Ortho Hors D'oeuvres (Prompt):
Patient is a 14 year-old boy presenting after slamming his 4th finger in a door.
On examination, the right ring finger has exposed nail root above the eponychium. There is no clear laceration to the nail matrix or bed. Pt has good capillary refill and two-point discrimination distally.
X-rays show:
Questions:
1) Why is an x-ray recommended in a patient with this injury pattern?
2) What type of injury pattern has this patient sustained?
3) What is the most appropriate next step in management of this patient’s injury?