Seymour's Fracture in a 13-years-old Child: A Case Report
A nail bed injury concomitant with an underlying physeal injury of the distal phalanx is termed as "Seymour's fracture." These are seemingly innocuous injuries commonly misdiagnosed and are subsequently under-treated. These injuries demand treatment like an open fracture to prevent co...
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Published in | Journal of orthopaedic case reports Vol. 11; no. 5; pp. 45 - 47 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
India
Indian Orthopaedic Research Group
01.05.2021
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Subjects | |
Online Access | Get full text |
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Summary: | A nail bed injury concomitant with an underlying physeal injury of the distal phalanx is termed as "Seymour's fracture." These are seemingly innocuous injuries commonly misdiagnosed and are subsequently under-treated. These injuries demand treatment like an open fracture to prevent complications such as infection, growth arrest, and nail dystrophies.
A 13-year-old boy suffered Seymour's fracture of the left ring finger distal phalanx after a direct injury from a dodge ball. The fracture was treated with thorough debridement with normal saline, physeal injury reduction through the wound, and fixation with k-wire passed through the tip of the ring finger, metaphysic, physis, and the tip of the k-wire ending in the epiphysis of the distal phalanx. The nail bed was sutured with 3-0 monofilament absorbable sutures. The fracture healed at 3 months and a 1-year follow-up showed a completely formed nail without any deformity.
Excellent outcome was observed with debridement of the wound, nail bed repair, and fixation with k-wire in our case. Nail bed injuries in children should be treated with a high index of suspicion for Seymour's fracture as it necessitates treatment like that of an open fracture to avoid complications. |
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ISSN: | 2250-0685 2321-3817 |
DOI: | 10.13107/jocr.2021.v11.i05.2200 |