Infection after Fingertip Injury in Children

Abstract

We describe two cases of severe infectious complications after trauma to the finger phalanges in children: osteoarticular infection of the thumb and phlegmon of the thumb's long flexor sheath. These complications are rare after such injuries, which are common and for which the appropriate treatment is often an issue.

How Low Should You Go: Novel Device for Nail Trephination

“…Failure to repair such lacerations, they argued, increased the risk for permanent cosmetic and functional abnormalities, such as nail streaks and depressions, abnormal nail plate regrowth, or nail splits 9 . Subsequent studies have demonstrated, however, that trephination alone should suffice for the treatment of uncomplicated subungual hematomas, regardless of size 1,2,10,11 . The procedure is quick, cost‐effective, and poses minimal structural or infectious risk as long the nail bed is not violated.…”