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Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
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History:
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Fractures: Bone Repair01:27

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Related Experiment Video

Updated: Aug 23, 2025

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
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Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach

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Operative Pediatric Hand Trauma.

Rita Coelho Lopes1, Marcos Carvalho1, Tah Pu Ling1

  • 1Department of Pediatric Orthopaedics - Hospital Pediátrico - CHUC, EPE, Portugal.

Global Pediatric Health
|October 31, 2022
PubMed
Summary
This summary is machine-generated.

Pediatric hand injuries requiring surgery are increasingly common with age, with fractures being the most frequent type. While functional outcomes are generally good, complications and further surgeries can occur.

Keywords:
Quick-DASHcomplicationspediatric handsurgerytrauma

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Area of Science:

  • Orthopedics
  • Pediatric Surgery
  • Epidemiology

Background:

  • Hand injuries are a significant concern in pediatric populations.
  • Surgical intervention is sometimes necessary for traumatic pediatric hand injuries.

Purpose of the Study:

  • To describe the epidemiology of surgically treated hand injuries in children.
  • To analyze injury patterns, mechanisms, and outcomes based on age.

Main Methods:

  • Retrospective analysis of 155 pediatric patients with traumatic hand injuries.
  • Data collected over a 7-year period.
  • Analysis of injury type, mechanism, affected segment, and functional outcomes (Quick-DASH).

Main Results:

  • Fractures were the most common injury (74.8%), predominantly open (54.3%).
  • Articular fracture incidence and overall surgical hand injury incidence increased with age.
  • Crush injuries predominated before age 10; toddlers affected central digits.
  • Good functional results (Quick-DASH 1.37±4.90) were observed.
  • Complications occurred in 33% and secondary surgeries in 7.7%.

Conclusions:

  • The incidence of surgically treated pediatric hand injuries rises with age.
  • Injury mechanisms and affected hand segments vary significantly across pediatric age groups.
  • While surgical treatment yields good functional outcomes, vigilance for complications and potential secondary procedures is necessary.