Related Experiment Video

Updated: May 24, 2026

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
11:58

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms

Published on: August 11, 2015

Managing thumb volar plate attenuation in children: a systematic review and case series

Dariush Nikkhah1, Jeremy Rodrigues, Lodewikus DeJager

  • 1Bradford Royal Infirmary, UK. dariushnikkhah@hotmail.com

Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand
|February 22, 2012
PubMed

Insights

Traumatic metacarpophalangeal joint (MCPJ) volar plate injuries in children are challenging. This review examines evidence and presents a case series on managing these pediatric hand injuries.

Area of Science:

  • Orthopedic surgery
  • Pediatric hand surgery
  • Sports medicine

Background:

  • Traumatic metacarpophalangeal joint (MCPJ) volar plate injuries are common in adults, typically managed non-operatively.
  • The management of these injuries in children presents unique challenges due to developing skeletal structures.

Observation:

  • A systematic review of existing literature on pediatric MCPJ volar plate attenuations was conducted.
  • A case series detailing the management of three children with painful thumb MCPJ volar plate attenuation at a UK hand unit is presented.

Findings:

  • Evidence regarding non-operative and operative management strategies for pediatric MCPJ volar plate injuries is synthesized.
  • The case series illustrates practical approaches to managing acute, painful thumb MCPJ volar plate injuries in children.

Implications:

  • This review provides valuable insights for orthopedic surgeons and hand specialists managing pediatric hand trauma.
  • Understanding optimal treatment pathways for pediatric MCPJ volar plate injuries can improve patient outcomes and functional recovery.

Related Concept Videos

Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
Mitral Regurgitation III: Medical Management01:25

Mitral Regurgitation III: Medical Management

Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
Mitral Valve Prolapse II: Assessment and Management01:22

Mitral Valve Prolapse II: Assessment and Management

IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular tachycardia.
Rheumatic Heart Disease III: Medical Management01:21

Rheumatic Heart Disease III: Medical Management

Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
Tonsillitis II: Management01:26

Tonsillitis II: Management

This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.