Venkatesh Ashwin, Khajuria Ankur, Greig Aina
School of Clinical Medicine, University of Cambridge, Cambridge, UK.
Kellogg College, University of Oxford, Oxford, UK; Department of Surgery and Cancer, Imperial College London, London, UK.
Plast Reconstr Surg Glob Open. 2020 Jan 20;8(1):e2595. doi: 10.1097/GOX.0000000000002595. eCollection 2020 Jan.
Nail bed and fingertip injuries are the commonest hand injuries in children and can lead to profound functional and cosmetic impairments if not appropriately managed. Fingertip injuries can present with subungual hematomas, simple or stellate lacerations, crush, or avulsion injuries, often with associated fractures or tip amputations. The fundamentals of managing nail bed injuries concern restoring the form and function of a painless fingertip. However, there are controversies surrounding the optimal management of each of these injuries, which has led to nonuniformity of clinical practice.
The PubMed database was searched from March 2001 to March 2019, using a combination of MeSH terms and keywords. Studies evaluating children (<18 years of age) and the fingertip (defined as distal to the distal interphalangeal joint) were included following screening by the authors.
The evidence base for the diverse clinical management strategies currently employed for fingertip injuries in the pediatric population is limited. Further studies yielding level I data in this field are warranted.
甲床和指尖损伤是儿童最常见的手部损伤，如果处理不当，可能会导致严重的功能和外观损害。指尖损伤可表现为甲下血肿、单纯或星芒状撕裂伤、挤压伤或撕脱伤，常伴有相关骨折或指尖离断。处理甲床损伤的基本原则是恢复无痛指尖的形态和功能。然而，对于这些损伤中每一种的最佳处理方法都存在争议，这导致了临床实践的不一致。
使用医学主题词（MeSH）和关键词组合，检索2001年3月至2019年3月的PubMed数据库。作者筛选后纳入评估18岁以下儿童和指尖（定义为远侧指间关节远端）的研究。
目前用于儿科人群指尖损伤的各种临床处理策略的证据基础有限。有必要开展进一步研究以获取该领域的一级数据。
