Abstract

Dr. Nidhi Sharma* and Dr. Dheeraj Mehra

ABSTRACT

A 16 years old male child came at Rajiv Gandhi Govt. Ayurvedic college and Hospital paprola with history of trauma over right hand with sharp edged teen while playing and complained of pain and bleeding from the dorsum of right hand i.e. the dominant hand of the patient. On examination there was a lacerated wound approximately 7×4 cm over dorsum of right hand. Bleeding was active and profuse with flexion deformity of affected hand. The child was unable to extend his fingers of affected hand. Extensor tendons were not intact. Distal Neurovascular Status was normal and Radial Pulse was present. After clinical and radiological evaluation, the case was diagnosed with extensor tendon injury of extensor digitorum tendon of 2nd 3rd 4th phalanges right hand with open fracture of 3rd 4th Metacarpal head of Right hand. Extensor tendon repair was done by modified Kessler technique and cockup slab was applied for 4 weeks and the wound was healed and the slab was removed after 4 weeks with 80% functional disability of the affected hand. Then the patient recovered with 90% of range of motion of affected hand within 6 months and with no functional disability within 1 year.