Seymour fracture management and functional outcome assessment: a case report

Seymour fracture, a rare entity whose management is complex due to the mechanism and rate of complications. We present a case to describe our management approach. A 14-year-old child with a laceration secondary to a boot crush of 1 day of evolution. The physical examination reveals a lacerated fifth digit involving skin, nail bed, and distal phalange. Radiography was performed, Salter-Harris I fracture was diagnosed. Early surgical intervention was performed, irrigation, nail bed repair, debridement, open reduction, and osteosynthesis with K-wires. The patient was referred to rehabilitation and an antibiotic scheme of amoxicillin-clavulanic plus clindamycin was given. After 8 weeks Kirschner wire was removed, and no complications were reported. A fingertip injury outcome score was performed obtaining 11 points. Early intervention is a must. The use of Fingertip Injuries Outcome Assessment Score is vital for followup in children. Collaboration across disciplines is key to improving outcomes.