Middle phalangeal distal condylar fracture remodelling in children: a case report

We report on a 9-year-old girl who sustained an injury to her left middle finger with a piece of metal 2 months before she presented to our clinic. In the acute trauma phase she applied ice to her hand and did not consult a medical practitioner about the pain and swelling on her finger. Two months after the injury she came to us with a palpable mass on the volar side of middle phalanx. On lateral radiographic view, an apex volar angulation measuring approximately 45 degrees of vertically splitting midphalangeal fracture was noted. Bone remodelling was also seen dorsally extending from the midphalanx to the level of the DIP joint. During the operation the remodelled bone seemed to be in unity with the DIP joint. The apex volarly angulated distal fragment of the middle phalanx was osteotomized. In the postoperative 24 months a control radiologic view was obtained. Normal phalangeal alignment was noted.