Unstable fracture pattern of the shaft of the distal phalanx: Transverse basal fracture

A transverse epiphyseal fracture at the base of the distal phalanx in children (Seymour's fracture) is an unstable fracture. These fractures are often associated with a transverse laceration of the nail bed that can get caught within the fracture and prevent reduction. These fractures require open reduction of the fracture and pinning, followed by nail bed repair.