Salter-Harris Fractures of the Distal Phalanx: Treatment Algorithm and Surgical Outcomes

Plastic and Reconstructive Surgery
Waleed GibreelKarim Bakri

Abstract

Salter-Harris fractures of the distal phalanx with or without clinical evidence of nail-bed laceration are frequently undertreated. A retrospective review was performed of all patients with distal phalanx Salter-Harris fractures treated between 2004 and 2016. Seventy patients were treated for 72 Salter-Harris fractures at a mean ± SD age of 11.3 ± 3.7 years. Median follow-up was 6 weeks (interquartile range, 4 to 12.6 years). The thumb was most commonly involved (n = 21), followed by long (n = 18), ring (n =17), small (n = 9), and index (n = 7) fingers. Sport-related injuries accounted for 39 fractures (54 percent). Forty-two fractures (58 percent) had at least one clinical finding suggestive of nail-bed laceration (subungual hematoma, subluxation of the proximal nail plate, skin laceration proximal to the eponychial fold, bleeding from underneath the nail plate, eponychial fold laceration, and nail plate avulsion). Among 42 fractures with at least one feature of nail-bed laceration, surgical exploration was undertaken in 38 fractures. At exploration, a nail-bed laceration was found in 31 fractures (82 percent) and soft-tissue interposition was found in 18 (47 percent). Fractures with clinical features of nail-bed laceration (n...Continue Reading

References

Sep 1, 1990·The Journal of Hand Surgery·M D SuprockJ D Lubahn
Feb 1, 1987·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·J P SloanK R Welsh
Mar 1, 1967·The Journal of Trauma·T S AshbellJ E Kutz
Mar 1, 1984·The Journal of Hand Surgery·E G ZookR C Russell
Apr 1, 1995·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·C J InglefieldP S Kolhe
Mar 1, 1993·The Journal of Emergency Medicine·M M WuR F Edlich
Jun 2, 2001·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·M M Al-Qattan
Jan 9, 2003·Hand Clinics·Richard E Brown
Jul 10, 2008·The Journal of the American Academy of Orthopaedic Surgeons·Clément M L WernerAndrew N Pollak
Aug 3, 2010·The Journal of the American Academy of Orthopaedic Surgeons·Erik DorfL Andrew Koman
Sep 25, 2010·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Cynthia Cooper
Oct 25, 2011·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·R Ravindra Bharathi, Babu Bajantri
Apr 18, 2012·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Victoria Priganc
Jun 2, 2012·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Lisa O'Brien
Jun 12, 2013·The Journal of Hand Surgery·Megan E MignemiDonald H Lee
Nov 12, 2013·The Journal of Hand Surgery·Joshua M Abzug, Scott H Kozin
Aug 15, 2015·The Journal of Hand Surgery·Garet C ComerJeffrey Yao
Nov 12, 2015·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·A SierakowskiUNKNOWN Nail bed INJury Analysis (NINJA) Collaborative Group
Nov 28, 2015·Hand Clinics·Susan W Stralka
Mar 25, 2016·Journal of Physiotherapy·Lisa A HarveyUNKNOWN Spinal Cord Injury Physical Activity (SCIPA) Hands On Trial Collaborators
Nov 1, 1995·Postgraduate Medicine·El-Hussaen A AbbaseSaleh M Shenaq

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Annals of Plastic Surgery
G ChinM Gonzalez
The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand
J C Botelheiro
The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand
Y Safoury
© 2022 Meta ULC. All rights reserved