A review of phalangeal neck fractures in children

Injury
Mohammad M Al-Qattan, Ahmed M Al-Qattan

Abstract

Phalangeal neck fractures are uncommon and are almost exclusively seen in children. Most paediatric hand fractures are treated conservatively and an excellent outcome is expected in almost all cases. Paediatric phalangeal neck fractures are different mainly because they are unstable and have a high risk of complications. Even minimally displaced phalangeal neck fractures are known to be unstable following reduction and hence k-wire fixation is required. Furthermore, complications such as persistent deformity, nonunion, and avascular necrosis are commonly seen following management of phalangeal neck fractures; such complications are extremely rare in other paediatric hand fractures. The current paper aims to review the diagnosis, classification, management and complications of these fractures in children. The paper also aims to introduce an extended classification of phalangeal neck fractures and to explain the clinical relevance of the extended classification.

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Citations

Aug 5, 2016·JBJS Reviews·Parker B Goodell, Andrea Bauer
Jan 15, 2019·The Journal of Hand Surgery, European Volume·Kuan-Jung ChenJung-Pan Wang
Jun 17, 2020·Plastic and Reconstructive Surgery. Global Open·Rebecca L HartleyFrankie O G Fraulin
Sep 30, 2020·Journal of Pediatric Orthopedics·Janice C Y LiaoSoumen Das De
Nov 30, 2019·Pediatric Clinics of North America·Alice ChuOmkar Baxi
May 26, 2018·Pediatric Emergency Care·Stefan Bohr, Toghrul Mammadli
Mar 13, 2021·Journal of Hand and Microsurgery·Abdullah E Kattan, Mohammad M Al-Qattan
Apr 24, 2021·Plastic and Reconstructive Surgery. Global Open·Rebecca L HartleyPaul E Ronksley
Sep 2, 2020·Techniques in Hand & Upper Extremity Surgery·Kenneth Pak Leung WongEe Ming Chew
Jul 6, 2021·Journal of Pediatric Orthopedics·Andrew KruegerRoger Cornwall
Nov 27, 2020·Techniques in Hand & Upper Extremity Surgery·William F Pientka, Jonathan Cheng

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