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Late Flexor Entrapment in Neocortex After Pediatric Forearm Fracture: A Case Report
Francine Zeng1, Anna Jorgensen1, Sonia Chaudhry2
1Department of Orthopaedic Surgery, University of Connecticut, Farmington, Connecticut.
Case:
A pediatric patient sustained an open Monteggia-equivalent fracture treated operatively. Despite uneventful fracture healing, late-onset extrinsic flexor tightness of the index finger occurred. A neocortex developed about the torn ulnar periosteum, entrapping the index flexor digitorum profundus muscle belly. Despite being 5 years postinjury, motion was improved after proximal muscle release.
Conclusion:
Acute flexor entrapment is well-reported in forearm fractures; however, late-onset entrapment inside a neocortex is not. Although early recognition of restricted motion is ideal, even long-standing contractures may be amenable to improvement with appropriate treatment guided by the physical examination.
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