| Autor: |
Kreutz-Rodrigues L; Mayo Clinic, Rochester, MN, USA., Gibreel W; Mayo Clinic, Rochester, MN, USA., Moran SL; Mayo Clinic, Rochester, MN, USA., Carlsen BT; Mayo Clinic, Rochester, MN, USA., Bakri K; Mayo Clinic, Rochester, MN, USA. |
| Jazyk: |
angličtina |
| Zdroj: |
Hand (New York, N.Y.) [Hand (N Y)] 2022 Jan; Vol. 17 (1), pp. 92-97. Date of Electronic Publication: 2020 Feb 10. |
| DOI: |
10.1177/1558944719900565 |
| Abstrakt: |
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. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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