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ArticleTitle A Report of Two Cases of Volar and Dorsal Fractures of the Middle Phalanx Caused by a Basketball
AuthorList Ryouichi Murashige1, Yoshihito Nakayama1, Kaoru Kobayashi1, Shinji Uesaka1, Kouichi Tanaka1, Hiromoto Ito2, Takuya Sawaizumi2 and Kiyoshi Yoshihara2
Affiliation 1) Department of Orthopaedic Surgery, Nippon Medical School Second Hospital, 2) Department of Orthopaedic Surgery, Nippon Medical School
Language EN
Volume 69
Issue 4
Year 2002
Page 376-378
Received September 19, 2001
Accepted April 8, 2002
Keywords sports injury, finger fracture, middle phalanx, children
Abstract We present two rare cases of volar and dorsal fractures of the middle phalanx at the proximal interphalangeal joint (PIPJ). The first case was a 16-year-old girl. She hurt her middle finger while playing basketball. A lateral radiograph revealed volar and dorsal fractures of the middle phalanx. She underwent external immobilization of the PIPJ in 30°of flexion with a splint for 3 weeks. The fractures healed 7 weeks after the injury with neither tenderness nor limitation of range of motion. The second case was a 16-year-old boy. He injured his index finger while playing basketball, and underwent immobilization of the PIPJ for 3 weeks. At 10 weeks after the injury, the dorsal fracture was almost healed, but the displacement of the volar fragment had worsened. At a 3-year follow-up, the dorsal fragment was healed, but the volar fragment remained in a site of nonunion. However, there was neither residual deformity nor restriction of movement.
Correspondence to Ryouichi Murashige, Department of Orthopaedic Surgery, Nippon Medical School Second Hospital, 1-396 Kosugicho, Nakahara-ku, Kawasaki-shi, Kanagawa 211-8533, Japan
cfx33430@nyc.odn.ac.jp

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