Fracture of the dorsal distal phalanx or the so-called bony extensor tendon avulsion

被引：0

作者：

Lautenbach, M. ^{[1
]}

Zach, A. ^{[2
]}

Ekkernkamp, A. ^{[3
,4
]}

Eisenschenk, A. ^{[5
]}

机构：

[1] Free Univ Berlin, Akad Lehrkrankenhaus, Abt Ellenbogen Hand & Mikrochirurg, Immanuel Krankenhaus, D-14109 Berlin, Germany

[2] Ernst Moritz Arndt Univ Greifswald, Handchirurg Zentrum, Greifswald, Germany

[3] Unfallkrankenhaus Berlin, Klin Unfallchirurg & Orthopadie, Greifswald, Germany

[4] Ernst Moritz Arndt Univ Greifswald, Erwin Payr Lehrstuhl & Wiederherstellungschirurg, Greifswald, Germany

[5] Unfallkrankenhaus Berlin, Abt Hand Replantat & Mikrochirurg, Berlin, Germany

来源：

ORTHOPADE | 2008年 / 37卷 / 12期

关键词：

Mallet finger; Non-surgical treatment; K-wire osteosynthesis; Distal finger joint;

D O I：

10.1007/s00132-008-1321-6

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Fractures of the distal phalanx are common. According to the histological results of Hoch et al., the term bony extensor tendon avulsion is not correct; instead, the description fracture of the dorsal distal phalanx should be used. Many therapeutic options for these fractures are described in the literature. Decision-making for operative treatment should not only be based on X-rays. Good functional results are mentioned in the literature after conservative treatment of larger bony fragments. The mid- and long-term results of remodelled joints that are mostly not in anatomically correct positions can only be determined in prospective studies. Indications for operative treatment are dorsal distal phalanx fractures with a distal finger joint subluxation or in cases of widely rotational malposition of the bony fragment. The osteosynthesis has to respect the extensor aponeurosis.

引用

页码：1159 / 1164

页数：6

共 20 条

[1]

Bartelmann U, 2001, Handchir Mikrochir Plast Chir, V33, P41, DOI 10.1055/s-2001-12080

[2]

Beyermann K, 2000, OPRAT ORTHOP TRAUMAT, V12, P122

[3] TREATMENT OF PSEUDOARTHROSIS OF THE DISTAL PHALANX WITH A COMPRESSION SCREW [J].