Chapter

Children’s hand trauma

Henk Giele

in Oxford Textbook of Trauma and Orthopaedics

Second edition

Published on behalf of Oxford University Press

Published in print August 2011 | ISBN: 9780199550647
Published online April 2011 | e-ISBN: 9780199608249 | DOI: http://dx.doi.org/10.1093/med/9780199550647.003.014007

Series: Oxford Textbooks

Children’s hand trauma

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This chapter reinforces that children are not small adults and the management of these injuries must consider the effect on growth and development

Nail bed injuries require microsurgical repair if permanent deformity is to be avoided

Every attempt should be made to replace amputated digits, whatever the level of amputation

Good results are the common outcome in children’s fractures unless complicated by surgical intervention or infection. However, angulation, rotation, and intra-articular deformities should be corrected where possible

All children with deep lacerations of the upper limb should have a general anaesthetic for adequate exploration and repair of the wound

A high index of suspicion of nerve injury should exist when assessing hand lacerations, and the outcome of early surgical repair is good.

Chapter.  6516 words.  Illustrated.

Subjects: Trauma and Orthopaedic Surgery ; Paediatrics

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