Pediatric Sports: Safe Return to Play – Finger Fractures (Recording)

Internet Enduring Material Sponsored by Stanford University School of Medicine. Presented by Department Orthopaedic Surgery at Stanford University School of Medicine.

Finger fractures within the pediatric population are one of the most common hand injuries.  These fractures can vary from mild to more severe injuries that require surgical intervention. Discussion will include the clinical presentation of various finger related injuries along with diagnostic imaging needs and treatment options. Participants will also increase their knowledge of the indications for specialized care.

1. Review the clinical presentation and initial workup for hand and finger fractures.
2. Employ management and treatment options for finger fractures.
3. Assess when diagnostic imaging, such as CTs or MRIs, need to be obtained.
4. Discuss indications for specialized care with patients.

In support of improving patient care, Stanford Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Credit Designation

American Medical Association (AMA)
Stanford Medicine designates this Enduring Material for a maximum of 0.75 AMA PRA Category 1 Credits^TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

References

1. Abzug, JM, Dua K, et al, Wyrick TO. Pediatric phalanx fractures. J Am Acad Orthop Surg, 2016;24:e174-e183. 
2. Allan CH, Iorio M. Repair of Acute Digital Flexor Tendon Disruptions. “Muscloskeletal Key”. 2016; https://musculoskeletalkey.com/repair-of-acute-digital-flexor-tendon-disruptions/
3. Borrelli MR, Dupre S, et al, Greig, A. Composite grafts for pediatric fingertip amputations: A retrospective case series of 100 patients. Plast Reconstr Surg Glob Open. 2018;6:e1843
4. Cornwall R & Waters P. Remodeling of phalangeal neck fracture malunions in children: Case report. JHS, 2014; 29A:458-461
5. Eberlin KR, Busa K, et al, Taghinia AM. Composite grafting for pediatric fingertip injuries. Hand, 2015; 10:28-33
6. Gholson JJ, Bae DS, Zurakowski D, Waters PM. Scaphoid fractures in children and adolescents: Contemporary injury patterns and factors influencing time to union.  J Bone Joint Surg Am. 2011; 93:1210-9
7. Goodell PB & Bauer A. Problematic pediatric hand and wrist fractures. JBJS Reviews, 2016;4(5):e1
8. Horri E et al. Comparative flexor tendon excursion after passive mobilization: An in vitro study. J Hand Surg Am, 1992; 17A:559-66.
9. Karl JW, White NJ, Strauch RJ. Percutaneous reduction and fixation of displaced phalangeal neck fractures in children. J Pediatr Orthop, 2012;32:156-161
10. Khursheed O, Haq A, et al, Mushtaq M. Clinical outcome of metacarpophalangeal joint dislocation of the thumb in children: case series of 10 patients. J Hand Microsurg, 2016; 8(1):13-16
11. Liao JCY and Chong AKS. Pediatric Hand and Wrist Fractures. Clin Plastic Surg, 2019; 46: 425-436. 
12. Matzon J & Cornwall R. A stepwise algorithm for surgical treatment of type II displaced phalangeal neck fractures. J Hand Surg Am, 2014;39:467-473.
13. Nellans KW & Chung KC. Pediatric Hand Fractures. Hand Clin, 2013; 29:569-578.
14. Tindall A, Dawood R, Povlsen B. Case of the month: The skin wrinkle test: a simple nerve injury test for paediatric and uncooperative patients. Emerg Med J, 2006; 23:883-886.

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