Pediatric phalanx fractures: A retrospective study and review of the literature.

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License: CC BY-NC 4.0
Serval ID
serval:BIB_00BC346815CC
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Pediatric phalanx fractures: A retrospective study and review of the literature.
Journal
Journal of children's orthopaedics
Author(s)
Schizas S., Lutz N., Vardar E., Merckaert S., Zambelli P.Y., Samara E.
ISSN
1863-2521 (Print)
ISSN-L
1863-2521
Publication state
Published
Issued date
08/2022
Peer-reviewed
Oui
Volume
16
Number
4
Pages
256-261
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Conventional radiography is frequently performed in pediatric patients in whom finger fractures are suspected. However, until now, the rate of positive findings of finger radiographic examinations in pediatric patients is unknown. This study aimed to evaluate the number of positive findings in the standard radiographic examinations of finger injuries in pediatric patients in a Level 1 trauma center systematically.
We conducted a retrospective study on all children 0-16 years old admitted for acute finger injury in the Emergency Department of a University Hospital during the first semester of 2019 and received a radiographic examination. Their demographic characteristics, fracture pattern, and treatment were then analyzed and interpreted.
Out of 478 finger injuries reviewed in this cohort, 160 X-rays revealed positive for a fracture giving a fracture rate of 33.5%. More than half of them (51.9%) occurred in the age group of adolescents (11-16 years). Among all finger fractures, only 3.8% of them treated surgically.
In this study, a relevant amount of standard finger radiographs revealed a low fracture rate and a rare operative indication of 3.8%. Therefore, indications for X-rays should be reviewed properly and alternative procedures should be discussed. Clinical decision rules should be developed and the necessary pathways must be implemented to minimize radiation exposure, waiting time, and costs.Level of evidence: level IV.
Keywords
Orthopedics and Sports Medicine, Pediatrics, Perinatology and Child Health, Children, finger fractures, trauma
Pubmed
Web of science
Open Access
Yes
Create date
09/08/2022 14:42
Last modification date
31/08/2022 6:40
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