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Chapter 17 - Traumatic Hand and Wrist Disorders

from Section 2 - Regional Paediatric Orthopaedics

Published online by Cambridge University Press:  30 January 2024

By
Ehab Aldlyami  and
Khalid Alawadi
Edited by
Sattar Alshryda ,
Stan Jones  and
Paul A. Banaszkiewicz
Sattar Alshryda
Affiliation:
Al Jalila Children’s Specialty Hospital, Dubai Academic Health Corporation, Dubai UAE
Stan Jones
Affiliation:
Al Ahli Hospital, Qatar
Paul A. Banaszkiewicz
Affiliation:
Queen Elizabeth Hospital, Gateshead
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Summary

Wrist fractures are the commonest paediatric fracture, comprising 20% of all fractures in children. The majority are simple torus fractures caused by compression forces acting along the main axis of the bone, with buckling of the cortices, often more pronounced on the concave side (Figure 17.1). Greenstick fractures occur from a bending force with a unicortical break of the convex side.

Type
Chapter
Information
Postgraduate Paediatric Orthopaedics
The Candidate's Guide to the FRCS(Tr&Orth) Examination
 , pp. 286 - 296
Publisher: Cambridge University Press
Print publication year: 2024

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References

Shah, AS, Caird, MS. Upper extremity fractures. In: Weinstein, SL, Flynn, JM, eds. Lovell and Winter’s Pediatric Orthopaedics, 8th ed, Vol. 2. Philadelphia, PA: Lippincott Williams & Wilkins; 2021. p. 5574.Google Scholar
Laaksonen, T, et al. Cast immobilization in bayonet position versus reduction and pin fixation of overriding distal metaphyseal radius fractures in children under ten years of age: a case control study. J Child Orthop. 2021;15(1):63–9.Google Scholar
Al-Qattan, MM. Phalangeal neck fractures in children: classification and outcome in 66 cases. J Hand Surg Br. 2001;26(2):112–21.Google Scholar

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