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The incidence and pattern of hand fractures in children

P H Worlock, M J Stower

    Journal of Hand Surgery (Edinburgh, Scotland)
    |June 1, 1986
    PubMed

    Insights

    Hand fractures are common in children over eight, particularly in boys, with the proximal phalanx and fifth metacarpal being most vulnerable. Sports and fights are frequent causes of these pediatric hand injuries.

    Area of Science:

    • Pediatric orthopedics
    • Hand surgery
    • Traumatology

    Background:

    • Hand fractures are a significant concern in pediatric populations.
    • Understanding fracture patterns and incidence is crucial for effective treatment and prevention.

    Purpose of the Study:

    • To review the incidence and patterns of hand fractures in children in Nottingham.
    • To identify common fracture sites, types, and associated etiological factors.

    Main Methods:

    • Retrospective review of pediatric hand fracture cases in Nottingham.
    • Analysis of fracture location, type, patient demographics, and injury circumstances.

    Main Results:

    • The hand is the second most common fracture site in children.
    • Fracture incidence increases significantly after age eight, especially in boys.
    • The proximal phalanx and fifth metacarpal (particularly around the metacarpophalangeal joint) are most frequently affected.
    • Greenstick fractures are common in metacarpals; epiphyseal injuries in phalanges.
    • Over 45% of fractures result from sports or altercations.

    Conclusions:

    • Pediatric hand fractures show distinct patterns related to age and gender.
    • Sports and fighting are major contributors to these injuries, highlighting the need for preventative measures.

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