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Flexor Tendon Entrapment of the Index Finger After Monteggia Fracture in a Pediatric Patient

 

Authors Toga A, Balaji A, Matsumoto T, Fujimaru A, Murakami H, Katoh S

Received 28 September 2020

Accepted for publication 24 November 2020

Published 16 December 2020 Volume 2020:12 Pages 189—193

DOI https://doi.org/10.2147/ORR.S284278

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Professor Clark Hung

Abstract: The present case report describes a pediatric patient who presented with flexor digitorum profundus (FDP) entrapment after a forearm fracture. The patient was diagnosed with a Bado type I Monteggia fracture. The fracture was reduced using closed reduction under fluoroscopy followed by Kirschner’s wire fixation. This case is unique because the FDP was found entrapped in the fracture site 2 weeks post-operation and was managed using conservative therapy. FDP entrapment is typically managed by surgical intervention, and there have been no previous reports of conservative management. The FDP was released using passive extension of the index finger under general anesthesia, and no irreversible damage to the tendon or muscle was found. This case report demonstrates the potential for conservative therapy in the management of FDP entrapment after forearm fractures.
Keywords: pediatric fracture, entrapment of FDP, conservative therapy, dynamic tenodesis effect, forearm fracture, rehabilitation