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Flexor digitorum profundus avulsion through enchondroma.

A I Froimson, L Shall

    Journal of Hand Surgery (Edinburgh, Scotland)
    |October 1, 1984
    PubMed
    Summary
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    A rare case of flexor digitorum profundus tendon avulsion due to pathological fracture from an enchondroma in the little finger was successfully treated. Surgical intervention restored hand function and healed the bone lesion.

    Area of Science:

    • Orthopedic Surgery
    • Hand Surgery
    • Pathological Fractures

    Background:

    • Enchondromas are benign cartilage tumors that can cause pathological fractures.
    • Tendon avulsions are serious injuries requiring prompt surgical management.
    • Little finger injuries can significantly impact hand function.

    Observation:

    • A patient presented with flexor digitorum profundus tendon avulsion at the site of a pathological fracture through an enchondroma.
    • The injury was attributed to direct crush trauma to the distal phalanx of the little finger.

    Findings:

    • Surgical treatment involved curettage of the enchondroma and autogenous bone grafting.
    • The fracture was stabilized with K-wire fixation.
    • The flexor digitorum profundus tendon was repaired using the Bunnell pullout wire technique.

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    Implications:

    • This case demonstrates a successful surgical approach for a complex injury involving tendon avulsion and pathological fracture.
    • Restoration of function and healing were achieved through combined orthopedic and hand surgery techniques.
    • Highlights the importance of considering enchondromas as a cause of pathological fractures in the hand.