Abstract
Fingertip trauma commonly presents to pediatric emergency departments. Most injuries can be managed at the bedside with anesthesia, irrigation, soft tissue repair, immobilization, and follow-up. A comprehensive team approach allows for a nurse practitioner as the first point of contact with involvement of a hand surgeon and hand therapist as necessary to provide optimal care. This topical review provides an anatomical framework to assist first-line providers in the appropriate diagnosis and management of common pediatric fingertip injuries as well as identify and rule out conditions that warrant time-sensitive surgical intervention such as Seymour fracture, tendon laceration/avulsion, or dysvascular digit.
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