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Review Question - QID 6138

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QID 6138 (Type "6138" in App Search)
Figures 35a through 35c show the clinical photograph and radiographs of a 15-year-old boy who stubbed his toe 1 day ago while walking barefoot in the yard. Management should consist of
  • A
  • B
  • C

buddy taping of the great toe to the second toe for 3 weeks and use of a hard-soled shoe.

3%

18/627

buddy taping of the great toe to the second toe for 3 weeks and application of a short leg cast.

1%

6/627

buddy taping of the great toe to the second toe for 3 weeks, use of a hard-soled shoe, and a short course of antibiotics.

11%

70/627

nail removal in the emergency department, buddy taping of the great toe to the second toe for 3 weeks, and use of a hard-soled shoe.

20%

126/627

irrigation and open reduction, with or without fixation, and a short course of antibiotics.

64%

401/627

  • A
  • B
  • C

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The patient has an open fracture of the physis of the distal phalanx with a portion of the nail bed interposed in the physis. Seymour initially described this injury in the distal phalanges of fingers. Optimal treatment consists of removing the interposed tissue, irrigating the fracture, and a short course of antibiotics. The nail should be preserved to provide stability.

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