title: [Hand injuries in children].
abstract: The hand is one of the most commonly injured locations in children. In the young child, the ignorance of dangers may explain this frequency. In the older child, hand trauma is usually secondary to recreational sports. Most hand injuries in children are treated nonoperatively because of high remodeling potential. Surgical treatments are mandatory in case of open or unstable fracture, displaced intraarticular fractures and displaced phalangeal neck fractures. In phalangeal neck fractures, percutaneous treatment should be preferred. Finger stiffness and non-union are uncommon and are usually in relation with skin or vascular involvement. In case of physis fracture, clinical and radiological follow-up should monitor any growth problems.
authors.affiliation: Service de chirurgie orthopédique et réparatrice de l'enfant, université Paris VI, hôpital Trousseau, 26, rue du Docteur-Netter, 75012 Paris, France. Electronic address: franck.fitoussi@trs.aphp.fr.
authors.forename: F
authors.initials: F
authors.lastname: Fitoussi
mesh_terms: D002648:Child; D006230:Hand Injuries / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D011859:Radiography
keywords: Child; Classification de Salter et Harris; Enfant; Epidemiology; Fracture; Hand; Main; Particularities of immature skeleton; Particularités du squelette immature; Salter and Harris classification; Épidémiologie