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A complicated forearm greenstick fracture: case report.
K A Kolkman1, J L van Niekerk, P N Rieu
1Department of General Surgery, University Hospital St. Radboud, Nijmegen, The Netherlands.
The Journal of Trauma
|January 1, 1992
Summary
A pediatric forearm fracture required tendon release due to entrapment during closed reduction. Prompt surgical intervention ensured full functional recovery in the affected child.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Traumatology
Background:
- Greenstick fractures are common in children, involving incomplete bone breakage.
- Forearm fractures can present complications during reduction, impacting surrounding soft tissues.
- Tendon interposition is a rare but significant complication in pediatric fracture management.
Observation:
- A 9-year-old child sustained a greenstick fracture of the forearm.
- Closed reduction was attempted, but complicated by the deep flexor tendon of multiple fingers becoming trapped within the fracture site.
- The trapped tendon involved the third, fourth, and fifth fingers.
Findings:
- Undelayed surgical release of the entrapped deep flexor tendon was performed.
- The surgical intervention successfully addressed the tendon interposition.
- Complete functional recovery of the hand and fingers was achieved post-release.
Implications:
- Early recognition and surgical intervention are crucial for managing tendon interposition during pediatric fracture reduction.
- This case highlights the importance of prompt tendon release to prevent long-term functional deficits.
- Optimal outcomes in pediatric forearm fractures depend on addressing all intra-articular and soft tissue complications.