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Interventions for treating fingertip entrapment injuries in children

Creator:

Capstick, R. and Giele, H.

Subject Keywords: Surgical intervention, Conservative interventions, Fingertip entrapment injuries, Children
Type: Article
Region: International (other)
Description:

Fingertip entrapment injuries commonly happen in children when their fingertip is caught between the door and the door surround as the door closes. This damages the finger nail, surrounding tissue and bone, all of which are important structures in the protection of the fingertip and for nail growth. These injuries are also called trapped finger injuries, crush fingertip injuries or door jamb injuries.

Sometimes these injuries are treated without surgery ('conservatively') by cleaning them and dressing the wound. Alternatively, the injuries are treated with surgery, which typically involves a general anaesthetic, cleaning of the wound and removal of damaged tissue, and stitches to repair any cuts on the fingertip or the nail.

We searched the medical literature until 30 April 2013 for studies comparing different methods of treating fingertip entrapment injuries. Our review includes evidence from two studies where participants were randomly allocated to one of two conditions. The studies included 191 children with results available for a total of 180 children. Both the studies had weaknesses that could undermine the reliability of the results. Since the studies compared different methods, we could not combine their results.

One study looked at the routine use of antibiotics in children with a surgically repaired fingertip injury to prevent infection. Due to the small number of children experiencing infection this study does not provide conclusive evidence of the effect of giving or withholding antibiotics. Only one child in each group had an infection after a week. Both children had had more severe injuries.

The other study compared two different dressing types for use in fingertip entrapment injuries. The low number of complications was comparable in the two treatment groups. Due to the low number of participants in the study we could not be certain that length of time the injuries took to heal and the number of dressing changes were the same in the treatment groups. However, it also found that the dressing made of silicone caused less distress for the child when being changed after the first week, probably because it stuck less to the wound than the paraffin dressing.

Date:

30/04/2014

Rights: © The Cochrane Collaboration
Suggested citation:

Capstick, R. and Giele, H.. (2014) Interventions for treating fingertip entrapment injuries in children [Online]. Available from: http://www.thehealthwell.info/node/763427 [Accessed: 22nd November 2017].

  

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