The Journal of Bone and Joint Surgery (American). 2007;89:2064-2074.
© 2007 The Journal of Bone and Joint Surgery, Inc.
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 Hand Test 8: Winter 2008 (publication date February 15, 2008; expiration da...
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Pediatrics Test 14: Fall 2007 (publication date November 15, 2007; expirati...
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Instructional Course Lecture

Operative Carpal and Hand Injuries in Children

Peter M. Waters, MD1

1 Children's Hospital Boston, 300 Longwood Avenue, Hunnewell 2, Boston, MA 02115. E-mail address: peter.waters@tch.harvard.edu

An Instructional Course Lecture, American Academy of Orthopaedic Surgeons

The first 150 words of the full text of this article appear below.


   Introduction
 
Most carpal and hand injuries in children are treated nonoperatively. The purpose of this lecture is to identify those clinical situations that require operative intervention. Complications from pediatric hand fractures, dislocations, and soft-tissue injuries are most commonly due to the failure to identify and treat an injury requiring an operation acutely. This lecture will also review surgical techniques for specific injuries of the carpus and hand in children. With regard to the wrist, this discussion will include the indications for open reduction of scaphoid fractures, treatment of scaphoid nonunions, and arthroscopic examination and treatment of chondral and ligamentous injuries. Distal injuries that are treated surgically include Seymour fractures, phalangeal neck injuries, and intra-articular fractures.


Look for this and other related articles in Instructional Course Lectures, Volume 57, which will be published by the American Academy of Orthopaedic Surgeons in March 2008:

• "Surgical Management of Forearm . . . [Full Text of this Article]

 

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