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

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Etat: Public
Version: de l'auteur⸱e
Licence: CC BY-NC 4.0
ID Serval
serval:BIB_00BC346815CC
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Pediatric phalanx fractures: A retrospective study and review of the literature.
Périodique
Journal of children's orthopaedics
Auteur⸱e⸱s
Schizas S., Lutz N., Vardar E., Merckaert S., Zambelli P.Y., Samara E.
ISSN
1863-2521 (Print)
ISSN-L
1863-2521
Statut éditorial
Publié
Date de publication
08/2022
Peer-reviewed
Oui
Volume
16
Numéro
4
Pages
256-261
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
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.
Mots-clé
Orthopedics and Sports Medicine, Pediatrics, Perinatology and Child Health, Children, finger fractures, trauma
Pubmed
Web of science
Open Access
Oui
Création de la notice
09/08/2022 14:42
Dernière modification de la notice
21/11/2022 9:30
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