Pediatric Emergency Playbook

Pediatric Hand Fractures


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Tuft Fracture

Yeh PC et al. Pediatric Hand Fractures. Techniques in Orthopaedics. 2009.

Seymour Fracture

Nellans et al. Pediatric Hand Injuires. Hand Clin. 2013 November ; 29(4): 569–578

Yeh PC et al. Pediatric Hand Fractures. Techniques in Orthopaedics. 2009.

Mallet Fracture

Adolescent with mallet finger and Kirschner wire fixation. Nellans et al. Pediatric Hand Injuires. Hand Clin. 2013 November ; 29(4): 569–578

Mallet finger in splint. Yeh PC et al. Pediatric Hand Fractures. Techniques in Orthopaedics. 2009.

Volar Plate Injury

Yeh PC et al. Pediatric Hand Fractures. Techniques in Orthopaedics. 2009.

Central Slip Injury

Lee SA et al. Ultrasonography of the finger. Ultrasonography 2016; 35(2): 110-123.

Yeh PC et al. Pediatric Hand Fractures. Techniques in Orthopaedics. 2009.

Rotational Deformity

A, B: Relatively normal appearance; C: in flexion, rotational abnormality evident. Liao CY et al. Pediatric Hand and Wrist Fractures. Clin Plastic Surg 46 (2019) 425–436

Yeh PC et al. Pediatric Hand Fractures. Techniques in Orthopaedics. 2009.

Extra-Octave Fracture

Mims L et al. Extra-Octave Fracture in a 14-Year-Old Basketball Player. Journal of Pediatrics. 2017; 186: P206-206

Same boy, after reduction and ulnar splint

Same boy, on follow-up at 17 days

Ulnar Collateral Ligament Injury

Yeh PC et al. Pediatric Hand Fractures. Techniques in Orthopaedics. 2009.

Bennett Fracture

radiopaedia.org

Rolando Fracture

wikipedia.org

Selected References

Kiely AL et al. The optimal management of Seymour fractures in children and adolescents: a systematic review protocol. Systematic Reviews. 2020; 9 (150).

Liao CY et al. Pediatric Hand and Wrist Fractures. Clin Plastic Surg 46 (2019) 425–436

Lin JS et al. Treatment of Acute Seymour Fractures. J Pediatr Orthop. 2009; 39(1):e23-e27.

Mims L et al. Extra-Octave Fracture in a 14-Year-Old Basketball Player. Journal of Pediatrics. 2017; 186: P206-206

Mohseni M et al. Ulnar Collateral Ligament Injury. Stat Pearls. 2020

Nellans et al. Pediatric Hand Injuires. Hand Clin. 2013 November ; 29(4): 569–578

Pattni A et al. Volar Plate Avulsion Injury. Eplasty. 2016; 16: ic22.

Stevenson J et al. The use of prophylactic flucloxacillin in treatment of open fractures of the distal phalanx within an accident and emergency department: a double-blind randomized placebo-controlled trial. The Journal of Hand Surgery: British & European. 2003; 28(5): 388-394

Yeh PC et al. Pediatric Hand Fractures. Techniques in Orthopaedics. 2009

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Pediatric Emergency PlaybookBy Tim Horeczko, MD, MSCR, FACEP, FAAP

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