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Analysis of 344 Hand Injuries in a Pediatric Population
Byung-Joon Jeon1, Jung-Il Lee2, Si Young Roh2
1Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Insights
Pediatric hand injuries vary by age, with younger children experiencing more amputations and crushing injuries. Older children face more lacerations and fractures, often from sports or altercations.
Area of Science:
- Orthopedics
- Pediatric Surgery
- Trauma Surgery
Background:
- Hand and finger injuries are common in children.
- Understanding injury patterns and risk factors is crucial for prevention and treatment.
Purpose of the Study:
- To identify comprehensive hand injury patterns in different pediatric age groups.
- To assess the risk factors associated with pediatric hand injuries.
Main Methods:
- Retrospective study of 344 patients under 16 years old treated for hand/finger injuries.
- Data collected from January 2010 to December 2014 at a general hospital in Gyeonggi-do, Republic of Korea.
- Patients categorized into five age groups for analysis.
Main Results:
- Male patients constituted the majority across all age groups.
- Common causes shifted from door-related incidents in younger children to sports/conflict in older ones.
- Injury types evolved from amputation/crushing in younger children to lacerations/fractures in adolescents.
- Increasing age correlated with more closed injuries, extensor tendon ruptures, and proximal injury levels.
Conclusions:
- This study offers a detailed epidemiological overview of pediatric hand injuries.
- Findings highlight age-specific injury patterns and risk factors.
- Data can inform targeted prevention strategies and clinical management for pediatric hand trauma.
Background:
The purpose of this study was to identify comprehensive hand injury patterns in different pediatric age groups and to assess their risk factors.
Methods:
This retrospective study was conducted among patients younger than 16-year-old who presented to the emergency room of a general hospital located in Gyeonggi-do, Republic of Korea, and were treated for an injury of the finger or hand from January 2010 to December 2014. The authors analyzed the medical records of 344 patients. Age was categorized according to five groups.
Results:
A total of 391 injury sites of 344 patients were evaluated for this study. Overall and in each group, male patients were in the majority. With regard to dominant or non-dominant hand involvement, there were no significant differences. Door-related injuries were the most common cause in the age groups of 0 to 3, 4 to 6, and 7 to 9 years. Sport/recreational activities or physical conflict injuries were the most common cause in those aged 10 to 12 and 13 to 15. Amputation and crushing injury was the most common type in those aged 0 to 3 and 4 to 6 years. However, in those aged 10 to 12 and 13 to 15, deep laceration and closed fracture was the most common type. With increasing age, closed injuries tended to increase more sharply than open injuries, extensor tendon rupture more than flexor injuries, and the level of injury moved proximally.
Conclusions:
This study provides a comprehensive overview of the epidemiology of hand injuries in the pediatric population.
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