Bandi Sumedha, Drone Emily, Vera Ariel, Ganti Latha
Emergency Medicine, University of Minnesota, Minneapolis, USA.
Emergency Medicine, University of Central Florida/HCA Healthcare Osceola Regional Medical Center, Orlando, USA.
Cureus. 2020 Sep 27;12(9):e10687. doi: 10.7759/cureus.10687.
In this report, the authors present the case of a child who sustained a specific type of mallet finger injury known as a Seymour fracture. This is an important injury to recognize in the emergency department as it is associated with significant morbidity if not treated appropriately. This is especially of concern in children, where the tissue can get trapped in the growth plate. Children also face a high risk of deformity due to growth arrest. Management includes thorough washout, reduction of displacement, and antibiotics and tetanus prophylaxis if there is an open fracture.
在本报告中,作者介绍了一名儿童发生一种特殊类型的槌状指损伤,即西摩骨折的病例。这是一种在急诊科需要识别的重要损伤,因为如果治疗不当,会导致严重的发病率。这在儿童中尤其值得关注,因为组织可能会被困在生长板中。儿童还面临因生长停滞而导致畸形的高风险。治疗包括彻底冲洗、复位移位,如果是开放性骨折,则使用抗生素并预防破伤风。