Journal of Trauma and Injury

  • 제34권4호
  • /
  • Pages.257-262
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  • 2021
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  • 2799-4317(pISSN)
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  • 2287-1683(eISSN)
대한외상학회 (The Korean Society of Traumatology)
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Pediatric Hand Trauma: An Analysis of 3,432 Pediatric Hand Trauma Cases Over 15 Years

  • Sung, Ki Pyo (Department of Plastic and Reconstructive Surgery, Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Lee, Soo Hyang (Department of Plastic and Reconstructive Surgery, Ilsan Paik Hospital, Inje University College of Medicine)
  • 투고 : 2021.05.10
  • 심사 : 2021.07.05
  • 발행 : 2021.12.30
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초록

Purpose: Pediatric hand trauma is common and sometimes causes deformity or disability. The incidence and etiologies of hand trauma in children are different from those in adults. This study analyzed the characteristics of pediatric hand trauma cases and patients over a 15-year period. Methods: We conducted a retrospective medical record review of 3,432 children (2,265 boys, 1,167 girls, under 18 years of age) with hand injuries from January 2005 to December 2019. We evaluated the sex distribution and injury etiologies. Injuries were classified by type as burns, amputations, crushing injuries, lacerations, extensor and flexor tendon injuries, open and closed fractures, and nerve injuries. Results: Among the pediatric hand injury patients, males were predominant (1.94:1). Simple lacerations (58.4%) were the most common injury type, followed by fractures (22.8%). Lacerations and burns tended to be common in younger age groups, while tendon injuries, nerve injuries, and crushing injuries were more frequently encountered in older age groups. Conclusions: Hand trauma prevention strategies should be established considering the frequent trauma etiologies in specific age groups. An awareness of age-specific characteristics of pediatric hand trauma patients will be helpful to prevent hand trauma.

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참고문헌

  1. Nofsinger CC, Wolfe SW. Common pediatric hand fractures. Curr Opin Pediatr 2002;14:42-5. https://doi.org/10.1097/00008480-200202000-00007
  2. Beris AE, Lykissas MG, Korompilias AV, Mitsionis GI, Vekris MD, Kostas-Agnantis IP. Digit and hand replantation. Arch Orthop Trauma Surg 2010;130:1141-7. https://doi.org/10.1007/s00402-009-1021-7
  3. Ozer K, Kramer W, Gillani S, Williams A, Smith W. Replantation versus revision of amputated fingers in patients air-transported to a level 1 trauma center. J Hand Surg Am 2010;35:936-40. https://doi.org/10.1016/j.jhsa.2010.02.031
  4. Pike J, Mulpuri K, Metzger M, Ng G, Wells N, Goetz T. Blinded, prospective, randomized clinical trial comparing volar, dorsal, and custom thermoplastic splinting in treatment of acute mallet finger. J Hand Surg Am 2010;35:580-8. https://doi.org/10.1016/j.jhsa.2010.01.005
  5. Yeo CJ, Sebastin SJ, Chong AK. Fingertip injuries. Singapore Med J 2010;51:78-87.
  6. Jeon BJ, Lee JI, Roh SY, Kim JS, Lee DC, Lee KJ. Analysis of 344 hand injuries in a pediatric population. Arch Plast Surg 2016;43:71-6. https://doi.org/10.5999/aps.2016.43.1.71
  7. Shah SS, Rochette LM, Smith GA. Epidemiology of pediatric hand injuries presenting to United States emergency departments, 1990 to 2009. J Trauma Acute Care Surg 2012;72:1688-94. https://doi.org/10.1097/ta.0b013e31824a4c5b
  8. Doraiswamy NV, Baig H. Isolated finger injuries in children--incidence and aetiology. Injury 2000;31:571-3. https://doi.org/10.1016/S0020-1383(00)00052-8
  9. Ljungberg E, Rosberg HE, Dahlin LB. Hand injuries in young children. J Hand Surg Br 2003;28:376-80. https://doi.org/10.1016/S0266-7681(03)00101-3
  10. Mahabir RC, Kazemi AR, Cannon WG, Courtemanche DJ. Pediatric hand fractures: a review. Pediatr Emerg Care 2001;17:153-6. https://doi.org/10.1097/00006565-200106000-00001
  11. Liu WH, Lok J, Lau MS, Hung YW, Wong CW, Tse WL, et al. Mechanism and epidemiology of paediatric finger injuries at Prince of Wales Hospital in Hong Kong. Hong Kong Med J 2015;21:237-42.
  12. Chomiak J, Junge A, Peterson L, Dvorak J. Severe injuries in football players. Influencing factors. Am J Sports Med 2000;28(Suppl 5):S58-68.
  13. Laver L, Pengas IP, Mei-Dan O. Injuries in extreme sports. J Orthop Surg Res 2017;12:59. https://doi.org/10.1186/s13018-017-0560-9
  14. Vadivelu R, Dias JJ, Burke FD, Stanton J. Hand injuries in children: a prospective study. J Pediatr Orthop 2006;26:29-35. https://doi.org/10.1097/01.bpo.0000189970.37037.59
  15. Fetter-Zarzeka A, Joseph MM. Hand and fingertip injuries in children. Pediatr Emerg Care 2002;18:341-5. https://doi.org/10.1097/00006565-200210000-00003
  16. Bhende MS, Dandrea LA, Davis HW. Hand injuries in children presenting to a pediatric emergency department. Ann Emerg Med 1993;22:1519-23. https://doi.org/10.1016/S0196-0644(05)81251-X
  17. Dado DV, Angelats J. Management of burns of the hands in children. Hand Clin 1990;6:711-21. https://doi.org/10.1016/S0749-0712(21)01067-2
  18. Turner C, Spinks A, McClure R, Nixon J. Community-based interventions for the prevention of burns and scalds in children. Cochrane Database Syst Rev 2004;2004:CD004335.
  19. Roh TS, Kim YS, Burm JS, Chung CH, Kim JB, Oh SJ. Rice cooker steam hand burn in the pediatric patient. Plast Reconstr Surg 2000;106:76-80. https://doi.org/10.1097/00006534-200007000-00014
  20. Williams S, Whatman C, Hume PA, Sheerin K. Kinesio taping in treatment and prevention of sports injuries: a meta-analysis of the evidence for its effectiveness. Sports Med 2012;42:153-64. https://doi.org/10.2165/11594960-000000000-00000