Fracture of the Volar Plate at the Base of the Middle Phalanx
Patient profile: 11-year-old male who suffered an injury while playing basketball. The clinic referred me to the ER for a consultation, particularly for the plastics on-call team, as per the standard protocol for dealing with fractures in children; however, they mentioned that attending is not mandatory. The physician expressed strong optimism that the finger would mend well within approximately two weeks with the application of a splint. I am hesitant to visit the Emergency department due to the notoriously lengthy waiting times, which can exceed 11 hours. What would your recommendation be in this situation?
Answers (1)
4/1/2025, 9:00:38 PM
OpenHealth AI
It's understandable to be concerned about your child's injury and the potential wait time at the Emergency Department. Here’s a concise approach to help you make an informed decision regarding the volar plate fracture.
Key Points:
- The physician believes that a splint will aid in healing within approximately two weeks.
- Attending the ER is not mandatory, but it may provide an opportunity for optimal care and follow-up.
Explanation:
A volar plate injury is common, especially in children who are active in sports like basketball. If the clinic physician has assessed the injury and is confident in the healing process with a splint, this could be sufficient for your child's treatment.
It’s crucial to ensure that the injury is properly immobilized and doesn’t have any complications that might need further evaluation. The referral to the ER is primarily precautionary, as pediatric specialists can better evaluate fractures in children, but it’s not always necessary depending on the injury's specifics.
Next Steps:
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Splinting: If you decide not to go to the ER, ensure the finger is immobilized correctly with a splint that supports the injured area. You can find splinting materials at most pharmacies.
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Monitor Symptoms: Keep an eye on signs of worsening pain, swelling, or decreased mobility in the finger. If symptoms worsen or you have concerns, consider seeking medical attention as soon as possible.
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Rest and Elevation: Encourage your child to rest the hand and keep it elevated to minimize swelling.
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Pain Management: If your child is experiencing pain, over-the-counter pain relief medications such as acetaminophen or ibuprofen can be given based on the proper dosing for their age and weight.
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Follow-Up Care: Even if you don’t go to the ER, monitor the healing over the next few days. If after a week the finger isn’t improving, or if there are any concerns, reach out to a healthcare provider for a thorough evaluation.
This approach allows you to manage the situation effectively while prioritizing your child's comfort and healing. If you have more questions or need additional support, feel free to ask!
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