[The Seymour fracture - a fracture that easily can be missed].

The Seymour fracture is a pediatric fracture involving the growth plate of the distal phalanx. It is associated with an overlying nail bed injury, and the child often presents with difficulties to extend fully in the distal joint. If not treated properly it can result in infections such as osteomyelitis or lead to deformities and growth disturbances. Since the extent of the damage of the nail bed can range from more obvious crush injuries to small lacerations of the matrix it can easily be missed in the more subtle cases. Early administration of prophylactic antibiotics, reduction of the fracture and repair of the nail bed are necessary for a good prognosis.