Rotational Sequelae of the Phalanx in a Pediatric Patient: Correction with Metacarpal Derotator Osteotomy and Osteosynthesis with an Endomedullary Compression Screw. Case Report

Abstract

Phalangeal rotational sequelae are fortunately rare in pediatric patients, and their treatment may involve corrective osteotomies of the affected bone. The ideal treatment must correct the rotational defect, preserve the physis and its growth potential, avoid extensive scars, and provide friendly postoperative care with few procedures, such as wire removal. We present a case of a pediatric patient with rotational sequelae from a subcondylar fracture of the proximal phalanx of the fifth finger of the dominant hand. We performed a derotating osteotomy of the fifth metacarpal and stabilization with a headless endomedullary screw for defect correction.

Keywords

Phalanx fracture - rotational sequelae - pediatric hand - metacarpal osteotomy - endomedullar screw

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