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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.

Journal of the Pediatric Orthopaedic Society of North America
|April 30, 2026
PubMed

Insights

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.

Keywords:
Finger dislocationFinger fractureHand traumaPediatric handScaphoidSeymour fracture

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