Pediatrics Case 3 ED Management
Salter-Harris Type IV Fracture of the proximal middle phalanx
All types require reduction if significantly displaced, followed by splinting, non-weightbearing status, and orthopedic referral. Orthopedics consultation in the emergency department is required when assistance is needed for reduction and for complicated fractures that may require surgery.
Unlike Type I and II fractures, Salter-Harris III and IV fractures typically require open reduction and internal fixation (ORIF), making expeditious orthopedic follow-up even more important in this patient population.