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Ugeskrift For Laeger Nov 2020Metacarpal fractures are common. Stable, extra-articular fractures can often be treated non-operatively with or without closed reduction, splinting and then mobilisation... (Review)
Review
Metacarpal fractures are common. Stable, extra-articular fractures can often be treated non-operatively with or without closed reduction, splinting and then mobilisation with buddy taping. Unstable or displaced extra-articular fractures, where adequate reduction cannot be maintained, and most intra-articular fractures require osteosynthesis. The goal for any treatment is early mobilisation. Intra-articular fractures, open fractures and certain paediatric fractures can lead to poor functional outcome; hence, referral to a hand surgeon is recommended in this review.
Topics: Child; Fracture Fixation, Internal; Fractures, Bone; Humans; Plastic Surgery Procedures; Treatment Outcome
PubMed: 33215581
DOI: No ID Found -
Clinics in Plastic Surgery Jul 2019Hand and wrist fractures are common in the pediatric population. Accurate diagnosis relies on the understanding of the physeal anatomy and carpal ossification. Treatment... (Review)
Review
Hand and wrist fractures are common in the pediatric population. Accurate diagnosis relies on the understanding of the physeal anatomy and carpal ossification. Treatment of these fractures is largely influenced by physeal biology and compliance with treatment. A majority have a favorable outcome with nonoperative treatment. Operative treatment should be considered in patients with clinical deformity, open fractures, and significant fracture displacement. Physeal-friendly surgical approaches and implants should be used to minimize the sequelae of physeal injury.
Topics: Adolescent; Age Factors; Child; Child, Preschool; Hand Bones; Hand Injuries; Humans; Infant; Intra-Articular Fractures; Wrist Injuries
PubMed: 31103087
DOI: 10.1016/j.cps.2019.02.012