Related Experiment Video
Updated: Mar 15, 2026

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
Published on: September 11, 2018
Pediatric Hand Injuries
Matthew A Sullivan1, Charles J Cogan, Joshua M Adkinson
1Matthew A. Sullivan, BA, is Medical Student, Northwestern University Feinberg School of Medicine, Chicago, IL. Charles J. Cogan, BA, is Medical Student, Northwestern University Feinberg School of Medicine, Chicago, IL. Joshua M. Adkinson, MD, is Assistant Professor of Surgery, Division of Plastic Surgery, Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL.
Insights
Common pediatric hand injuries, including fingertip, tendon, and bone fractures, often require specialized pediatric hand surgeon care for optimal functional outcomes. Plastic surgery nurses should recognize these injuries for timely intervention and effective postoperative management.
Area of Science:
- Orthopedics
- Pediatric Surgery
- Plastic Surgery Nursing
Background:
- Pediatric hand injuries are a frequent occurrence in emergency departments.
- While many injuries are managed initially in the ED, some necessitate specialized pediatric hand surgery.
- Ensuring good functional outcomes requires timely and appropriate intervention.
Purpose of the Study:
- To review the diagnosis and management of common pediatric hand injuries.
- To highlight injuries requiring pediatric hand surgeon evaluation.
- To inform plastic surgery nurses about critical hand injuries needing intervention.
Main Methods:
- Literature review on pediatric hand injuries.
- Discussion of common pediatric hand conditions: fingertip injuries/amputation, tendon injuries, phalangeal and metacarpal fractures.
- Emphasis on diagnostic criteria and management strategies.
Main Results:
- Common pediatric hand injuries include fingertip amputations, tendon injuries, and fractures of the phalanges and metacarpals.
- Early recognition and appropriate management are crucial for functional recovery.
- Specialized pediatric hand surgery ensures optimal outcomes for complex cases.
Conclusions:
- Pediatric hand injuries necessitate prompt and accurate diagnosis and management.
- Plastic surgery nurses play a vital role in identifying injuries requiring specialist referral.
- Effective collaboration ensures efficient patient care and superior functional results.
Abstract:
Pediatric hand injuries are extremely common. Although many hand injuries are adequately managed in the emergency department, some may need evaluation and treatment by a pediatric hand surgeon to ensure a good functional outcome. This article discusses the diagnosis and management of the most common pediatric hand maladies: fingertip injuries/amputation, tendon injuries, and phalangeal and metacarpal fractures. The plastic surgery nurse should be familiar with hand injuries that require intervention to facilitate efficient management and optimal postoperative care.
Related Concept Videos
Hand hygiene
Hand washing...
Handwashing II: Pre-procedure and Initial Procedure Steps
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury. The nails must be short and clean, without nail...
Burn Injuries
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
Handwashing III: During the Procedure and Post-Procedure Steps
Handwashing I: Introduction and Types of Equipment
Hand wash basins in clinical areas should have faucets that can be turned on and off without using the hands; that is, they should be non-touch or lever-operated....
Pharmacokinetics in Pediatric Patients: Drug Metabolism

