Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Hand fractures and dislocations in the developing skeleton.

Sheila G Lindley1, Gabriel Rulewicz

  • 1Department of Orthopedic Surgery and Rehabilitation, University of Mississippi Medical Center, Jackson, MS 39216-4505, USA. slindley@orthopedics.umsmed.edu

Hand Clinics
|July 18, 2006
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Malunions of the finger metacarpals and phalanges.

Hand clinics·2006
Same author

Evaluation of fructose 1,6 diphosphate for salvage of ischemic gracilis flaps in rats.

Journal of reconstructive microsurgery·2005
Same author

Prevalence of anatomic variations encountered in elective carpal tunnel release.

The Journal of hand surgery·2003
Same author

Fracture fixation in the mutilated hand.

Hand clinics·2003

Managing pediatric fractures needs understanding the developing skeleton and injury specifics. While bone remodeling is possible, it has limits, and stiffness, especially in finger joints, is a common concern.

Area of Science:

  • Pediatric Orthopedics
  • Skeletal Development
  • Pediatric Trauma

Background:

  • Effective management of pediatric fractures hinges on understanding the unique characteristics of the developing skeleton.
  • Recognizing the injury pattern, mechanism, and anatomical location is crucial for predicting fracture outcomes.

Purpose of the Study:

  • To outline the essential components for successful pediatric fracture management.
  • To emphasize the predictable nature of bone remodeling and its limitations.
  • To highlight the frequency of persistent stiffness in specific pediatric fractures.

Main Methods:

  • Review of established principles in pediatric fracture care.
  • Analysis of fracture healing and remodeling potential in children.
  • Clinical observation and radiological assessment of fracture outcomes.

Related Experiment Videos

Main Results:

  • Bone remodeling potential is significant but limited, particularly outside the direction of joint motion.
  • Growth arrest following pediatric fractures is rare.
  • Persistent stiffness, especially at the proximal interphalangeal (PIP) joints, is more common than often perceived, particularly with phalangeal shaft, condylar, and neck fractures.

Conclusions:

  • Successful pediatric fracture management requires comprehensive knowledge of skeletal development, meticulous clinical and radiological follow-up, and timely intervention for unacceptable deformity.
  • Overreliance on remodeling potential should be avoided, especially concerning joint motion.
  • Clinicians must be vigilant for the development of stiffness in pediatric fractures, particularly involving the phalanges.