Hand fractures in children are a common injury. Early recognition and prompt diagnosis is necessary to achieve satisfactory outcome. A thorough history and physical examination along with adequate radiographic imaging are essential. The goal of treatment is to have children return quickly to their daily leisure and academic activities. In the pediatric population, most hand injuries can be treated nonoperatively. Modalities for nonoperative treatment include buddy taping, mallet splinting, intrinsic plus splinting, casting or observation. Several fractures, however, require prompt surgical intervention. These include Seymour fractures and any injury that cannot be suitably managed in a splint or cast, including those with residual deformity, intraarticular extension, displacement, and unacceptable alignment in the coronal, sagittal and rotational plane. In general, most surgical interventions consist of closed reduction and percutaneous pinning. With the thick periosteum and high remodeling potential that makes the pediatric population unique, rarely is anatomic reduction and rigid internal fixation ever needed. Early range of motion after reduction and stable fixation is a cornerstone to postoperative rehabilitation.
- Finger injuries
- Hand fractures
- Phalangeal fractures
ASJC Scopus subject areas
- Orthopedics and Sports Medicine