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Related Experiment Video

Updated: Feb 3, 2026

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An 11-year-old with mallet finger.

Catherine Walsh1, Matthew Sills1, Gerard Markey1

  • 1Department of Emergency Medicine, University Hospital Waterford, Waterford, Ireland.

Emergency Medicine Journal : EMJ
|October 20, 2018
PubMed
Summary

This case study discusses an 11-year-old athlete with a deformed finger. The diagnosis was a Salter-Harris type 1 fracture of the distal phalanx, a common injury in pediatric sports participants.

Area of Science:

  • Pediatric Orthopedics
  • Sports Medicine
  • Radiology

Background:

  • A young athlete presented with a painful, deformed right little finger distal interphalangeal joint (DIPJ).
  • The patient had a history of dyspraxia and frequent minor soft tissue injuries, with recent concern over potential trauma.
  • Examination revealed a flexion deformity and complete loss of extension at the DIPJ, with mild swelling and tenderness.

Observation:

  • Radiographs of the right little finger were obtained for diagnostic assessment.
  • The imaging was crucial in evaluating the joint and surrounding bone structures.
  • The clinical presentation and radiographic findings were key to determining the diagnosis.

Findings:

  • The diagnosis was a Salter-Harris type 1 fracture of the distal phalanx.
Keywords:
imagingmusculoskeletalx-ray

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  • This type of fracture involves the physis (growth plate) and is common in pediatric patients.
  • The radiographic evidence supported this specific physeal fracture pattern.

    • Implications:

    • Prompt diagnosis and management of Salter-Harris fractures are essential for optimal long-term outcomes in pediatric athletes.
    • Understanding these injuries aids clinicians in providing appropriate treatment and rehabilitation strategies.
    • This case highlights the importance of considering physeal fractures in young athletes presenting with finger deformities after sports participation.