Manejo quirúrgico de fracturas bilaterales de Salter y Harris tipo III de las falanges proximales de los dedos gordos del pie en una bailarina de ballet de 10 años de edad: reporte de un caso.

Operative management of bilateral Salter-Harris type III fractures of the proximal phalanges of the great toes of a 10-year-old female ballet dancer: a case report

 

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J Pediatr Orthop B. 2016 Jul;25(4):393-6. doi: 10.1097/BPB.0000000000000284.
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Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved

Abstract

Differentiation between the normal variant cleft epiphysis and Salter-Harris type III fracture of the first proximal phalanges of the foot in children might be challenging. The authors describe a case of a 10-year-old ballet dancer girl with bilateral epiphyseal segmentation of the first proximal phalanges of the foot, unresponsive to conservative treatment. Considered a nonhealing stress-induced fracture, operative treatment with closed reduction and Herbert screw insertion was chosen on both sides. Complete union was achieved, with significant reduction of pain. The presented case suggests that internal fixation can be a viable option in the treatment of the problem.

[PubMed – in process]

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