Titre :

Epidemiology of Pediatric Hand Surgery Emergencies. Retrospective Study of 245 Patients Seen over 10 Months in Two Referral Centers

Auteur(s) :

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

Titre de la revue :

Orthopaedics & Traumatology: Surgery & Research

Nom court de la revue :

Orthop Traumatol Surg Res

Numéro :

108

Pagination :

103067

Éditeur :

Elsevier

Date de publication :

2021-09-17

ISSN :

1877-0568

Mot(s)-clé(s) en anglais :

Fingertip injury
Pediatric surgery
Pediatric emergency
Epidemiology study
Injury prevention
Distal phalanx crush injury

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [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 ...
Lire la suite >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.Lire moins >

Langue :

Anglais

Audience :

Internationale

Vulgarisation :

Non

Établissement(s) :

Université de Lille
CHU Lille

Collections :

• Maladies Rares du Développement : Génétique, Régulation et Protéomique (RADEME) - ULR 7364

Date de dépôt :

2024-06-26T21:24:25Z
2024-10-29T10:24:34Z