Pediatric phalanx fractures: unique challenges and pitfalls

Clinical Orthopaedics and Related Research
Roger Cornwall, Eric T Ricchetti

Abstract

The hand is the most frequently injured part of the body in children. Most pediatric hand fractures can be treated by nonoperative means with good results. However, a subset of fractures requires prompt recognition and surgical intervention. We will review several pediatric phalangeal fracture types that must be recognized and treated appropriately to minimize complications and disability. These injuries defy the general conception that pediatric fractures universally do well with minimal intervention. This paper highlights two important concepts: (1) phalangeal fractures in children can differ considerably from other pediatric fractures, and (2) phalangeal fractures in children can be very different from those in adults. Tolerance of displacement may be small in juxtaarticular or intraarticular fractures and healing is rapid in phalangeal fractures, allowing displaced fractures to develop into malunions in a short period of time, with resultant deformity and dysfunction. Careful clinical examination of any suspected phalanx fracture in children is essential to appropriate treatment of these potentially problematic injuries, including adequate radiographic evaluation with multiple views of the suspected fracture site and thorou...Continue Reading

Citations

Oct 19, 2016·The Journal of the American Academy of Orthopaedic Surgeons·Joshua M AbzugTheresa O Wyrick
Aug 9, 2008·The Journal of Hand Surgery, European Volume·M M Al-QattanA A Al-Boukai
Mar 17, 2011·The Journal of Hand Surgery, European Volume·S S Suresh, Hosam Zaki
Oct 22, 2008·The Journal of Hand Surgery, European Volume·M M Al-QattanA A Al-Boukai
May 25, 2012·Journal of Pediatric Orthopedics·Roger Cornwall
Apr 24, 2021·Plastic and Reconstructive Surgery·Nishant Ganesh Kumar, Kevin C Chung
Sep 27, 2007·Der Unfallchirurg·G TägerD Nast-Kolb
Aug 21, 2010·Chirurgie de la main·B ZipoliD Ribeyre

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