AI Article Synopsis

  • Juxtaphyseal fractures of the distal phalanges in upper extremities often involve the thumb and are typically classified as Salter-Harris II fractures, which can include injuries to the nailbed, such as a "Seymour fracture."
  • Prompt diagnosis is critical to distinguish between types of fractures, as misidentification could lead to complications like physeal arrest.
  • The text includes a case study of a patient with a displaced Salter-Harris type III fracture in the thumb, aiming to highlight this rare injury and discuss its management and outcomes based on literature review.

Article Abstract

Juxtaphyseal fractures of the distal phalanges of upper extremity digits are most commonly of the Salter-Harris II variety and occur most commonly in the thumb. The diagnosis of this injury is essential as it may present as an open fracture with a nailbed injury ("Seymour fracture"). However, an intra-articular, epiphyseal fracture may also occur and mimic a mallet deformity or Seymour fracture. Prompt diagnosis is essential to rule out an open fracture and obtain anatomical alignment and stability to attempt to reduce complications such as physeal arrest. Here, we present a patient with a displaced Salter-Harris type III fracture of his thumb distal phalanx and review his management and early-term outcome. We present this case to bring attention to this rare and unique injury, review the available literature, and discuss management and outcomes.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9608289PMC
http://dx.doi.org/10.1177/15589447221082165DOI Listing

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