scholarly journals Phalangeal fractures in children

2019 ◽  
Vol 63 (4) ◽  
pp. 174-178
Author(s):  
Rok Kralj ◽  
Zoran Barčot ◽  
Domagoj Pešorda ◽  
Mario Kurtanjek ◽  
Rado Žic
Keyword(s):  
Fractures In Children ◽  
Phalangeal Fractures

Frequency, Pattern, and Treatment of Hand Fractures in Children and Adolescents: A 27-Year Review of 4356 Pediatric Hand Fractures

Hand ◽  
2020 ◽  
pp. 155894471990056
Author(s):  
Lucas Kreutz-Rodrigues ◽  
Waleed Gibreel ◽  
Steven L. Moran ◽  
Brian T. Carlsen ◽  
Karim Bakri
Keyword(s):  
Children And Adolescents ◽  
Closed Reduction ◽  
Age Groups ◽  
Middle Phalanx ◽  
Frequency Pattern ◽  
Fractures In Children ◽  
Appropriate Treatment ◽  
Hand Fractures ◽  
The Right ◽  
Phalangeal Fractures

Background: The frequency, pattern, and treatment of pediatric hand fractures are rarely reported. We sought to review our institution’s experience in the management of pediatric hand fractures. Methods: A retrospective review of children and adolescents (younger than 18 years) treated for hand fractures between January 1990 and June 2017 was preformed. Fractures were categorized into metacarpal, proximal/middle phalanx, distal phalanx, or intra-articular metacarpophalangeal (MCP)/proximal interphalangeal (PIP)/distal interphalangeal (DIP) fractures. Patients were categorized into 3 age groups (0-5, 6-11, and 12-17 years). Results: A total of 4356 patients were treated for hand fractures at a mean ± SD age of 12.2 ± 3.5 years. Most fractures occurred in patients aged 12 to 17 years (n = 2775, 64%), followed by patients aged 6 to 11 years (n = 1347, 31%). Only 234 (5%) fractures occurred in children younger than 5 years. Most fractures occurred in the proximal/middle phalanx (48%), followed by metacarpal (33%), distal phalangeal (12%), and intra-articular MCP/PIP/DIP joints (7%). Proximal/middle phalangeal fractures were the most common in all age groups. About 58% of intra-articular MCP/PIP/DIP fractures in patients aged between 0 and 5 years required open reduction ± fixation, and the remaining 42% fractures were amenable to closed reduction. In patients older than 5 years, about 70% of these fractures were amenable to closed reduction. All age groups included, most metacarpal (93%), proximal/middle phalangeal (92%), and distal phalangeal (86%) fractures were amenable to closed reduction alone. Conclusions: The frequency, pattern, and treatment of hand fractures vary among different age groups. Understanding the pattern of these fractures helps making the right diagnosis and guides choosing the appropriate treatment.

Open or Closed Pinning for Distal Humerus Fractures in Children?

Swiss Surgery ◽  
2003 ◽  
Vol 9 (2) ◽  
pp. 76-81 ◽  
Author(s):  
de Buys Roessingh ◽  
Reinberg
Keyword(s):  
Distal Humerus ◽  
Neurological Involvement ◽  
Cubitus Varus ◽  
Cubitus Valgus ◽  
Fractures In Children ◽  
Motor Deficiency ◽  
Humerus Fractures ◽  
Distal Humerus Fractures ◽  
With Screws ◽  
Length Of Hospitalization

Introduction: In children, the choice between percutaneous pinning (PP) and open pinning fixation (OPF) for the surgical treatment of fractures of the distal humerus remains controversial, especially the PP method for internal humeral condylar (IHC) fractures. Patients and methods: Eighty fractures of the distal humerus in children were treated surgically in our hospital over a ten year period. 47% (n = 38) were supracondylar (SC), 20% (n = 16) comminuted (COM), 18% (n = 14) internal humeral condylar (IHC), and 15% (n = 12) lateral humeral condylar (LHC). We used PP, OPF and three times osteosynthesis with screws. Results: In comparison to OPF, PP reduced the length of hospitalization in SC fractures (2.8 versus 6.1 days) and IHC fractures (2.4 versus five days). It reduced the risk of extension deficiency (11.1% versus 15%) and of cubitus valgus (0% versus 20%) in SC fractures, and of cubitus varus in IHC fractures (0% versus 11.1%). However it induced a higher rate of cubitus valgus (11.1% versus 20%) in IHC fractures, one persistent neurological motor deficiency (radial nerve) and four cases of transitional neurological involvement (ulnar nerve). Conclusions: PP is a good surgical method for SC and for also for IHC fractures, if performed by experienced surgeons so as to avoid neurological damage.

Assessment of a semi-automated software program for the identification of vertebral fractures in children

2017 ◽  
Author(s):  
Fawaz Alqahtani ◽  
Fabrizio Messina ◽  
Elzene Kruger ◽  
Heerunpal Gill ◽  
Michael Ellis ◽  
...  
Keyword(s):  
Vertebral Fractures ◽  
Fractures In Children ◽  
Software Program ◽  
Automated Software

Pathological Hip Fractures in Children and Adolescents Due to Benign Tumor or Tumor-Like Lesions

2019 ◽  
Vol 29 (2) ◽  
pp. 91-99
Author(s):  
Georgios Vynichakis ◽  
Stavros Angelis ◽  
Michail Chandrinos ◽  
Alexandros P. Apostolopoulos ◽  
Elefterios Bogris ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Hip Fractures ◽  
Benign Tumor ◽  
Fractures In Children ◽  
Tumor Like Lesions

Interventions for treating femoral shaft fractures in children and adolescents

2009 ◽  
Author(s):  
Leeann M Morton ◽  
Stephen Bridgman ◽  
Jonathan SM Dwyer ◽  
Jean-Claude Theis ◽  
Matthew Beech
Keyword(s):  
Children And Adolescents ◽  
Femoral Shaft ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures ◽  
Fractures In Children
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