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Isolated finger injuries in children--incidence and aetiology

N V Doraiswamy1, H Baig

  • 1Department of Accident and Emergency Medicine, Royal Hospital for Sick Children, Glasgow, Scotland, G3 8SJ, UK. nanjappachetty.doraiswamy@yorkhill.scot.nhs.uk

Injury
|September 15, 2000
PubMed

Insights

Most pediatric finger injuries occur at home in young children due to jamming or crushing, often at door hinges. Education on safety measures can prevent or reduce these common childhood injuries.

Area of Science:

  • Pediatric Emergency Medicine
  • Traumatology
  • Public Health

Background:

  • Isolated finger injuries are common in children presenting to emergency departments.
  • Understanding the incidence and causes of these injuries is crucial for prevention.

Purpose of the Study:

  • To determine the incidence and aetiology of isolated finger injuries in children.
  • To identify high-risk age groups, locations, and mechanisms of injury.

Main Methods:

  • Prospective data collection using a specifically designed questionnaire.
  • Inclusion of all children presenting to the Accident and Emergency Department with isolated finger injuries over a 6-month period.
  • Analysis of 426 injuries in 283 children.

Main Results:

  • The majority of injuries (59%) occurred at home, predominantly in children under 5 years old (38%).
  • The middle finger (25%) and terminal phalanges (47%) were most frequently affected.
  • "Jamming/crushing" (48%) was the leading cause, often involving door hinges (49%) and perpetrated by children (59%).
  • Nail injuries were prevalent (48%), with 16 cases of terminal phalangeal amputations.

Conclusions:

  • Home environments, particularly doors, pose significant risks for pediatric finger injuries.
  • Targeted safety education for children and adults is essential for injury prevention and reduction.

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