TY - JOUR ID - 101976 TI - Management of Metacarpal Nonunion in a Two-Year-Old Child JO - Trauma Monthly JA - TM LA - en SN - 2251-7464 AU - Haj Zargarbashi, Seyed Ramin AU - Panjavi, Behnam AU - Hamid Reza Arti, Hamid Reza Arti AD - Department of Pediatric Orthopedic Surgery, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran AD - Y1 - 2019 PY - 2019 VL - 24 IS - 1 SP - 1 EP - 3 KW - Metacarp KW - nonunion KW - Pediatric DO - 10.5812/traumamon.82449 N2 - Introduction: Metacarpal fractures are common in childhood and adolescence and bone healing is the rule.Case Presentation: We present a two-year-old boy with an established nonunion of the fourth and fifth metacarpal fractures, treated successfully without any complications. Both fractures resulted from a high-energy trauma; although initial treatment seemed appropriate, nonunion occurred. The child was referred to our center for nonunion and humpback deformity. The patient was treated with open reduction/internal fixation and bone graft. All metacarpal fractures healed radiographically and clinically without any problem. The final functional and cosmetic result was excellent.Conclusions: Although the occurrence of metacarpal nonunion is rare in children, careful follow-up must be done to achieve osseous union. UR - https://www.traumamon.com/article_101976.html L1 - https://www.traumamon.com/article_101976_0da57b43d29be0008a3ac4b555beb8d5.pdf ER -