Epidemiology of Pediatric Hand Surgery ...
Document type :
Article dans une revue scientifique: Article original
PMID :
Permalink :
Title :
Epidemiology of Pediatric Hand Surgery Emergencies. Retrospective Study of 245 Patients Seen over 10 Months in Two Referral Centers
Author(s) :
Dizin, Frédérique [Auteur]
Hôpital Roger Salengro [Lille]
Hôpital Jeanne de Flandre [Lille]
Saab, Marc [Auteur]
Hôpital Roger Salengro [Lille]
Mezel, Aurelie [Auteur]
Maladies Rares du Développement : Génétique, Régulation et Protéomique (RADEME) - ULR 7364
Hôpital Jeanne de Flandre [Lille]
Guerre, Elvire [Auteur]
Hôpital Roger Salengro [Lille]
Chantelot, Christophe [Auteur]
Hôpital Roger Salengro [Lille]
Hôpital Roger Salengro [Lille]
Hôpital Jeanne de Flandre [Lille]
Saab, Marc [Auteur]
Hôpital Roger Salengro [Lille]
Mezel, Aurelie [Auteur]

Maladies Rares du Développement : Génétique, Régulation et Protéomique (RADEME) - ULR 7364
Hôpital Jeanne de Flandre [Lille]
Guerre, Elvire [Auteur]
Hôpital Roger Salengro [Lille]
Chantelot, Christophe [Auteur]

Hôpital Roger Salengro [Lille]
Journal title :
Orthopaedics & Traumatology: Surgery & Research
Abbreviated title :
Orthop Traumatol Surg Res
Volume number :
108
Pages :
103067
Publisher :
Elsevier
Publication date :
2021-09-17
ISSN :
1877-0568
English keyword(s) :
Fingertip injury
Pediatric surgery
Pediatric emergency
Epidemiology study
Injury prevention
Distal phalanx crush injury
Pediatric surgery
Pediatric emergency
Epidemiology study
Injury prevention
Distal phalanx crush injury
HAL domain(s) :
Sciences du Vivant [q-bio]
English abstract : [en]
Background
The primary objective of this retrospective study was to analyse the epidemiology and assess the characteristics of all paediatric hand injuries requiring emergent surgery.
Hypothesis
Paediatric hand emergencies ...
Show more >Background The primary objective of this retrospective study was to analyse the epidemiology and assess the characteristics of all paediatric hand injuries requiring emergent surgery. Hypothesis Paediatric hand emergencies that require surgical treatment have a specific epidemiological distribution. Methods We conducted a multicentre retrospective descriptive epidemiological study of surgical paediatric hand emergencies seen over 10 consecutive months. Results We included 245 patients between the 1st of January and the 31st of October 2016. Irrespective of age, most injuries (69%) occurred at home; 11% (n = 26) occurred at school and 4% in a sports centre. Overall, most injuries involved the dorsal aspect and affected the fingers more often than the hand. The most common lesion was crush injury of a distal phalanx (36% of cases). Door guards were in use in only 9% of homes (n = 8), and mean age of the patients in this group was 5 years Paronychia/acute infections accounted for 27% of cases. Wounds of the hands of fingers made up 23% of cases, with the palmar aspect being involved in 70% of cases. The wound was often due to the use of a sharp-edged object. Fractures/dislocations accounted for 12% of cases and bites or scratches for 2%. Discussion This study showed that the most common hand injuries requiring emergent surgery in a paediatric population are crush injuries of the fingertip such as door-crush injuries, which most often occur at home. Reinforcing prevention strategies should be the main priority in order to decrease the incidence of hand lesions in children. Raising awareness among parents and improving the education of the public could significantly decrease the incidence of these injuries. Level of evidence IV; retrospective cohort.Show less >
Show more >Background The primary objective of this retrospective study was to analyse the epidemiology and assess the characteristics of all paediatric hand injuries requiring emergent surgery. Hypothesis Paediatric hand emergencies that require surgical treatment have a specific epidemiological distribution. Methods We conducted a multicentre retrospective descriptive epidemiological study of surgical paediatric hand emergencies seen over 10 consecutive months. Results We included 245 patients between the 1st of January and the 31st of October 2016. Irrespective of age, most injuries (69%) occurred at home; 11% (n = 26) occurred at school and 4% in a sports centre. Overall, most injuries involved the dorsal aspect and affected the fingers more often than the hand. The most common lesion was crush injury of a distal phalanx (36% of cases). Door guards were in use in only 9% of homes (n = 8), and mean age of the patients in this group was 5 years Paronychia/acute infections accounted for 27% of cases. Wounds of the hands of fingers made up 23% of cases, with the palmar aspect being involved in 70% of cases. The wound was often due to the use of a sharp-edged object. Fractures/dislocations accounted for 12% of cases and bites or scratches for 2%. Discussion This study showed that the most common hand injuries requiring emergent surgery in a paediatric population are crush injuries of the fingertip such as door-crush injuries, which most often occur at home. Reinforcing prevention strategies should be the main priority in order to decrease the incidence of hand lesions in children. Raising awareness among parents and improving the education of the public could significantly decrease the incidence of these injuries. Level of evidence IV; retrospective cohort.Show less >
Language :
Anglais
Audience :
Internationale
Popular science :
Non
Administrative institution(s) :
Université de Lille
CHU Lille
CHU Lille
Collections :
Submission date :
2024-06-26T21:24:25Z
2024-10-29T10:24:34Z
2024-10-29T10:24:34Z