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Pediatric Hand and Wrist Fractures
Janice C Y Liao1, Alphonsus K S Chong2
1Department of Hand and Reconstructive Microsurgery, University Orthopaedics Hand and Reconstructive Microsurgery Cluster, National University Health System, 1E, Kent Ridge Road, Singapore 119228.
Clinics in Plastic Surgery
|May 20, 2019
Summary
Pediatric hand and wrist fractures are common. Most heal well with nonoperative care, but surgery may be needed for severe cases to avoid growth plate injury.
Area of Science:
- Orthopedics
- Pediatric Traumatology
- Skeletal Development
Background:
- Hand and wrist fractures are frequent in children.
- Diagnosis requires knowledge of physeal (growth plate) anatomy and carpal bone ossification.
- Treatment decisions are guided by growth plate biology and patient adherence.
Purpose of the Study:
- To review the diagnosis and management of pediatric hand and wrist fractures.
- To emphasize the importance of physeal-sparing techniques in operative cases.
Main Methods:
- Literature review focusing on pediatric hand and wrist fractures.
- Analysis of diagnostic criteria and treatment modalities.
- Evaluation of outcomes based on treatment approach.
Main Results:
- Nonoperative treatment yields favorable outcomes for most pediatric hand and wrist fractures.
- Operative intervention is indicated for clinical deformity, open fractures, or substantial displacement.
- Physeal-friendly surgical methods are crucial to prevent long-term growth disturbances.
Conclusions:
- Accurate diagnosis and understanding of pediatric physeal anatomy are key.
- Nonoperative management is the mainstay, with selective operative indications.
- Minimizing physeal injury through appropriate surgical techniques is essential for favorable long-term results.
Keywords:
Distal radius fracturesMetacarpal fracturesPediatric hand fracturesPhalangeal neck fracturesPhyseal injuriesScaphoid fracturesSeymour fracturesMore Related Videos
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