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dislocation is best identified with the lateral wrist radiograph, with the bone
displaced from its typical midaxial location over the radius ( Fig. 109.16 ). This
can be easily missed, and therefore recognition requires careful physical and
radiologic assessment. High-energy trauma and marked swelling can be
indicators of this injury pattern. Concern for dissociations and dislocations
requires urgent attention by a hand specialist.
Suggested Readings and Key References
Alterfott C, Garcia FJ, Nager AL. Pediatric fingertip injuries: do prophylactic
antibiotics alter infection rates? Pediatr Emerg Care 2008;24(3):148–152.
Capstick R, Giele H. Interventions for treating fingertip entrapment injuries in
children. Cochrane Database Syst Rev 2014;2014(4):CD009808.
Cornwall R. Finger metacarpal fractures and dislocations in children. Hand Clin
2006;22(1):1–10.
Edwards S, Parkinson L. Is fixing pediatric nail bed injuries with medical
adhesives as effective as suturing?: a review of the literature. Pediatr Emerg
Care 2019;35(1):75–77.
Gellman H. Fingertip-nail bed injuries in children: current concepts and
controversies of treatment. J Craniofac Surg 2009;20(4):1033–1035.
Jauregui JJ, Seger EW, Hesham K, et al. Operative management for pediatric and
adolescent scaphoid nonunions: a meta-analysis. J Pediatr Orthop
2019;39(2):e130–e133.
Liao JCY, Chong AKS. Pediatric hand and wrist fractures. Clin Plast Surg
2019;46(3):425–436.
Nellans KW, Chung KC. Pediatric hand fractures. Hand Clin 2013;29(4):569–
578.
Patel L. Management of simple nail bed lacerations and subungual hematomas in
the emergency department. Pediatr Emerg Care 2014;30(10):742–748; quiz
746–748.
Strauss EJ, Weil WM, Jordan C, et al. A prospective randomized, controlled trial
of 2-octylcyanoacrylate versus suture repair for nail bed injuries. J Hand Surg
Am 2008;33(2):250–253.