Pinckney L E, Currarino G, Kennedy L A
Radiology. 1981 Feb;138(2):375-7. doi: 10.1148/radiology.138.2.7455117.
Six children suffered Salter I fractures of the distal phalanx of a great toe caused by stubbing. The first four children presented with cellulitis and osteomyelitis. The last two were treated promptly with antibiotics, and no infection developed. Analysis of the anatomic relationship of the distal phalanx and nail indicates that these fractures were compound despite the absence of usual clinical signs. Recognition of these occult compound fractures and treatment with antibiotics should prevent infectious complications.
六名儿童因踢到东西导致拇趾远节趾骨Salter I型骨折。前四名儿童出现蜂窝织炎和骨髓炎。最后两名儿童立即接受了抗生素治疗，未发生感染。对远节趾骨与指甲的解剖关系分析表明，尽管没有常见的临床体征，但这些骨折仍为开放性骨折。认识到这些隐匿性开放性骨折并使用抗生素治疗可预防感染并发症。
