Official Publication of the National Center for Trauma Research Trauma Monthly 2251-7464 24 1 2019 01 01 Management of Metacarpal Nonunion in a Two-Year-Old Child 1 3 101976 10.5812/traumamon.82449 EN Seyed Ramin Haj Zargarbashi Department of Pediatric Orthopedic Surgery, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran Behnam Panjavi Department of Pediatric Orthopedic Surgery, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran Hamid Reza Arti Hamid Reza Arti Journal Article 2020 01 23 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.

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