Article

The hand is one of the most commonly injured locations in children. In the young
child, the ignorance of dangers may explain this frequency. In the older child,
hand trauma is usually secondary to recreational sports. Most hand injuries in
children are treated nonoperatively because of high remodeling potential.
Surgical treatments are mandatory in case of open or unstable fracture, displaced
intraarticular fractures and displaced phalangeal neck fractures. In phalangeal
neck fractures, percutaneous treatment should be preferred. Finger stiffness and
non-union are uncommon and are usually in relation with skin or vascular
involvement. In case of physis fracture, clinical and radiological follow-up
should monitor any growth problems.
CI - Copyright (c) 2013. Published by Elsevier SAS.

Langue : FRANCAIS