Unique Considerations for Paediatric Proximal Phalanx Fractures.

J Hand Surg Asian Pac Vol

Connecticut Children's Medical Center, University of Connecticut, Hartford, CT, USA.

Published: October 2022

AI Article Synopsis

  • Pediatric hand fractures have specific challenges, with the proximal phalanx being the most common injury site.
  • The review emphasizes the importance of proper examination, immobilization methods, and treatment strategies to avoid over-treatment and undertreatment.
  • It discusses various fracture patterns in detail, aiming to improve the evaluation and treatment of pediatric proximal phalanx injuries.

Article Abstract

Paediatric hand fracture care presents unique considerations and challenges. The proximal phalanx is the most injured location. This review details pearls for the examination of the injured paediatric hand, immobilisation considerations and treatment strategies. Over-treatment can lead to unnecessary stiffness, missed activities, increased healthcare costs or unnecessary surgical morbidity. Undertreatment can promote malunion and dysfunction. Fracture patterns discussed include those of the phalangeal head, neck, shaft and base. The concepts covered will help optimise the evaluation and treatment of children with injured proximal phalanges. Level V (Therapeutic).

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Source
http://dx.doi.org/10.1142/S2424835522300055DOI Listing

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