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Paediatric hand fractures
K Young1, A Greenwood, A MacQuillan
1Department of Plastic Surgery, Frenchay Hospital, Bristol, UK.
The Journal of Hand Surgery, European Volume
|January 24, 2013
Summary
This study reviewed 303 pediatric hand fractures, finding peak incidence in 14-year-old males, often from sports. Most pediatric hand fractures were managed conservatively with few complications.
Area of Science:
- Orthopedics
- Pediatric Traumatology
- Plastic Surgery
Background:
- Hand fractures are common injuries in children.
- Understanding their epidemiology and management is crucial for optimal patient outcomes.
- Paediatric hand injuries require specific consideration due to developing skeletal structures.
Purpose of the Study:
- To review the demographics, morphology, and management of paediatric hand fractures.
- To identify patterns in incidence, injury mechanisms, and fracture types.
- To evaluate the effectiveness of current management strategies and complication rates.
Main Methods:
- Retrospective review of patient records from a paediatric trauma clinic over one year.
- Inclusion criteria: children with hand injuries, excluding non-bony injuries.
- Data collected: patient demographics, fracture type, injury mechanism, management, and complications.
Main Results:
- A total of 303 fractures in 283 paediatric patients were analyzed.
- Fracture incidence increased after age seven, peaking at 14 years; 76% occurred in males.
- Sports injuries were the most common cause (47%), followed by physeal fractures (39%). Open fractures were rare (4%).
Conclusions:
- Paediatric hand fractures predominantly affect adolescent males, often due to sports.
- Conservative management is generally effective, with a low rate of surgical intervention (5%) and complications (6%).
- Further research into specific fracture types and long-term outcomes is warranted.
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