Back to Search
Start Over
Pinckney fracture: do not underestimate trauma of the distal phalanx of the hallux
- Source :
- BMJ case reports. 14(9)
- Publication Year :
- 2021
-
Abstract
- Toe injuries are common in the emergency department and most of them are treated conservatively. In some circumstances, these injuries can present as a physeal fracture with concomitant soft-tissue injury affecting the nail bed and resulting in a hidden open fracture. To adequately treat these patients, a high index of suspicion is needed to diagnose and treat the open fractures and to prevent complications such as infection, osteomyelitis, malunion and premature physeal arrest.We report a case of a patient that was admitted to the hospital with a Salter-Harris type I fracture of the distal phalanx of the hallux. After confirming the diagnosis, antibiotic treatment was started and the fracture was reduced and fixed.The literature on this entity is sparse and most of the management protocols are based on its hand equivalent—the Seymour fracture, emphasising the low threshold for treating these lesions as an open fracture.
- Subjects :
- medicine.medical_specialty
Open fracture
Trauma
Finger Phalanges
Fractures, Open
Physeal fracture
Finger Injuries
Medicine
Humans
Malunion
Child
Retrospective Studies
Injuries
business.industry
Osteomyelitis
Orthopaedic
General Medicine
Emergency department
HDE ORT PED
Phalanx
medicine.disease
Surgery
Accidents
Orthopedic surgery
Fracture (geology)
Hallux
Radiology
business
Subjects
Details
- ISSN :
- 1757790X
- Volume :
- 14
- Issue :
- 9
- Database :
- OpenAIRE
- Journal :
- BMJ case reports
- Accession number :
- edsair.doi.dedup.....302d7ac174fbddbd03e7ee071bda5468