dislocation is best identified with the lateral wrist radiograph, with the bone displaced from its typical midaxial location over the radius ( Fig 109.16 ) This can be easily missed, and therefore recognition requires careful physical and radiologic assessment High-energy trauma and marked swelling can be indicators of this injury pattern Concern for dissociations and dislocations requires urgent attention by a hand specialist Suggested Readings and Key References Alterfott C, Garcia FJ, Nager AL Pediatric fingertip injuries: prophylactic antibiotics alter infection rates? Pediatr Emerg Care 2008;24(3):148–152 Capstick R, Giele H Interventions for treating fingertip entrapment injuries in children Cochrane Database Syst Rev 2014;2014(4):CD009808 Cornwall R Finger metacarpal fractures and dislocations in children Hand Clin 2006;22(1):1–10 Edwards S, Parkinson L Is fixing pediatric nail bed injuries with medical adhesives as effective as suturing?: a review of the literature Pediatr Emerg Care 2019;35(1):75–77 Gellman H Fingertip-nail bed injuries in children: current concepts and controversies of treatment J Craniofac Surg 2009;20(4):1033–1035 Jauregui JJ, Seger EW, Hesham K, et al Operative management for pediatric and adolescent scaphoid nonunions: a meta-analysis J Pediatr Orthop 2019;39(2):e130–e133 Liao JCY, Chong AKS Pediatric hand and wrist fractures Clin Plast Surg 2019;46(3):425–436 Nellans KW, Chung KC Pediatric hand fractures Hand Clin 2013;29(4):569– 578 Patel L Management of simple nail bed lacerations and subungual hematomas in the emergency department Pediatr Emerg Care 2014;30(10):742–748; quiz 746–748 Strauss EJ, Weil WM, Jordan C, et al A prospective randomized, controlled trial of 2-octylcyanoacrylate versus suture repair for nail bed injuries J Hand Surg Am 2008;33(2):250–253