PDF(Pubmed)
Abstract：
A 15-year-old male presented with multiple right-hand fractures, including a severely angulated small finger metacarpal neck fracture. Multiple closed attempts failed, and open reduction was performed. At surgery, the extensor tendon was found to be interposed within the fracture, thereby preventing closed reduction. The tendon was extricated from the fracture site, adequate reduction was obtained, and the fracture was stabilized using K-wires. The fracture united well, with good return of motion and strength. Extensor tendon interposition is a rare scenario associated with metacarpal neck fractures and should be suspected when there is complete loss of contact between the fracture ends and multiple attempts at closed reduction have failed.
摘要：
一名15岁男性右手多处骨折,包括严重成角度的小指掌骨颈骨折。多次关闭尝试失败，并进行了切开复位。在手术中，发现伸肌腱插入骨折内，从而防止封闭还原。肌腱从骨折部位脱离,获得了足够的减少，使用K线稳定骨折。骨折联合良好，具有良好的运动和力量。伸肌肌腱插入术是一种与掌骨颈骨折相关的罕见情况，当骨折端之间完全失去接触且多次闭合复位失败时，应怀疑。
