Abstract
The hand is the most common place of injury in the pediatric and adolescent population. It is important to understand the injury, bony development, and treatment protocols of pediatric hand fractures in order to determine the appropriate course of management for an individual patient. Typically, pediatric patients will regain mobility following the period of immobilization. However, depending on the child’s age, activity level, and injury, therapy may be used to improve the recovery process. Orthoses offer immobilization with improved comfort and hygiene practices, while formal therapy helps patients regain motion. A thorough understanding of the available treatment options will allow patients to return to activity in a safe and timely manner.
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References
Abzug JM, Dua K, Bauer AS, Cornwall R, Wyrick TO. Pediatric phalanx fractures. J Am Acad Orthop Surg. 2016;24:e174–83. https://doi.org/10.5435/jaaos-d-16-00199.
Cornwall R, Ricchetti ET. Pediatric phalanx fractures: unique challenges and pitfalls. Clin Orthop Relat Res. 2006;445:146–56. https://doi.org/10.1097/01.blo.0000205890.88952.97.
Boyer JS, London DA, Stepan JG, Goldfarb CA. Pediatric proximal phalanx fractures: outcomes and complications after the surgical treatment of displaced fractures. J Pediatr Orthop. 2015;35(3):219–23. https://doi.org/10.1097/BPO.0000000000000253.
Liao JCY, Chong AKS. Pediatric hand and wrist fractures. Clin Plastic Surg. 2019;46:425–36. https://doi.org/10.1016/j.cps.2019.02.012.
Liao JCY, Huan SKW, Tan RES, Lim JX, Chong AKS, De SD. A comparison of casting versus splinting for nonoperative treatment of pediatric phalangeal neck fractures. J PediatrOrthop. 2021;41(1):e30–5. https://doi.org/10.1177/1558944720942890.
Lee SJ, Merrison H, Williams KA, Vuillermin CB, Bauer AS. Closed reduction and immobilization of pediatric fifth metacarpal neck fractures. Hand (N Y). 2020;17:416. https://doi.org/10.1177/1558944720942890.
Kocher MS, Waters PM, Micheli LJ. Upper extremity injuries in the paediatric athlete. Sports Med. 2000;30(2):117–35. https://doi.org/10.2165/00007256-200030020-00005.
Davidson PG, Bondreau N, Burrows R, Wilson KL, Buzuhly M. Forearm-based ulnar gutter versus hand-based thermoplastic splint for pediatric metacarpal neck fractures: a blinded, randomized trial. Plast Reconstr Surg. 2016;137(3):908–16. https://doi.org/10.1097/01.prs.0000479974.45051.78.
Nellans KW, Chung KC. Pediatric hand fractures. Hand Clin. 2013;29(4):569–78. https://doi.org/10.1016/j.hcl.2013.08.009.
Al-Qattan MM, Al-Qattan AM. A review of phalangeal neck fractures in children. Injury. 2015;46:935–44. https://doi.org/10.1016/j.injury.2015.02.018.
Tan RES, Lim JXL, Chong AKS. Outcomes of phalangeal neck fractures in a pediatric population. J Hand Surg Am. 2020;45(9):880.e1–6. https://doi.org/10.1016/j.jhsa.2020.02.019.
Cornwall R. Pediatric finger fractures: which ones turn ugly? J Pediatr Orthop. 2012;32(1):S25–31. https://doi.org/10.1097/bpo.0b013e31824b2582.
Park KB, Lee KJ, Kwak YH. Comparison between buddy taping with a short-arm splint and operative treatment for phalangeal neck fractures in children. J Pediatr Orthop. 2016;36(7):736–42. https://doi.org/10.1097/bpo.0000000000000521.
Al-Qattan MM. Phalangeal neck fractures in children: classification and outcome in 66 cases. J Hand Surg Br. 2001;26B(2):112–21. https://doi.org/10.1054/jhsb.2000.0506.
Lin JS, Samora JB. Outcomes of splinting in pediatric mallet finger. J Hand Surg Am. 2018;43(11):1041.e1–9. https://doi.org/10.1016/j.jhsa.2018.03.037.
Goodell PB, Bauer A. Problematic pediatric hand and wrist fractures. J Bone Joint Surg. 2016;4(5):e1–9. https://doi.org/10.2106/jbjs.rvw.o.00028.
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Goel, R., May, C.C., Abzug, J.M. (2023). Pediatric Hand Fractures: Rehabilitation and Orthoses. In: Abzug, J.M., Gaston, R.G., Osterman, A.L., Tosti, R.J. (eds) Pediatric and Adult Hand Fractures. Springer, Cham. https://doi.org/10.1007/978-3-031-32072-9_9
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