Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Oct 24:9:2333794X221132462.
doi: 10.1177/2333794X221132462. eCollection 2022.

Operative Pediatric Hand Trauma

Affiliations

Operative Pediatric Hand Trauma

Rita Coelho Lopes et al. Glob Pediatr Health. .

Abstract

This study aims to describe the epidemiology of hand injuries in pediatric patients undergoing surgical treatment. A retrospective analysis of patients with traumatic hand injuries surgically treated over a 7-year period. A total of 155 patients were included. Fracture was the most common injury type (74.8%), most of which were open (54.3%). Incidence of articular fractures increased with age. The predominant mechanism of injury before age 10 was crush. In toddlers, only central digits were affected. Good functional results were achieved (Quick-DASH 1.37 ± 4.90). The incidence of hand injuries requiring surgery increased with age. The mechanism and segment affected varied with age groups. Although good functional results are expected, complications may occur 33% and secondary surgical procedures in 7.7%.

Keywords: Quick-DASH; complications; pediatric hand; surgery; trauma.

PubMed Disclaimer

Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Distribution of injuries by anatomic hand segments and overview of different cases and surgical treatment options, carried out according to the type of injury.

References

    1. Koshy JC, Grome LJ, Schultz K, Bell B, Reece E, Pederson WC. The epidemiology of operative pediatric hand trauma: a retrospective chart review. HAND. 2021;16:827-831. - PMC - PubMed
    1. Voth M, Lustenberger T, Frank J, Marzi I. Pediatric finge rand hand injuries: an epidemiological study. Der Chirurg; Zeitschrift fur Alle Gebiete der Operativen Medizen. 2017;88:871-878. - PubMed
    1. Cooper C, Dennison EM, Leufkens HG, Bishop N, van Staa TP. Epidemiology of childhood fractures in Britain: a study using the General practice research database. J Bone Miner Res. 2004;19:1976-1981. - PubMed
    1. Gornitzky AL, Milby AH, Gunderson MA, Chang B, Carrigan RB. Referral patterns of emergent pediatric hand injury transfers to a tertiary care center. Orthopedics. 2016;39:e333-e339. - PubMed
    1. Valencia J, Leyva F, Gomez-Bajo GJ. Pediatric hand trauma. Clin Orthop Relat Res. 2005;432:77-86. - PubMed

LinkOut - more resources