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Children’s hand trauma 

Children’s hand trauma
Chapter:
Children’s hand trauma
Author(s):

Henk Giele

DOI:
10.1093/med/9780199550647.003.014007
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date: 10 December 2019

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.

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