx in a Pediatric Patient: Correction with Metacarpal Derotator Osteotomy and Osteosynthesis with an Endomedullary Compression Screw. Case Report

Article in several languages: español | English
Lucía d'Oliveira 
1   Centro Hospitalario Pereira Rossell, Montevideo, Montevideo, Uruguay
,
Matías Craviotto 
2   Hospital Central de las Fuerzas Armadas, Cirugía de Mano y Miembro Superior, República Dominicana
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Abstract

Phalangeal rotational sequelae are fortunately rare in pediatric patients, and their treatment may involve corrective osteotomies of the affected bone. The ideal treatment must correct the rotational defect, preserve the physis and its growth potential, avoid extensive scars, and provide friendly postoperative care with few procedures, such as wire removal. We present a case of a pediatric patient with rotational sequelae from a subcondylar fracture of the proximal phalanx of the fifth finger of the dominant hand. We performed a derotating osteotomy of the fifth metacarpal and stabilization with a headless endomedullary screw for defect correction.

Keywords

Phalanx fracture - rotational sequelae - pediatric hand - metacarpal osteotomy - endomedullar screw


Publication History

Received: 08 December 2021

Accepted: 16 August 2023

Article published online:
05 December 2023

© 2023. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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