Pediatric Hand Injuries: Essentials You Need to Know

Overview

Journal Emerg Radiol

Specialties Emergency Medicine
Radiology

Date 2013 Oct 26

PMID 24158746

Citations 3

Authors

Alexander P Sivit

Elena P Dupont

Carlos J Sivit

Affiliations

Soon will be listed here.

Abstract

The hand is a common site of injury in children and adolescents. The most common mechanism of injury in younger children is crush injury resulting from the hand caught in a closing door while most fractures in teenagers result from recreational sports. Accurate diagnosis of hand fractures is a requisite for timely management of these injuries in order to restore normal function and achieve a satisfactory outcome since poorly treated injuries can have significant functional consequences. Metacarpal and phalangeal fractures can be difficult to diagnose at radiography due to their relatively small size leading to potential delays in treatment. Recognition of common fracture locations and patterns is essential in ensuring prompt and appropriate treatment.

Citing Articles

Fracture-Dislocation Dorsal of the Proximal Interphalangeal Joint: A Case Report and Focus on Volar Plate Injuries.

Barrached M, Zari S, Lachkar A, Abdeljaouad N, Yacoubi H Cureus. 2023; 15(10):e47663.

PMID: 38021719 PMC: 10670557. DOI: 10.7759/cureus.47663.

Seymour's Fracture in a 13-years-old Child: A Case Report.

Khairnar T, Patwardhan S, Sodhai V, Shyam A, Sancheti P J Orthop Case Rep. 2021; 11(5):45-47.

PMID: 34557438 PMC: 8422026. DOI: 10.13107/jocr.2021.v11.i05.2200.

Highlights from the scientific and educational abstracts presented at the ASER 2013 Annual Scientific Meeting and Postgraduate Course.

Myers L, Herr K, Reddy S Emerg Radiol. 2014; 21(3):279-97.

PMID: 24658690 DOI: 10.1007/s10140-014-1213-5.

References

Hernandez J, Swischuk L, Yngve D, Carmichael K . The angled buckle fracture in pediatrics: a frequently missed fracture. Emerg Radiol. 2004; 10(2):71-5. DOI: 10.1007/s10140-003-0288-1. View

Ashkenaze D, Ruby L . Metacarpal fractures and dislocations. Orthop Clin North Am. 1992; 23(1):19-33. View

Edmunds J . Traumatic dislocations and instability of the trapeziometacarpal joint of the thumb. Hand Clin. 2006; 22(3):365-92. DOI: 10.1016/j.hcl.2006.05.001. View

Cornwall R . Finger metacarpal fractures and dislocations in children. Hand Clin. 2006; 22(1):1-10. DOI: 10.1016/j.hcl.2005.12.001. View

Papadonikolakis A, Li Z, Smith B, Koman L . Fractures of the phalanges and interphalangeal joints in children. Hand Clin. 2006; 22(1):11-8. DOI: 10.1016/j.hcl.2005.10.001. View

Leversedge F . Anatomy and pathomechanics of the thumb. Hand Clin. 2008; 24(3):219-29, v. DOI: 10.1016/j.hcl.2008.03.010. View

Mayranpaa M, Makitie O, Kallio P . Decreasing incidence and changing pattern of childhood fractures: A population-based study. J Bone Miner Res. 2010; 25(12):2752-9. DOI: 10.1002/jbmr.155. View

Nance Jr E, KAYE J, Milek M . Volar plate fractures. Radiology. 1979; 133(1):61-4. DOI: 10.1148/133.1.61. View

Baskies M, Lee S . Evaluation and treatment of injuries of the ulnar collateral ligament of the thumb metacarpophalangeal joint. Bull NYU Hosp Jt Dis. 2009; 67(1):68-74. View

10.

Krusche-Mandl I, Kottstorfer J, Thalhammer G, Aldrian S, Erhart J, Platzer P . Seymour fractures: retrospective analysis and therapeutic considerations. J Hand Surg Am. 2013; 38(2):258-64. DOI: 10.1016/j.jhsa.2012.11.015. View

11.

Imatami J, Hashizume H, Wake H, Morito Y, Inoue H . The central slip attachment fracture. J Hand Surg Br. 1997; 22(1):107-9. DOI: 10.1016/s0266-7681(97)80032-0. View

12.

Carlsen B, Moran S . Thumb trauma: Bennett fractures, Rolando fractures, and ulnar collateral ligament injuries. J Hand Surg Am. 2009; 34(5):945-52. DOI: 10.1016/j.jhsa.2009.03.017. View

13.

Leclercq C, KORN W . Articular fractures of the fingers in children. Hand Clin. 2000; 16(4):523-34, vii. View

14.

Husband J, McPherson S . Bony skier's thumb injuries. Clin Orthop Relat Res. 1996; (327):79-84. DOI: 10.1097/00003086-199606000-00012. View

15.

Bailie D, Benson L, Marymont J . Proximal interphalangeal joint injuries of the hand. Part I: anatomy and diagnosis. Am J Orthop (Belle Mead NJ). 1996; 25(7):474-7. View

16.

Wehbe M, Schneider L . Mallet fractures. J Bone Joint Surg Am. 1984; 66(5):658-69. View

17.

Kang H, Sung S, Ha J, Yoon H, Hahn S . Operative treatment for proximal phalangeal neck fractures of the finger in children. Yonsei Med J. 2005; 46(4):491-5. PMC: 2815833. DOI: 10.3349/ymj.2005.46.4.491. View

18.

Bowers W, Wolf Jr J, Nehil J, Bittinger S . The proximal interphalangeal joint volar plate. I. An anatomical and biomechanical study. J Hand Surg Am. 1980; 5(1):79-88. DOI: 10.1016/s0363-5023(80)80049-9. View

19.

Lunn P, Lamb D . "Rugby finger"--avulsion of profundus of ring finger. J Hand Surg Br. 1984; 9(1):69-71. DOI: 10.1016/0266-7681(84)90020-2. View

20.

Weichman K, Wilson S, Samra F, Reavey P, Sharma S, Haddock N . Treatment and outcomes of fingertip injuries at a large metropolitan public hospital. Plast Reconstr Surg. 2012; 131(1):107-112. DOI: 10.1097/PRS.0b013e3182729ec2. View