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Pediatric hand fractures

Kate W Nellans1, Kevin C Chung

  • 1Section of Plastic Surgery, University of Michigan Health System, University of Michigan, 2130 Taubman Center, SPC 5340, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5340, USA.

Hand Clinics
|November 12, 2013
PubMed

Insights

Pediatric hand fractures are common. Diagnosis can be tricky due to developing bones, but simple fractures often heal well with proper immobilization, leading to excellent outcomes.

Area of Science:

  • Orthopedics
  • Pediatric Medicine
  • Radiology

Background:

  • Pediatric hand fractures represent frequent injuries in children.
  • Radiographic identification is challenging due to immature skeletal features like physes and incomplete carpal ossification.

Purpose of the Study:

  • To outline the diagnostic challenges and management principles for pediatric hand fractures.
  • To emphasize the importance of accurate diagnosis and treatment for optimal outcomes.

Main Methods:

  • Review of common pediatric hand fracture presentations.
  • Discussion of diagnostic imaging limitations in children.
  • Description of conservative management techniques.

Main Results:

  • Simple pediatric hand fractures are amenable to non-operative treatment.
  • Appropriate immobilization techniques include buddy taping, splinting, and casting.
  • Correct diagnosis, reduction, and immobilization are key to favorable outcomes.

Conclusions:

  • Despite diagnostic challenges, pediatric hand fractures generally have excellent prognoses with appropriate management.
  • Early and accurate diagnosis is crucial for effective treatment and functional recovery.

Keywords:
MalunionPediatric hand fracturesPhyseal injuries of the handRadiographs

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