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BET 2: FINGER FRACTURE

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Report by: Andrew Wilkinson, FTST

Search checked by: Richard Parris, Consultant in Emergency Medicine

Institution: Royal Bolton Hospital, Bolton, UK

Clinical scenario

A patient presents with a fingertip injury that includes a laceration to the nail bed. The x-ray demonstrates a fracture of the distal phalanx. Should the patient receive antibiotics to prevent osteomyelitis, after appropriate wound toilet and closure?

Three-part question

In (patients with compound fractures of the distal phalanges) are (antibiotics) required to (prevent osteomyelitis)?

Search strategy

The following databases were searched:

EMBASE from 1–80 to 2011 Week 08, Ovid MEDLINE 1948 to Feb Week 4 2011 with the following search strategy—((trauma$ OR …

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