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Journal of Hand Surgery (British and European Volume)
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PHALANGEAL NECK FRACTURES IN CHILDREN: CLASSIFICATION AND OUTCOME IN 66 CASES

M. M. AL-QATTAN

From the Division of Plastic Surgery, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia

Correspondence: Mr M M Al-Qattan, Division of Plastic Surgery, PO Box 18097, Riyadh 11415, Saudi Arabia

A series of 66 children with 67 phalangeal neck fractures in the hand is presented. Young children (1–3 years of age) made up 44% of the series. The mechanism of injury was entrapment of the digit in a closing door or a swing in almost all cases. Type I fractures (n=13) were undisplaced and treatment with a splint resulted in excellent results in almost all cases. Type II fractures were defined as displaced fractures with some bone-to-bone contact. There were 47 Type II fractures and the outcome was significantly affected by the method of initial management. Fractures treated without K-wire fixation had a significantly worse outcome than those who underwent K-wire fixation. Type III fractures (n=7) were displaced with no bone-to-bone contact. If inadequately treated, these fractures did not unite.

Journal of Hand Surgery (British and European Volume), Vol. 26, No. 2, 112-121 (2001)
DOI: 10.1054/jhsb.2000.0506
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Home page
 J Hand Surg Eur VolHome page
M. M. AL-QATTAN
Phalangeal Neck Fractures with Concurrent Vascular Injury
J Hand Surg Eur Vol., February 1, 2009; 34(1): 104 - 109.
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