RT Journal Article
SR Electronic
T1 An 11-year-old with mallet finger
JF Emergency Medicine Journal
JO Emerg Med J
FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine
SP 679
OP 680
DO 10.1136/emermed-2017-207361
VO 35
IS 11
A1 Catherine Walsh
A1 Matthew Sills
A1 Gerard Markey
YR 2018
UL http://emj.bmj.com/content/35/11/679.abstract
AB An 11-year-old girl presented with pain and deformity in her right little finger distal interphalangeal joint (DIPJ). She was active in several sports including hurling and had a history of dyspraxia with frequent minor soft tissue injuries which had not required hospital assessment. Her mother was concerned about the possibility of a recent injury.Examination showed flexion deformity of the right fifth finger with complete loss of extension at the DIPJ. There was mild swelling and tenderness of the DIPJ with no bruising, erythema or warmth. An X-ray was performed (figure 1). Figure 1 An teroposterior (AP) and lateral radiographs of the right little finger.Question What is the diagnosis?Salter-Harris type 1 fracture of distal phalanxDystelephalangyExtensor digiti minimi tendon injuryClinodactyly