PMC7276608_01
X-ray (anteroposterior) showing a fracture of the proximal phalanx diaphysis of the second finger of the right hand with deviation.
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F1
The X-ray (Fig. 1) showed fracture of the proximal phalanx diaphysis of the second finger of the right hand with deviation.
X-ray (anteroposterior) showing acceptable reduction of the fracture.
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F2
The control X-ray (Fig. 2) revealed acceptable reduction, and the patient was referred to follow-up at the outpatient consultation.
X-ray (anteroposterior) performed 25 days after the fracture.
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F3
The conservative treatment was kept for 25 days, with apparent fracture healing on the X-ray (Fig. 3), but the patient presented limitation on active flexion of the finger which was interpreted as a sequel of the immobilization.
X-ray (anteroposterior) performed 6 weeks days after the fracture.
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F4
The X-ray didnot show any new fracture (Fig. 4).
Operating view: Entrapment of the deep flexor tendon within the proximal phalanx can be seen.
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F5
After the Bruner incision in the palm face of the affected finger, the entrapment of the deep flexor tendon within the proximal phalanx was observed (Fig. 5).
Operating view showing the tenolysis of the entrapped tendon.
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F6
Then, tenolysis of the entrapped tendon was made (Fig. 6) enabling the visualization of the bone space created by the fracture and where the tendon was trapped (Fig. 7).
Operating view showing the reconstruction of the pulleys using a portion of long palmar tendon.
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F8
After that, a reconstruction of the pulleys was performed using a portion of long palmar tendon (Fig. 8 and 9) with good immediate functional result (Video 1).
Operating view showing the reconstruction of the pulleys using a portion of long palmar tendon.
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F9
After that, a reconstruction of the pulleys was performed using a portion of long palmar tendon (Fig. 8 and 9) with good immediate functional result (Video 1).
X-ray (anteroposterior) performed 2 weeks after the surgery.
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F10
The X-ray performed 2 weeks later (Fig. 10), documented a good result.