Film 21 Avulsion fracture of the volar plate of the distal phalanx of the left thumb. Film 22 Normal left foot with os trigonum. Film 23 Osgood–Schlatter disease of the left knee.

2008 ◽  
pp. 78-108
Keyword(s):  
Avulsion Fracture ◽  
Left Knee ◽  
Distal Phalanx ◽  
Volar Plate ◽  
Os Trigonum ◽  
Left Thumb

scholarly journals 497 POPLITEUS AVULSION FRACTURE LEFT KNEE - FOOTBALL

1993 ◽  
Vol 25 (Supplement) ◽  
pp. S89
Author(s):  
R. D. Parker ◽  
G. Calabrese
Keyword(s):  
Avulsion Fracture ◽  
Left Knee

scholarly journals Tibial Tuberosity Fracture in an Elderly Gentleman: An Unusual Injury Pattern

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Emma Brown ◽  
Mohammad Taaha Sohail ◽  
Jonathan West ◽  
Benjamin Davies ◽  
Georgios Mamarelis ◽  
...  
Keyword(s):  
Rare Case ◽  
Avulsion Fracture ◽  
Left Knee ◽  
Injury Pattern ◽  
Tibial Tuberosity ◽  
Rare Occurrence ◽  
Review Of The Literature ◽  
Tibial Tuberosity Fracture ◽  
Unusual Injury

Avulsion fracture of the tibial tuberosity is an infrequent injury in adolescents and an extremely rare occurrence in adults. We describe the case of an 86-year-old gentleman presenting after a fall, sustaining injury to the left knee. Radiographs of the left knee showed avulsion fracture of the tibial tuberosity. The purpose of this study was to present a rare case of tibial tuberosity avulsion fracture in an adult, the treatment performed, and the challenges faced. The case is discussed with the review of the literature.

scholarly journals Two Extension Block Kirschner Wires’ Technique for Bony Mallet Thumb

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Yutaka Mifune ◽  
Atsuyuki Inui ◽  
Fumiaki Takase ◽  
Yasuhiro Ueda ◽  
Issei Shinohara ◽  
...  
Keyword(s):  
Avulsion Fracture ◽  
Articular Surface ◽  
Evaluation Criteria ◽  
Treatment Strategies ◽  
Distal Phalanx ◽  
Extensor Mechanism ◽  
Kirschner Wires ◽  
Fracture Fragment ◽  
Conservative And Operative Treatment ◽  
Digital Block

Mallet fingers with an avulsion fracture of the distal phalanx or rupture of the terminal tendon of the extensor mechanism is known as a common injury, while mallet thumb is very rare. In this paper, the case of a 19-year-old woman with a sprained left thumb sustained while playing basketball is presented. Plain radiographs and computed tomography revealed an avulsion fracture involving more than half of the articular surface at the base of the distal phalanx. Closed reduction and percutaneous fixation were performed using the two extension block Kirschner wires’ technique under digital block anesthesia. At 4 months postoperatively, the patient had achieved excellent results according to Crawford’s evaluation criteria and had no difficulties in working or playing basketball. Various conservative and operative treatment strategies have been reported for management of mallet thumb. We chose the two extension block Kirschner wires’ technique to minimize invasion of the extensor mechanism and nail bed and to stabilize the large fracture fragment.

REVIEW ON MALLET FINGER TREATMENT

Hand Surgery ◽  
2012 ◽  
Vol 17 (03) ◽  
pp. 439-447 ◽  
Author(s):  
Jason Pui Yin Cheung ◽  
Boris Fung ◽  
Wing Yuk Ip
Keyword(s):  
Avulsion Fracture ◽  
Articular Surface ◽  
Extensor Tendon ◽  
Distal Phalanx ◽  
Mallet Finger ◽  
Distal Interphalangeal Joint ◽  
Dorsal Aspect ◽  
Surgical Fixation ◽  
Distal Interphalangeal ◽  
Open Injuries

Mallet finger is a common injury involving either an extensor tendon rupture at its insertion or an avulsion fracture involving the insertion of the terminal extensor tendon. It is usually caused by a forceful blow to the tip of the finger causing sudden flexion or a hyperextension injury. Fracture at the dorsal aspect of the base of the distal phalanx is commonly associated with palmar subluxation of the distal phalanx. Most mallet finger injuries are recommended to be treated with immobilisation of the distal interphalangeal joint in extension by splints. There is no consensus on the type of splint and the duration of use. Most studies have shown comparable results with different splints. Surgical fixation is still indicated in certain conditions such as open injuries, avulsion fracture involving at least one third of the articular surface with or without palmar subluxation of the distal phalanx and also failed splinting treatment.

scholarly journals Hook Plate Fixation for the Thumb Ulnar Collateral Ligament Fracture-Avulsion

2017 ◽  
Vol 09 (02) ◽  
pp. 095-097 ◽  
Author(s):  
Ali Tabrizi ◽  
Ahmadreza Afshar
Keyword(s):  
Avulsion Fracture ◽  
Plate Fixation ◽  
Proximal Phalanx ◽  
Ulnar Collateral Ligament ◽  
Metacarpophalangeal Joint ◽  
Plain Radiography ◽  
Hook Plate ◽  
Collateral Ligament ◽  
Left Thumb ◽  
Sports Activities

AbstractDuring a taekwondo competition, a 20-year-old female competitor injured her left thumb. There was pain, swelling, and tenderness at the ulnar side of the metacarpophalangeal joint. Plain radiography demonstrated an avulsion fracture with a small-size fragment at the base of the proximal phalanx. A mini hook plate was used to repair the lesion. The patient was satisfied with the results and returned to her sports activities after 2 months.

scholarly journals A Bony Mallet Thumb with Interposition of the Nail Plate

2021 ◽  
Vol 07 (01) ◽  
pp. e18-e21
Author(s):  
Ahmadreza Afshar ◽  
Ali Tabrizi ◽  
Hassan Taleb
Keyword(s):  
Surgical Treatment ◽  
Nail Plate ◽  
Distal Phalanx ◽  
Clinical Suspicion ◽  
Flexion Deformity ◽  
Articular Fracture ◽  
Left Thumb ◽  
Nail Deformity ◽  
Bony Avulsion ◽  
Joint Incongruity

AbstractThumb extensor injuries and bony avulsion in the distal phalanx of the thumb are rare compared with other fingers. The most reported complications are infection, nail deformity, joint incongruity, implant failure, recurrent flexion deformity, and residual pain. This report presents a case of 30-year-old man suffering from an injury in the left thumb distal phalanx with a displaced comminuted intra-articular fracture of the distal phalanx of the left thumb. The nail plate was interposed between the dorsal and palmar fragments. The interposition of the nail plate in the bony mallet thumb has not been described before. Surgical treatment and fixation with a 2-mm miniscrew resulted in successful treatment. Clinical suspicion of this complication is of great importance and can affect treatment outcomes.

scholarly journals Mallet Finger Fracture through Enchondroma of the Distal Phalanx

2019 ◽  
Vol 12 (03) ◽  
pp. 208-211
Author(s):  
Takuma Wakasugi ◽  
Hidetsugu Suzuki ◽  
Ritsuro Shirasaka
Keyword(s):  
Avulsion Fracture ◽  
Flexor Tendon ◽  
Osteolytic Lesion ◽  
Ring Finger ◽  
Distal Phalanx ◽  
Mallet Finger ◽  
Distal Interphalangeal Joint ◽  
Distal Interphalangeal ◽  
One Year ◽  
Tendon Avulsion

AbstractA 46-year-old man injured his ring finger and developed a mallet deformity. Radiographs showed a mallet finger fracture through an osteolytic lesion of the distal phalanx. Magnetic resonance imaging showed low intensity on T1-weighted imaging and high intensity on T2-weighted imaging, which suggested the clinical diagnosis of enchondroma. The bone tumor was excised, and osteosynthesis was performed using Ishiguro's extension block pinning, and a flexion block pin was added to prevent flexor tendon avulsion fracture through the enchondroma, followed by an autologous iliac cancellous bone graft. One year after surgery, the patient had no pain or extension lag of the affected ring finger, and his quickDASH score was 0 points. Radiographs showed no recurrence and minimal arthritic change of the distal interphalangeal joint. One-stage treatment of a mallet finger fracture through an enchondroma using Ishiguro's method was effective.

PERCUTANEOUS PINNING OF THE DISPLACED VOLAR PLATE AVULSION FRACTURE OF THE PIP JOINT

Hand Surgery ◽  
2009 ◽  
Vol 14 (02n03) ◽  
pp. 113-119 ◽  
Author(s):  
Masayoshi Ikeda ◽  
Takayuki Ishii ◽  
Yuka Kobayashi ◽  
Joji Mochida ◽  
Ikuo Saito ◽  
...  
Keyword(s):  
Avulsion Fracture ◽  
Volar Plate ◽  
Bony Union ◽  
Large Fragment ◽  
Operative Techniques ◽  
Active Motion ◽  
Level Of Invasion ◽  
Pip Joint ◽  
K Wires

The use of operative or non-operative techniques in the treatment of a volar plate avulsion fracture of the PIP joint has remained controversial. In this study, we describe the use of percutaneous K-wire fixation in 15 patients with a displaced and rotated large fragment of this injury. All processes of the technique, including reduction and interfragmental fixation, were performed with percutaneous K-wires. Mean follow-up was 14.2 months. All patients achieved bony union. Mean active motion was -1.3°/86.2° for the PIP joint and 0°/77.5° for the DIP joint and mean %TAIM was 94.6%. There were no complications. No patients complained of pain and all were able to return to their previous activity. Although this procedure is technically demanding, it reconstructs a rotated or displaced large volar plate avulsion with a low level of invasion, and achieves a satisfactory functional recovery.

scholarly journals Isolated avulsion fracture of the fibular head

2020 ◽  
Vol 77 (5) ◽  
pp. 545-548 ◽  
Author(s):  
Vladimir Harhaji ◽  
Ivica Lalic ◽  
Miodrag Vranjes ◽  
Milena Mikic ◽  
Vladimir Djan
Keyword(s):  
Avulsion Fracture ◽  
Treatment Options ◽  
Lateral Collateral Ligament ◽  
Football Player ◽  
Left Knee ◽  
American Football ◽  
Fibular Head ◽  
Collateral Ligament ◽  
Proximal Fibula ◽  
Clinical Instability

Introduction. Rupture of lateral collateral ligament of the knee is most often joined with other ligament ruptures. Isolated rupture of this ligament is rare and there are few papers about treatment options and results. Here we reported a case of isolated lateral collateral ligament rupture and the treatment outcome. Case report. A patient, 22 years old male, injured his left knee while playing American football. While landing on the outstretched left leg, he felt a sudden pain in his knee. The patient could not continue the competition. Initial orthopedic examination revealed lateral opening and further diagnostic procedure (magnetic resonance imaging) revealed isolated grade III rupture of lateral collateral ligament with avulsion fracture of the fibular head, and distension of anterior and posterior cruciate ligaments. Patient was surgically treated with metal sutures passed through conjoined tendon and proximal fibula. Postoperatively patient worn above knee cast for 6 weeks and after that he was included in rehabilitation. Three and six years after this injury, the patient has still been professional football player with no symptoms and no clinical instability of the knee despite radiological and computed tomography verified pseudoarthrosis of the fractured fibular head fragment. Conclusion. Early diagnostic and absence of additional injuries of the knee leads to a faster and full functional recovery of patients with isolated avulsion fracture of the fibular head, while surgical treatment provides knee stability with no residual ligament instability during sports activities.

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