- Discussion:
- younger children will tend to have SH II fractures of the epiphysis of the distal phalanx;
- older children tend to have SH III fractures.
- the main epiphyseal fragment is held in place by the extensor tendon, while the distal fragment is flexed by the FDP;
- Treatment:
- displaced SH III fracture may require ORIF w/ pinning if a stable reduction cannot be obtained;
Base of Distal Phalanx Fracture in Children: A Mallet Finger Mimic.
