Operative Pediatric Hand Trauma

Rita Coelho Lopes; Marcos Carvalho; Tah Pu Ling; Inês Balacó; Pedro Cardoso; Oliana Tarquini; João Cabral; Cristina Alves

doi:10.1177/2333794X221132462

Operative Pediatric Hand Trauma

Glob Pediatr Health. 2022 Oct 24:9:2333794X221132462. doi: 10.1177/2333794X221132462. eCollection 2022.

Authors

Rita Coelho Lopes¹, Marcos Carvalho¹, Tah Pu Ling¹, Inês Balacó¹, Pedro Cardoso¹, Oliana Tarquini¹, João Cabral¹, Cristina Alves¹

Affiliation

¹ Department of Pediatric Orthopaedics - Hospital Pediátrico - CHUC, EPE, Portugal.

Abstract

This study aims to describe the epidemiology of hand injuries in pediatric patients undergoing surgical treatment. A retrospective analysis of patients with traumatic hand injuries surgically treated over a 7-year period. A total of 155 patients were included. Fracture was the most common injury type (74.8%), most of which were open (54.3%). Incidence of articular fractures increased with age. The predominant mechanism of injury before age 10 was crush. In toddlers, only central digits were affected. Good functional results were achieved (Quick-DASH 1.37 ± 4.90). The incidence of hand injuries requiring surgery increased with age. The mechanism and segment affected varied with age groups. Although good functional results are expected, complications may occur 33% and secondary surgical procedures in 7.7%.

Keywords: Quick-DASH; complications; pediatric hand; surgery; trauma.