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Pediatric Fingertip Injuries.

Scott N Loewenstein1, Joshua M Adkinson2

  • 1Division of Plastic Surgery, Integrated Plastic Surgery Residency Program, Indiana University School of Medicine, 545 Barnhill Drive, Emerson Hall, Suite 232, Indianapolis, IN 46202, USA.

Hand Clinics
|November 17, 2020
PubMed
Summary
This summary is machine-generated.

Pediatric fingertip injuries, often from crush mechanisms, are common in 2-year-olds. A conservative approach is recommended for soft tissue and nail bed injuries due to children

Keywords:
AmputationBone fracturesCrush injuriesFingersNailsOpen fracturesPediatricSoft tissue injuries

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Area of Science:

  • Orthopedics
  • Pediatric Surgery
  • Trauma Care

Background:

  • Pediatric fingertip injuries are a frequent occurrence, particularly in toddlers around two years of age.
  • Crush mechanisms are the most common cause, with approximately half of these injuries involving an associated fracture.
  • The presence of a physis (growth plate) in children leads to distinct injury patterns and specific management considerations.

Purpose of the Study:

  • To review the current evidence regarding the treatment of pediatric fingertip injuries.
  • To outline an evidence-based approach for managing pediatric fingertip injuries and amputations.
  • To highlight the unique aspects of treating these injuries in the pediatric population, considering growth and healing potential.

Main Methods:

  • Review of existing literature and clinical guidelines on pediatric fingertip injuries.
  • Analysis of injury mechanisms, fracture associations, and age-related patterns.
  • Evaluation of conservative versus surgical management strategies based on injury type and severity.

Main Results:

  • Conservative management is often effective for soft tissue and nail bed injuries in children.
  • The significant healing potential in pediatric patients supports an initial non-operative approach.
  • Specific considerations are necessary for injuries involving the physis.

Conclusions:

  • Pediatric fingertip injuries require a tailored management strategy.
  • A conservative approach should be considered first for many soft tissue and nail bed injuries.
  • Understanding the unique anatomy and healing capacity of children is crucial for optimal outcomes.