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Thumb caught in door. Blue nailbed, swollen. Diagnosed fracture. Splint applied. Treatment, risks of compartment syndrome?

My two year old left thumb got caught in the door at our church today. The nail bed is completely blue and the end of the thumb is swollen and very red. Took her to an urgent care clinic, physician stated it was fractured under te nail plate. The joint was intact and she does have mobility in the thumb. Splint was appled which lasted less than five minutes.

Question does she need to see an Orthopedic, shoud a cast be applied to immobilize, and risks of compartment syndrome because it has swollen a lot?

Thanks for your reply
Asked On : Thu, 4 Apr 2013
Answers:  1 Views:  33
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Pediatrician 's  Response
Hi dear,
Thanks for your query. Fracture of thumb needs definitely to be shown to an orthopedician. Usually spica cast will be applied if fracture i confirmed and it needs to be worn for atleast four to six weeks. In compartment syndrome, the pain becomes excruciating as swelling increases. Just show him to your doctor if the crying due to pain increases and pain on touching the swelling increases. Don't worry she will be fine.
Take care

Take care
Dr. Balaji CHinnasami MD
Assistant Professor Pediatrics
Answered: Mon, 29 Apr 2013
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