Dislocation of the distal phalanx epiphysis in toddlers
Two cases of physeal fracture dislocation of the distal phalanx are reviewed. Each injury occurred in a toddler, was originally undiagnosed, and appeared years later as a dorsal mass in a foreshortened digit with decreased distal interphalangeal joint motion. In each case x-ray films revealed a disl...
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| Veröffentlicht in: | The Journal of hand surgery (American ed.) 1993-07, Vol.18 (4), p.581-585 |
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| container_title | The Journal of hand surgery (American ed.) |
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| creator | Waters, Peter M. Benson, Leon S. |
| description | Two cases of physeal fracture dislocation of the distal phalanx are reviewed. Each injury occurred in a toddler, was originally undiagnosed, and appeared years later as a dorsal mass in a foreshortened digit with decreased distal interphalangeal joint motion. In each case x-ray films revealed a dislocated epiphysis, accounting for the enlarging dorsal prominence and the phalangeal growth disturbance. These cases demonstrate that dislocation of the distal phalanx epiphysis can occur with a crush injury and may be difficult to detect before development of the ossification center. Careful physical examination and a high index of suspicion will increase the likelihood of early diagnosis. Early open reduction may prevent the late complications of deformity and stiffness. |
| doi_str_mv | 10.1016/0363-5023(93)90293-C |
| format | Article |
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Each injury occurred in a toddler, was originally undiagnosed, and appeared years later as a dorsal mass in a foreshortened digit with decreased distal interphalangeal joint motion. In each case x-ray films revealed a dislocated epiphysis, accounting for the enlarging dorsal prominence and the phalangeal growth disturbance. These cases demonstrate that dislocation of the distal phalanx epiphysis can occur with a crush injury and may be difficult to detect before development of the ossification center. Careful physical examination and a high index of suspicion will increase the likelihood of early diagnosis. 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Each injury occurred in a toddler, was originally undiagnosed, and appeared years later as a dorsal mass in a foreshortened digit with decreased distal interphalangeal joint motion. In each case x-ray films revealed a dislocated epiphysis, accounting for the enlarging dorsal prominence and the phalangeal growth disturbance. These cases demonstrate that dislocation of the distal phalanx epiphysis can occur with a crush injury and may be difficult to detect before development of the ossification center. Careful physical examination and a high index of suspicion will increase the likelihood of early diagnosis. Early open reduction may prevent the late complications of deformity and stiffness.</description><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Chronic Disease</subject><subject>Epiphyses - injuries</subject><subject>Epiphyses - surgery</subject><subject>Finger Injuries - complications</subject><subject>Finger Injuries - diagnosis</subject><subject>Finger Injuries - surgery</subject><subject>Fractures, Bone - complications</subject><subject>Fractures, Bone - diagnosis</subject><subject>Fractures, Bone - surgery</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Joint Dislocations - complications</subject><subject>Joint Dislocations - diagnosis</subject><subject>Joint Dislocations - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Traumas. 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Injuries of the spine</topic><topic>Joint Dislocations - complications</topic><topic>Joint Dislocations - diagnosis</topic><topic>Joint Dislocations - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Waters, Peter M.</creatorcontrib><creatorcontrib>Benson, Leon S.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of hand surgery (American ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Waters, Peter M.</au><au>Benson, Leon S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dislocation of the distal phalanx epiphysis in toddlers</atitle><jtitle>The Journal of hand surgery (American ed.)</jtitle><addtitle>J Hand Surg Am</addtitle><date>1993-07-01</date><risdate>1993</risdate><volume>18</volume><issue>4</issue><spage>581</spage><epage>585</epage><pages>581-585</pages><issn>0363-5023</issn><eissn>1531-6564</eissn><coden>JHSUDV</coden><abstract>Two cases of physeal fracture dislocation of the distal phalanx are reviewed. Each injury occurred in a toddler, was originally undiagnosed, and appeared years later as a dorsal mass in a foreshortened digit with decreased distal interphalangeal joint motion. In each case x-ray films revealed a dislocated epiphysis, accounting for the enlarging dorsal prominence and the phalangeal growth disturbance. These cases demonstrate that dislocation of the distal phalanx epiphysis can occur with a crush injury and may be difficult to detect before development of the ossification center. Careful physical examination and a high index of suspicion will increase the likelihood of early diagnosis. Early open reduction may prevent the late complications of deformity and stiffness.</abstract><cop>New york, NY</cop><pub>Elsevier Inc</pub><pmid>8349960</pmid><doi>10.1016/0363-5023(93)90293-C</doi><tpages>5</tpages></addata></record> |
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| ispartof | The Journal of hand surgery (American ed.), 1993-07, Vol.18 (4), p.581-585 |
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| language | eng |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Biological and medical sciences Child Chronic Disease Epiphyses - injuries Epiphyses - surgery Finger Injuries - complications Finger Injuries - diagnosis Finger Injuries - surgery Fractures, Bone - complications Fractures, Bone - diagnosis Fractures, Bone - surgery Humans Injuries of the limb. Injuries of the spine Joint Dislocations - complications Joint Dislocations - diagnosis Joint Dislocations - surgery Male Medical sciences Traumas. Diseases due to physical agents |
| title | Dislocation of the distal phalanx epiphysis in toddlers |
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