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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(S 01): e9-e11
DOI: 10.1055/s-0041-1731656
Relato de Caso

Irreducible Metacarpal Neck Fracture due to Interposition of the Extensor Tendons

Article in several languages: português | English
Sathya Vamsi Krishna 
1   Departamento de Cirurgia da Mão, Instituto de Ortopedia e Trauma, Sanjay Gandhi, Byrasandra, Jayanagar, Bangalore, India
,
Rajendra Kumbar 
1   Departamento de Cirurgia da Mão, Instituto de Ortopedia e Trauma, Sanjay Gandhi, Byrasandra, Jayanagar, Bangalore, India
,
Sagar Vishwanath Kura 
1   Departamento de Cirurgia da Mão, Instituto de Ortopedia e Trauma, Sanjay Gandhi, Byrasandra, Jayanagar, Bangalore, India
,
Soumen Das De 
2   Departamento de Microcirurgia Reconstrutiva e Cirurgia da Mão, National University Health System, Singapore
› Author Affiliations Financial Support No external funding was received for any aspect of the present work.
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Abstract

A 15-year-old male presented with multiple right-hand fractures, including a severely angulated small finger metacarpal neck fracture. Multiple closed attempts failed, and open reduction was performed. At surgery, the extensor tendon was found to be interposed within the fracture, thereby preventing closed reduction. The tendon was extricated from the fracture site, adequate reduction was obtained, and the fracture was stabilized using K-wires. The fracture united well, with good return of motion and strength. Extensor tendon interposition is a rare scenario associated with metacarpal neck fractures and should be suspected when there is complete loss of contact between the fracture ends and multiple attempts at closed reduction have failed.

Keywords

fractures, bone - fracture fixation, internal - metacarpal bones - tendons

Study carried out at the Department of Hand Surgery, Sanjay Gandhi Institute of Orthopaedics and Trauma, Byrasandra, Jayanagar, Bangalore, India




Publication History

Received: 23 November 2020

Accepted: 07 April 2021

Article published online:
01 October 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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