ABSTRACT
CASE: A 39-year-old man fell during a mountain hike and injured his left, nondominant ring finger, presenting with swelling, tenderness, and crepitus of the proximal interphalangeal joint. A computed tomography scan demonstrated a displaced intra-articular impaction fracture of the middle phalanx base. Surgery was performed with a combination of intramedullary reduction by K-wire and dynamic external fixation, using a Suzuki frame, to allow early active motion and prevent collapse of the reduced fragments. At 1-year follow-up, the clinical and radiological results were excellent. CONCLUSION: The impaction fracture of our patient was successfully treated with Suzuki pins and rubber after intramedullary reduction by K-wire.
Subject(s)
Fracture Fixation, Intramedullary , Humans , Male , Adult , Fracture Fixation, Intramedullary/instrumentation , Traction/instrumentation , Bone Nails , Finger Injuries/surgery , Finger Injuries/diagnostic imaging , Rubber , Bone WiresABSTRACT
SUMMARY: Posterior sternoclavicular dislocation is a rare injury that involves a risk of concomitant injuries to mediastinal structures. We report a 23-year-old man who underwent open reduction and fixation with a plantaris tendon graft after 13 weeks. The clinical and radiologic outcome was good.