Citation

Fitoussi F. Chir. Main 2013; 32(Suppl 1): S2-S6.

Vernacular Title

Généralités sur les traumatismes de la main de l'enfant.

Affiliation

Service de chirurgie orthopédique et réparatrice de l'enfant, université Paris VI, hôpital Trousseau, 26, rue du Docteur-Netter, 75012 Paris, France. Electronic address: franck.fitoussi@trs.aphp.fr.

Copyright

(Copyright © 2013, Elsevier Publishing)

DOI

10.1016/j.main.2013.02.017

PMID

23522978

Abstract

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.

Language: fr