Related Experiment Video
Updated: May 1, 2026
11:21
Development of a Novel Internal Fixation Model for Rat Radial Fractures: Fracture Healing Assessment and Dorsal Root Ganglion Isolation
Published on: March 13, 2026
483
Management of Pediatric Hand Injuries in the Acute Setting Part 2: Fractures and Dislocations
Micah K Sinclair1,2, Daniel Santana1, M Claire Manske3
1Department of Orthopaedic Surgery, University of California Davis, Sacramento, CA, USA.
Summary
Pediatric hand fractures, common in children, require prompt diagnosis and management. Immediate care, including imaging and functional exams, often provides definitive treatment for these upper extremity injuries.
Area of Science:
- Orthopedics
- Pediatric Surgery
- Hand Surgery
Background:
- Pediatric hand injuries are common, with phalanx fractures being the most frequent upper extremity fractures in children.
- This article is the second in a series, focusing on the acute care and immediate management of pediatric hand injuries.
Purpose of the Study:
- To outline the principles of diagnosis and immediate management for specific pediatric hand and finger fractures and dislocations.
- To supplement existing knowledge on pediatric hand injury care with expert opinions.
Main Methods:
- Review of principles for diagnosis and immediate management of common pediatric hand fractures and dislocations.
- Consultation with experts to supplement the review.
- Reference to a detailed primer on splint and cast application for technical aspects.
Main Results:
- Phalanx fractures are the most common pediatric upper extremity fractures, with treatment dependent on fracture location.
- Radiographs and clinical functional exams are essential for determining appropriate treatment.
- Immediate management can often be definitive for presenting injuries.
Conclusions:
- Proper diagnosis and immediate management are crucial for effective treatment of pediatric hand fractures.
- Follow-up with a hand specialist within one week is recommended for optimal outcomes in pediatric hand fractures.
Related Concept Videos
01:27Fractures: Bone Repair
5.8K
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...
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...
5.8K
01:26Flail Chest-II
1.0K
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.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
1.0K
01:22Burn Injuries
4.4K
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
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...
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...
4.4K
01:30Acute Pancreatitis II: Clinical Manifestations and Management
1.2K
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
1.2K
01:20Acute Kidney Injury V: Interprofessional Care
527
Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
527
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
1.2K
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
1.2K