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CC BY-NC 4.0 · Arch Plast Surg 2016; 43(01): 71-76
DOI: 10.5999/aps.2016.43.1.71
Original Article

Analysis of 344 Hand Injuries in a Pediatric Population

Byung-Joon Jeon
Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
,
Jung-Il Lee
Department of Plastic Surgery, Gwangmyeong Seongae General Hospital, Gwangmyeong, Korea
,
Si Young Roh
Department of Plastic Surgery, Gwangmyeong Seongae General Hospital, Gwangmyeong, Korea
,
Jin Soo Kim
Department of Plastic Surgery, Gwangmyeong Seongae General Hospital, Gwangmyeong, Korea
,
Dong Chul Lee
Department of Plastic Surgery, Gwangmyeong Seongae General Hospital, Gwangmyeong, Korea
,
Kyung Jin Lee
Department of Plastic Surgery, Gwangmyeong Seongae General Hospital, Gwangmyeong, Korea
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Background The purpose of this study was to identify comprehensive hand injury patterns in different pediatric age groups and to assess their risk factors.

Methods This retrospective study was conducted among patients younger than 16-year-old who presented to the emergency room of a general hospital located in Gyeonggi-do, Republic of Korea, and were treated for an injury of the finger or hand from January 2010 to December 2014. The authors analyzed the medical records of 344 patients. Age was categorized according to five groups.

Results A total of 391 injury sites of 344 patients were evaluated for this study. Overall and in each group, male patients were in the majority. With regard to dominant or non-dominant hand involvement, there were no significant differences. Door-related injuries were the most common cause in the age groups of 0 to 3, 4 to 6, and 7 to 9 years. Sport/recreational activities or physical conflict injuries were the most common cause in those aged 10 to 12 and 13 to 15. Amputation and crushing injury was the most common type in those aged 0 to 3 and 4 to 6 years. However, in those aged 10 to 12 and 13 to 15, deep laceration and closed fracture was the most common type. With increasing age, closed injuries tended to increase more sharply than open injuries, extensor tendon rupture more than flexor injuries, and the level of injury moved proximally.

Conclusions This study provides a comprehensive overview of the epidemiology of hand injuries in the pediatric population.

Keywords

Pediatric - Hand injuries - Children


Publication History

Received: 06 July 2015

Accepted: 26 October 2015

Article published online:
20 April 2022

© 2016. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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