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Management of Pediatric Hand Injuries in the Acute Setting Part 3: Lacerations and Fingertip Injuries

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

This article addresses pediatric hand lacerations and fingertip injuries, emphasizing prompt assessment and treatment in emergency departments to improve outcomes for open pediatric hand trauma.

Area of Science:

  • Pediatric Emergency Medicine
  • Hand Surgery
  • Trauma Care

Background:

  • Pediatric hand trauma, specifically lacerations and fingertip injuries, are common in emergency departments.
  • Effective management requires prompt recognition and appropriate initial treatment to prevent complications.

Purpose of the Study:

  • To provide guidance on the assessment and management of pediatric hand lacerations and fingertip injuries.
  • To highlight key considerations for optimizing functional outcomes in pediatric hand trauma patients.

Main Methods:

  • Review of established principles for pediatric hand trauma assessment.
  • Focus on specific diagnostic and treatment strategies for lacerations and fingertip injuries.
  • Recommendations for identifying tendon, nerve, and arterial injuries in pediatric patients.

Main Results:

  • Fingertip injuries frequently have emergency department-treatable options.
  • Examination of pediatric hand function can be challenging but is crucial.
  • Consultation with a hand surgeon is recommended for all levels of hand lacerations and amputations.

Conclusions:

  • Timely and accurate assessment of pediatric hand injuries is critical.
  • Appropriate initial management, including specialist consultation, improves functional outcomes.
  • This article serves as a guide for emergency department care of common pediatric hand injuries.

Keywords:
AmputationFinger fractureHand traumaLacerationNail bed injuryPediatric handSubungual hematoma

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