Seymour fractures include Salter-Harris I, II, and metaphyseal fractures 2mm distal to the physis. When treating the fracture, the nail should be preserved if possible. CLOSED fractures without nail injury are treated with closed reduction (by hyperflexion) and splinting, or pinning across the DIPJ (if the fracture is unstable). If the reduction is difficult, one can assume tissue interposition and nail plate elevation and removal of soft tissue is indicated (similar to treatment for OPEN fractu

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