The purpose of this descriptive epidemiological study was to identify the most frequent pediatric fractures per 1000 population at risk in the United States using the 2010 National Electronic Injury Surveillance System (NEISS) database and 2010 US Census information.
Fracture care for open fractures should minimize the risk for infection and osteomyelitis. Detection of simulated injuries in cadaversReport of the Committee on Tendon Injuries (International Federation of Societies for Surgery of the Hand)Magnetic resonance imaging of acute tendon injury in the fingerThe role of magnetic resonance imaging in late presentation of isolated injuries of the flexor digitorum profundus tendon in the fingerAthletic injuries of the wrist and hand. Patients typically demonstrate finger scissoring (overlapping) while closing the fist (Metacarpal base fractures often occur with forced flexion at the wrist while the arm is extended. Fifty percent of the nail bed extends distal to the tuft of the distal phalanx and is therefore unsupported by underlying bone. Fractures, dislocations, and thumb injuriesOperative treatment of metacarpal and phalangeal shaft fracturesAvulsion fractures from the base of the proximal phalanges of the fingersThe epidemiology of sports-related fractures of the handThe frequency and epidemiology of hand and forearm fractures in the United StatesManagement of intra-articular metacarpal base fractures of the second through fifth metacarpalsIntra-articular fractures at the base of the fifth metacarpal: a clinical and radiographical study of 64 casesDiagnosis and treatment of finger deformities following injuries to the extensor tendon mechanismClosed tendon injuries of the hand and wrist in athletesAcute trauma of the extensor hood of the metacarpophalangeal joint: MR imaging evaluationMR imaging of the metacarpophalangeal joints of the fingers. These fractures are commonly associated with dislocations caused by the high-energy mechanism (Unlike the extensor tendons, the flexor mechanism does not have a robust connection of fibers to keep the tendon from retracting proximally; thus, proximal retraction often occurs to a greater degree than with extensor tendon laceration.

To best serve the patient and the treating physician, radiologists must have a working knowledge of finger anatomy, the wide array of injury patterns that can occur, the characteristic imaging findings of different finger injuries, and the most appropriate treatment options for each type of injury.

However, the authors have often seen complications associated with buddy taping such as necrosis of the skin, infections, loss of fixation, and limited joint motion. In addition, the prognosis following an open fracture depends on the severity of the soft tissue injury. The present paper discusses several fractures in a child’s fingers that can cause substantial problems if not recognized promptly, highlighting important themes in the evaluat […] II. The clinician needs to decide if the fracture is open or closed, un-displaced or displaced and stable or potentially unstable.

While there is variation in the exact protocol of management of an open fracture, in general, they will always require antibiotic administration and surgical cleansing. Although nondisplaced subcondylar neck fractures can be treated with splinting, displaced fractures that maintain bone-to-bone contact likely need percutaneous fixation, and completely displaced fractures most often require Metacarpal fractures account for approximately 30% of hand fractures (Surgical consideration for metacarpal shaft and neck fractures with apex dorsal angulation is often based on the degree of angulation (Additional indications for surgery of metacarpal shaft fractures include irreducibility, open or multiple fractures, and rotational deformity, with rotational malalignment being the most common indication for surgery.

If the fracture cannot be stabilized using pins, the surgeon will make an incision on the top or side of the finger, depending on the location and pattern of the fracture. I strive every day to inspire my residents as much as they inspire me. Media file 4: Broken finger. Seymour Fracture.—A Seymour fracture is a displaced open physeal fracture of the distal phalanx in children, with laceration through the nail bed that causes (a) the nail plate to lie superficial to the proximal nail fold and (b) the germinal matrix of the nail to become interposed between the fracture fragments (28,29) . […] The majority of pediatric finger fractures can be treated by closed means with expected excellent outcomes. To evaluate a stepwise reduction algorithm including closed, percutaneous, and open reduction techniques followed by percutaneous pin fixation for displaced pediatric phalangeal neck fractures.

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