Management of Pediatric Distal Fingertip Injuries: A Systematic Literature Review.

Plast Reconstr Surg Glob Open

Department of Plastic Surgery, St. Thomas' Hospital, London, UK.

Published: January 2020

AI Article Synopsis

  • - Nail bed and fingertip injuries are the most common hand injuries in kids and can cause significant issues if not treated properly.
  • - These injuries can involve various types of damage, including bruises, cuts, crush injuries, and even amputations, often linked with fractures.
  • - There is a lack of consistent clinical practices for treating these injuries, and more high-quality studies are needed to improve management strategies for pediatric fingertip injuries.

Article Abstract

Unlabelled: Nail bed and fingertip injuries are the commonest hand injuries in children and can lead to profound functional and cosmetic impairments if not appropriately managed. Fingertip injuries can present with subungual hematomas, simple or stellate lacerations, crush, or avulsion injuries, often with associated fractures or tip amputations. The fundamentals of managing nail bed injuries concern restoring the form and function of a painless fingertip. However, there are controversies surrounding the optimal management of each of these injuries, which has led to nonuniformity of clinical practice.

Methods: The PubMed database was searched from March 2001 to March 2019, using a combination of MeSH terms and keywords. Studies evaluating children (<18 years of age) and the fingertip (defined as distal to the distal interphalangeal joint) were included following screening by the authors.

Results And Conclusion: The evidence base for the diverse clinical management strategies currently employed for fingertip injuries in the pediatric population is limited. Further studies yielding level I data in this field are warranted.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7015615PMC
http://dx.doi.org/10.1097/GOX.0000000000002595DOI Listing

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