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J Hand Surg Am. 2018 Jun;43(6):572.e1-572.e5. doi: 10.1016/j.jhsa.2017.10.009. Epub 2017 Nov 14.

Surgical Management of Proximal Interphalangeal Joint Repetitive Stress Epiphyseal Fracture Nonunion in Elite Sport Climbers.

Author information

1
Department of Surgery, Division of Plastic & Reconstructive Surgery, North York General Hospital, Toronto, Ontario, Canada. Electronic address: yasser.elsheikh@gmail.com.
2
Department of Sports Medicine-Sports Orthopedics, Klinikum Bamberg, Germany.
3
Department of Pediatrics, Klinikum Bamberg, Germany.
4
Department of Trauma, Orthopedics and Hand Surgery, Städt. Klinikum Solingen, Germany.

Abstract

Repetitive stress fracture of the middle phalanx epiphysis is an injury specific to elite adolescent sport climbers. As sport climbing becomes increasingly popular in younger age groups, an increased number of these injuries have been reported in recent years. To date, treatment of these fractures has been nonsurgical, with strict rest and physiotherapy prescribed until fracture union. However, when these patients present in a delayed fashion with an established nonunion, nonsurgical treatment may fail, leading to disabling chronic pain and/or digital deformity in some cases. In this article, we present 2 cases of surgical treatment for finger middle phalanx repetitive stress epiphyseal fracture nonunion, using a percutaneous spot drilling epiphysiodesis technique.

KEYWORDS:

Epiphyseal fracture; epiphysiodesis; proximal interphalangeal joint; sport climbing

PMID:
29146511
DOI:
10.1016/j.jhsa.2017.10.009
[Indexed for MEDLINE]

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