Fitoussi F, Penneçot G-F
Service d'orthopédie infantile, hôpital Robert-Debré, 48, boulevard Sérurier, 75019 Paris, France.
Arch Pediatr. 2005 Oct;12(10):1529-32. doi: 10.1016/j.arcped.2004.10.028. Epub 2005 Jun 24.
Two types of digital trauma are often met: in the young child, it is generally about a fingertip crushing by a door. In the event a of nail bed wound, the child will have to be addressed for a surgical treatment, the absence of a correct treatment being able to be responsible for after-effect. In the older child, the trauma is generally indirect during a sports activity or a game. Radiography often shows a fracture of phalanx epiphysal plate. The treatment is generally orthopaedic: simple immobilization if the fracture is not displaced, reduction and immobilization in the event of displaced fracture.
对于幼儿来说，通常是手指被门夹伤。如果出现甲床损伤，患儿必须接受手术治疗，若治疗不当可能会产生后遗症。对于大龄儿童，创伤通常发生在体育活动或游戏过程中，多为间接损伤。X光检查常显示指骨骨骺板骨折。治疗一般采取骨科手段：骨折无移位时进行简单固定，骨折有移位时则进行复位和固定。
