FIGURE 109.1 Abnormal tenodesis Clinical photographs depicting abnormal rotation of the ring finger in the setting of a malrotated phalanx fracture Note the clinical overlap of the ring finger over the long finger and increased gap between the ring finger and the small finger, with passive wrist extension (A ) that is not clinically as apparent with the wrist in neutral position and the digits extended (B ) (Courtesy of Children’s Orthopaedic Surgery Foundation.) Fingertip lacerations are managed similarly to lacerations in other locations with a few caveats Nearly circumferential wounds are common in pediatrics and are managed as partial amputations Some literature recommends nonabsorbable suture material for the repair of these injuries, though we favor absorbable suture because swelling and discomfort often preclude suture removal in children at the time of follow-up