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Seymour's Fracture in a 13-years-old Child: A Case Report
Tarang S Khairnar1, Sandeep A Patwardhan1, Vivek M Sodhai1
1Department of Paediatric Orthopaedics, Sancheti Institute for Orthopaedics and Rehabilitation, Pune, Maharashtra, India.
Journal of Orthopaedic Case Reports
|September 24, 2021
Summary
Seymour's fracture, a nail bed injury with underlying physeal damage, requires open fracture treatment to prevent complications. Prompt diagnosis and surgical repair ensure excellent outcomes and prevent long-term nail deformities.
Area of Science:
- Pediatric Orthopedics
- Hand Surgery
- Traumatology
Background:
- Seymour's fracture involves nail bed and distal phalanx physeal injuries.
- Often misdiagnosed, leading to under-treatment and potential complications.
- Requires management as an open fracture to prevent infection, growth arrest, and nail dystrophy.
Observation:
- A 13-year-old boy sustained a Seymour's fracture of the left ring finger distal phalanx.
- The injury resulted from direct trauma.
- The case involved a nail bed injury with an underlying physeal injury.
Findings:
- Surgical treatment included wound debridement, physeal reduction, and K-wire fixation.
- Nail bed repair was performed using absorbable sutures.
- The fracture healed within 3 months, with full nail formation and no deformity at 1-year follow-up.
Implications:
- Early and accurate diagnosis of Seymour's fracture is crucial in pediatric patients.
- Treatment mirroring open fracture protocols is essential for optimal outcomes.
- Effective management prevents long-term complications like growth disturbances and nail deformities.
