The Pediatric Second Dorsal Interossei Avulsion: A Case Report and Review of the Literature
Summary:. Proximal phalanx fractures are the most common hand fractures in pediatric patients, often resulting from recreational sports. Management is typically nonoperative. Avulsion fractures of the proximal phalanx are rare and invariably involve attachments of the joint capsule or collateral lig...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2025-08-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000007014 |
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| author | Nicole C. Episalla, MD Athena Zhang, MD Iris Brammer, BA Arnav Mahajan, BS Shaunak Ganju, BS Albert K. Oh, MD Gary F. Rogers, MD, JD, LLM, MBA, MPH |
| author_facet | Nicole C. Episalla, MD Athena Zhang, MD Iris Brammer, BA Arnav Mahajan, BS Shaunak Ganju, BS Albert K. Oh, MD Gary F. Rogers, MD, JD, LLM, MBA, MPH |
| author_sort | Nicole C. Episalla, MD |
| collection | DOAJ |
| description | Summary:. Proximal phalanx fractures are the most common hand fractures in pediatric patients, often resulting from recreational sports. Management is typically nonoperative. Avulsion fractures of the proximal phalanx are rare and invariably involve attachments of the joint capsule or collateral ligaments. Avulsions involving interosseous tendons are exceedingly rare. We report a case of a 14-year-old boy who sustained a traumatic sports injury resulting in an avulsion fracture of the second dorsal interosseous muscle at the proximal phalanx of the long finger. The patient underwent open reduction and internal fixation using a single 0.062 Kirschner wire and was subsequently immobilized in a cast for 5 weeks. Following cast and wire removal, he began independent range of motion exercises at home and regained full active range of motion 8 weeks postoperatively without formal physical therapy. To our knowledge, this is the first reported case of a second dorsal interosseous avulsion fracture successfully treated with surgical intervention. |
| format | Article |
| id | doaj-art-c9783b7b15b540439f7996aa620e753b |
| institution | Kabale University |
| issn | 2169-7574 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj-art-c9783b7b15b540439f7996aa620e753b2025-08-26T03:24:29ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-08-01138e701410.1097/GOX.0000000000007014202508000-00002The Pediatric Second Dorsal Interossei Avulsion: A Case Report and Review of the LiteratureNicole C. Episalla, MD0Athena Zhang, MD1Iris Brammer, BA2Arnav Mahajan, BS3Shaunak Ganju, BS4Albert K. Oh, MD5Gary F. Rogers, MD, JD, LLM, MBA, MPH6From the Division of Plastic and Reconstructive Surgery, Children’s National Hospital, Washington, DC.From the Division of Plastic and Reconstructive Surgery, Children’s National Hospital, Washington, DC.From the Division of Plastic and Reconstructive Surgery, Children’s National Hospital, Washington, DC.From the Division of Plastic and Reconstructive Surgery, Children’s National Hospital, Washington, DC.From the Division of Plastic and Reconstructive Surgery, Children’s National Hospital, Washington, DC.From the Division of Plastic and Reconstructive Surgery, Children’s National Hospital, Washington, DC.From the Division of Plastic and Reconstructive Surgery, Children’s National Hospital, Washington, DC.Summary:. Proximal phalanx fractures are the most common hand fractures in pediatric patients, often resulting from recreational sports. Management is typically nonoperative. Avulsion fractures of the proximal phalanx are rare and invariably involve attachments of the joint capsule or collateral ligaments. Avulsions involving interosseous tendons are exceedingly rare. We report a case of a 14-year-old boy who sustained a traumatic sports injury resulting in an avulsion fracture of the second dorsal interosseous muscle at the proximal phalanx of the long finger. The patient underwent open reduction and internal fixation using a single 0.062 Kirschner wire and was subsequently immobilized in a cast for 5 weeks. Following cast and wire removal, he began independent range of motion exercises at home and regained full active range of motion 8 weeks postoperatively without formal physical therapy. To our knowledge, this is the first reported case of a second dorsal interosseous avulsion fracture successfully treated with surgical intervention.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000007014 |
| spellingShingle | Nicole C. Episalla, MD Athena Zhang, MD Iris Brammer, BA Arnav Mahajan, BS Shaunak Ganju, BS Albert K. Oh, MD Gary F. Rogers, MD, JD, LLM, MBA, MPH The Pediatric Second Dorsal Interossei Avulsion: A Case Report and Review of the Literature Plastic and Reconstructive Surgery, Global Open |
| title | The Pediatric Second Dorsal Interossei Avulsion: A Case Report and Review of the Literature |
| title_full | The Pediatric Second Dorsal Interossei Avulsion: A Case Report and Review of the Literature |
| title_fullStr | The Pediatric Second Dorsal Interossei Avulsion: A Case Report and Review of the Literature |
| title_full_unstemmed | The Pediatric Second Dorsal Interossei Avulsion: A Case Report and Review of the Literature |
| title_short | The Pediatric Second Dorsal Interossei Avulsion: A Case Report and Review of the Literature |
| title_sort | pediatric second dorsal interossei avulsion a case report and review of the literature |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000007014 |
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