case_images: PMC7276608_01
case_images: X-ray (anteroposterior) showing a fracture of the proximal phalanx diaphysis of the second finger of the right hand with deviation.
case_images: JOCR-9-86-g001.jpg
case_images: PMC7276608_01_JOCR-9-86-g001.jpg
case_images: F1
case_images: The X-ray (Fig. 1) showed fracture of the proximal phalanx diaphysis of the second finger of the right hand with deviation.
case_images: X-ray (anteroposterior) showing acceptable reduction of the fracture.
case_images: JOCR-9-86-g002.jpg
case_images: PMC7276608_01_JOCR-9-86-g002.jpg
case_images: F2
case_images: The control X-ray (Fig. 2) revealed acceptable reduction, and the patient was referred to follow-up at the outpatient consultation.
case_images: X-ray (anteroposterior) performed 25 days after the fracture.
case_images: JOCR-9-86-g003.jpg
case_images: PMC7276608_01_JOCR-9-86-g003.jpg
case_images: F3
case_images: The conservative treatment was kept for 25 days, with apparent fracture healing on the X-ray (Fig. 3), but the patient presented limitation on active flexion of the finger which was interpreted as a sequel of the immobilization.
case_images: X-ray (anteroposterior) performed 6 weeks days after the fracture.
case_images: JOCR-9-86-g004.jpg
case_images: PMC7276608_01_JOCR-9-86-g004.jpg
case_images: F4
case_images: The X-ray didnot show any new fracture (Fig. 4).
case_images: Operating view: Entrapment of the deep flexor tendon within the proximal phalanx can be seen.
case_images: JOCR-9-86-g005.jpg
case_images: PMC7276608_01_JOCR-9-86-g005.jpg
case_images: F5
case_images: After the Bruner incision in the palm face of the affected finger, the entrapment of the deep flexor tendon within the proximal phalanx was observed (Fig. 5).
case_images: Operating view showing the tenolysis of the entrapped tendon.
case_images: JOCR-9-86-g006.jpg
case_images: PMC7276608_01_JOCR-9-86-g006.jpg
case_images: F6
case_images: Then, tenolysis of the entrapped tendon was made (Fig. 6) enabling the visualization of the bone space created by the fracture and where the tendon was trapped (Fig. 7).
case_images: Operating view showing the reconstruction of the pulleys using a portion of long palmar tendon.
case_images: JOCR-9-86-g008.jpg
case_images: PMC7276608_01_JOCR-9-86-g008.jpg
case_images: F8
case_images: After that, a reconstruction of the pulleys was performed using a portion of long palmar tendon (Fig. 8 and 9) with good immediate functional result (Video 1).
case_images: Operating view showing the reconstruction of the pulleys using a portion of long palmar tendon.
case_images: JOCR-9-86-g009.jpg
case_images: PMC7276608_01_JOCR-9-86-g009.jpg
case_images: F9
case_images: After that, a reconstruction of the pulleys was performed using a portion of long palmar tendon (Fig. 8 and 9) with good immediate functional result (Video 1).
case_images: X-ray (anteroposterior) performed 2 weeks after the surgery.
case_images: JOCR-9-86-g010.jpg
case_images: PMC7276608_01_JOCR-9-86-g010.jpg
case_images: F10
case_images: The X-ray performed 2 weeks later (Fig. 10), documented a good result.