Excessive Thumb Motion Causing Delayed Tendon Injury to Wrist First Extensor Compartment Associated with Flexible Nail
Journal Title: International Journal of Medical and Pharmaceutical Case Reports - Year 2015, Vol 2, Issue 3
Abstract
Aim: To withdraw the attention to the possible complication of tendons rupture in cases of intramedullary flexible nail fixating cases of pediatric both bone forearm fractures. Presentation of Case: A 16 years old boy with a history of right forearm both bones mid shaft fracture was managed with closed reduction and flexible intra-medullary nail fixation. The patient was doing fine but, four months later he sustained sharp pain that was associated with limitation of thumb motions while using a video game controller. Surgical exploration revealed rupture of Extensor Polices Brevis (EPB) and attrition of Abductor Pollicis Longus (APL) tendons by rubbing over the free bent end of the flexible nail. This complication was managed satisfactorily. Discussion: The authors are reporting this case for the treating physicians to be aware about such complication, which should be avoided. Elaborating for the first time a presumed causal association between daily thumb motion and risk of injury that should be kept in mind while treating such cases to prevent possible complication. Conclusion: Treating mid-shaft radial fracture in children with flexible nails is subjected to this possible complication. The free end of the flexible nail must be away from the excursion of any of wrist tendons. Changes in lifestyle habits that result in excessive motion of the involved joint should be avoided. A multidisciplinary team approach is essential in the management plan.
Authors and Affiliations
Bisher Alshanawani, Abdulmonem Mohammed Alsiddiky, Feras Alshomer, Mohamed Zamzam
Keywords
Related Articles
- EP ID EP343749
- DOI 10.9734/IJMPCR/2015/13583
- Views 80
- Downloads 0
Autoimmune Progesterone Dermatitis with Post-Inflammatory Hyperpigmentation
Autoimmune Progesterone dermatitis is a rare disorder characterized by recurrent cyclical cutaneous eruptions during the menstrual period, and is due to hypersensitivity to progesterone. It is a dermatosis with myriad mo...
Gingival Overgrowth Associated with Phenytoin Therapy: Report of a Case
Gingival overgrowth (also called gingival hyperplasia, or gingival hypertrophy) refers to an increase in the size of the gingiva. It is seen as an adverse effect of drugs such as anticonvulsants, immunosuppressants, and...
Panic Attack Following Addition of Nalmefene to Methylphenidate in a Patient with Comorbid Alcohol Use Disorder and Attention Deficit Hyperactivity Disorder: A Case Report
Aim: Our aim is to describe a previously unreported potential interaction of nalmefene with methylphenidate and discuss possible mechanisms and precautions. Presentation of Case: A 40-year-old man with ADHD taking long-a...
Synchronous Thyroid and Gastric Mantle Cell Lymphoma
Introduction: Mantle cell lymphoma (MCL) is a distinct entity within the World Health Organization classification of lymphoid neoplasm and represents approximately 8% of lymphoma. Patients with mantle-cell lymphoma typic...
Parathyroid Adenoma in a Patient with Left Hip Pain: A Case Report
Diagnosis of primary hyperparathyroidism (PHPT) is a challenging issue in some cases because of the uncommon and various presentations. Primary hyperparathyroidism is a relatively common condition, originating from parat...