Fingertip Injuries in Children: Epidemiological, Therapeutic Approach and Results
Iranian Journal of Pediatric Surgery,
Vol. 12 No. 1 (2026),
20 May 2026
,
Page 82 - 94
https://doi.org/10.22037/irjps.v12i1.49699
Abstract
Introduction: Door fingers injuries account for 3.5% of child domestic accidents. The aim of our study was to describe the epidemiological, anatomo-clinical, therapeutic features and results of door fingers injuries in children.
Materials and Methods: This was a cross-sectional study with a descriptive and analytical purpose carried out over a period of 10 years, (January 2010 to September 2020), in the Paediatric Surgery Department. We included all children aged 0 to 15 years old admitted for digital trauma following crushing by a door, a car door, a window, drawers.
Results: We collected 55 cases. The mean age was 5.36 ± 4.12 years (extremes of 1 and 15 years). The male gender accounted for 60% of cases with a sex ratio of 1.5. The lesions were subungual hematoma (38.18%), nail avulsions (14.54%), pulpal wounds (38.18%) with distal amputations in 40% of cases. Distal phalanx fractures were observed in 47.27% of cases. Therapeutically, directed healing was indicated in 16.36% of distal amputations, while flaps were used in 25.45% of cases. Pinning was performed in 69.23% of cases. The evolution was uneventful in 94.54% of cases.The results were excellent in 10.90% of cases and good in 63.63% of cases.
Conclusion: Door fingers are common in children. A careful clinical examination with meticulous radiological analysis allows appropriate and well codified management. The restoration of a good quality pulpo-ungual complex is the best guarantee of a good long-term functional and aesthetic result.
- Home accidents
- Trauma
- Fingers
- Children
- Emergency
How to Cite
References
1. Fitoussi F, Pennecot G.Traumatismes du doigt chez l’enfant : Les erreurs à éviter. Arch Pediatr 2005; 12(10):1529-32
2. Fitoussi F. Doigts de porte : épidémiologie et prévention. Arch Pediatr 2014; 21:244-5
3. Moustapha H, Habou O, Ali Ada M et al. Les traumatismes de l’extrémité digitale ou « doigt de porte » chez l’enfant Aspects épidémiologiques, lésionnels et thérapeutiques Rev int sc méd 2018;20,3:234-9
4. Hamel A, Mayrargue E, Ardouin T, Guillard S, Duteille T, Rogez JM. Traumatismes des extrémités digitales. Paris: Elsevier Masson SAS; 2011. 9p.
5. Salazard B, Launay F, Desouches C, Samson P, Jouve JL, Magalon G. Les traumatismes des phalanges distales chez l’enfant. À propos d’une série de 81 cas avec un recul minimum de un an. RevChirOrthopReparatriceAppar Mot 2004; 90(7):621–7.
6. Claudet I, Toubala K, Carneta C et al. Quand les portes claquent, les doigts craquent ! Arch Pediatr 2007; 14:958–63.
7. Trimaille A, Kerfant N, Monnerie C et al. La main traumatique de l’enfant. Ann Chir Plast 2016; 61(5): 528-35.
8. Vergara-Amado E, Castillo-Pérez S, Tovar-Cuellar W. Recommendations on treatment of nail and fingertip injuries in children. Cases series and literature review. Rev Fac Med 2016; 64(3): 499-504.
9. Elvin G, Zook M.D, Roxane J, Guy M.D, Robert C, Russell M.D, Springfield. A study of nailbed injuries: causes, treatment, and prognosis. J Hand Surg Am 1984; 9(2): 247-52.
10. Ardouin T, Poirier P, Rogez JM. Les traumatismes des extrémités digitales et de l’appareil unguéal chez l’enfant: À propos de 241 cas. Rev Chir Orthop 1997; 83: 330– 4
11. Foucher G, Prevost P, Merle M, Sibilly A, Michon J. The rope down technic in distal reinsertion of the flexor tendon (author’stransl). Ann Chir 1978; 32(9): 613 – 4.
12. Salazard B, Launay F, Desouche C, Samson P, Magalon G. Infection after fingertip injury in children. Surg Infect. 2006 ;7(4) :373–8.
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