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Proximal phalangeal fracture after tendon pulley reconstruction
J R Sanger1, N D Buebendorf, H S Matloub
1Department of Plastic and Reconstructive Surgery, Medical College of Wisconsin, Milwaukee.
The Journal of Hand Surgery
|November 1, 1990
Abstract:
A case is presented in which an A2 pulley reconstruction was done, encircling a previously fractured, multiply-operated proximal phalanx. Bone resorption occurred directly under the pulley, and the bone then fractured. It is postulated that the cumulative effect of these operations on the blood supply to the bone and abnormal pressure forces led to resorption of bone and subsequent fracture.