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Zusammenfassung

Handwurzelverletzungen im Kindesalter sind selten und finden sich überwiegend bei Adoleszenten. Röntgen und MRT sind für die Diagnose wesentlich und erlauben die Therapieentscheidung. Mittelhandfrakturen werden radiologisch diagnostiziert und meist konservativ behandelt, wobei Rotationsfehler unbedingt operativ eingerichtet und stabilisiert werden müssen. Fingerverletzungen betreffen außerordentlich häufig die Weichteile, können aber auch schwer zu erkennen Knorpelverletzungen sein, die ebenso wie dislozierte Fugenverletzungen eingerichtet werden müssen.

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Literatur

  • Borgeskov S (1967) Conservative therapy for fractures of the phalanges and metacarpals. Acta Chir Scand 133: 123–130

    Google Scholar 

  • Burkhalter WE (1989) Closed treatment of hand fractures. J Hand Surg 14A: 390–393

    Article  Google Scholar 

  • Bloem JJ (1971) The treatment and prognosis of uncomplicated dislocated fractures of the metacarpals and phalanges. Arch Chir Neerl 23: 55–65

    CAS  PubMed  Google Scholar 

  • Campbell RM (1990) Operative treatment of fractures and dislocations of the hand and wrist region in children. Orthop Clin North Am 21(2): 217–243

    PubMed  Google Scholar 

  • Cooney WP, Dobyns JH, Linscheid RL (1990) Arthroscopy of the wrist: Anatomy and classification of carpal instability. Arthroscopy 6: 133–140

    Article  CAS  PubMed  Google Scholar 

  • Cooney WP, Garcia-Elias M, Dobyns JH, Linscheid RL (1989) Anatomy and mechanics of carpal instability. Surg Rounds Orthop 3: 15–24

    Google Scholar 

  • Crick JC, Franco RS, Conners JJ (1988) Fractures about the interphalangeal joints in children. J Orthop Trauma 1: 318–325

    Article  Google Scholar 

  • Duteille F, Dautel G (2004) Non-union fractures of the scaphoid and carpal bones in children: surgical treatment. J Pediatr Orthop B 13 (1): 34–38

    PubMed  Google Scholar 

  • Fabre O, De Boeck H, Haentjens P (2001) Fractures and nonunions of the carpal scaphoid in children. Acta Orthop Belg 67 (2): 121–125

    CAS  PubMed  Google Scholar 

  • Fitoussi F (2013) Finger bone and joint trauma of the hand in children. Chirurgie de la Main 32 (Suppl 1): S7–15

    Article  PubMed  Google Scholar 

  • Fitzgerald JAW, Kahn MA (1984) The conservative management of fractures of the shafts of the phalanges of the fingers by combined traction-splintage. J Hand Surg 9B: 303–306

    Article  Google Scholar 

  • Franz T, Jandali AR, Jung FJ, Leclere FM, Wartburg von U, Hug U (2013) Functional-conservative treatment of extra-articular physeal fractures of the proximal phalanges in children and adolescents. Eur J Pediatric Surg 23 (4): 317–321

    Google Scholar 

  • Hastings H II, Simmons BP (1984) Hand fractures in children. Clin Orthop 188: 120–130

    PubMed  Google Scholar 

  • Hintringer W, Leixnering M (1991) Knocherne oder ligamentare Verletzungen am Mittelgelenk und ihre Behandlung. Handchir Mikrochir Plast Chir 23: 59–66

    CAS  PubMed  Google Scholar 

  • Hohendorff B, Weidermann C, Burkhart KJ, Rommens PM, Prommersberger KJ, Konerding MA (2010) Lengths, girths, and diameters of children’s fingers from 3 to 10 years of age. Annals of Anatomy 192 (3): 156–161

    Article  CAS  PubMed  Google Scholar 

  • Huffaker WH, Wray RCJ, Weeks PM (1979) Factors influencing final range of motion in the fingers after fractures of the hand. Plastic Reconstruct Surg 63: 82–87

    Article  CAS  Google Scholar 

  • James JIP (1962) Fractures of the proximal and middle phalanges of the fingers. Acta Orthop Scand 32: 401–412

    Article  CAS  PubMed  Google Scholar 

  • Joshi BB (1976) Percutaneous internal fixation of fractures of the proximal phalanges. Hand 8: 86–92

    Article  CAS  PubMed  Google Scholar 

  • Konradsen L, Nielsen PT, Albrecht–Beste E (1990) Functional treatment of metacarpal fractures. 100 randomized cases with or without fixation. Acta Orthop Scand 61: 531–534

    Article  CAS  PubMed  Google Scholar 

  • Larsen CF, Amadio PC, Gilula LA, Hodge JC (1995) Analysis of carpal instability: I. Description of the scheme. J Hand Surg [Am] 20 (5): 757–764

    Article  CAS  Google Scholar 

  • Lieber J, Harter B, Schmid E, Kirschner HJ, Schmittenbecher PP (2012) Elastic stable intramedullary nailing (ESIN) of pediatric metacarpal fractures: experiences with 66 cases. Eur Pediatric Surg 22 (4): 305–310

    Google Scholar 

  • Light TR (2000) Carpal injuries in children. Hand Clinics 16 (4): 513–522

    CAS  PubMed  Google Scholar 

  • Linscheid RL, Dobyns JH, Beckenbaugh RD, Cooney WP, Wood MB (1983) Instability patterns of the wrist. J Hand Surg [Am] 8(5 Pt 2): 682–686

    Article  CAS  Google Scholar 

  • Matzon JL, Cornwall R (2014) A stepwise algorithm for surgical treatment of type II displaced pediatric phalangeal neck fractures. J Hand Surg 39 (3): 467–473

    Article  Google Scholar 

  • McMahon PJ, Woods DA, Burge PD (1994) Initial treatment of closed metacarpal fractures. A controlled comparison of compression glove and splintage. J Hand Surg 19B: 597–600

    Article  Google Scholar 

  • Namba K (1964) Statistical study of fractures of the phalanges. J Bone Joint Surg 46A: 214

    Google Scholar 

  • Nellans KW, Chung KC (2013) Pediatric hand fractures. Hand Clinics 29 (4): 569–578

    Article  PubMed  PubMed Central  Google Scholar 

  • Pun WK, Chow SP, So YC, Luk KD, Ip FK, Chan KC, Ngai WK, Crosby C, Ng CA (1989) A prospective study on 284 digital fractures of the hand. J Hand Surg 14A: 474–481

    Article  Google Scholar 

  • Seymour N (1940) Juxta-epiphyseal fractures of the terminal phalanx of the finger. J Bone and Joint Surg 22: 436–441

    Google Scholar 

  • Sivit AP, Dupont EP, Sivit CJ (2014) Pediatric hand injuries: essentials you need to know. Emergency Radiology 21 (2): 197–206

    Article  PubMed  Google Scholar 

  • Soerenssen JS, Freund KG, Kejla G (1993) Functional fracture bracing in metacarpal fractures: The Galveston metacarpal brace versus a Plaster of Paris Bandage in a prospective study. J Hand Ther 6: 263–265

    Article  Google Scholar 

  • Strickland JW, Streichen JB, Kleinman WB, Hastings HI, Flynn N (1982) Phalangeal fractures: Factors influencing digital performance. Orthop Rev 11: 39–50

    Google Scholar 

  • Torre BA (1988) Epiphyseal injuries in the small joints of the hand. Hand Clin 4: 113–121

    CAS  PubMed  Google Scholar 

  • Viegas SF, Tencer A, Woodard P, Williams CR (1987) Functional bracing of fractures of the second through fifth metacarpals. J Hand Surg 12 A (1): 139–143

    Article  Google Scholar 

  • Weber DM (2011) Scaphoid fractures in childhood. Unfallchirurg 114 (4): 285–291

    Article  CAS  PubMed  Google Scholar 

  • Wulff RN, Schmidt TL (1998) Carpal fractures in children. J Pediatr Orthop 18: 462–465

    CAS  PubMed  Google Scholar 

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Frank, J., Marzi, I. (2016). Hand. In: Marzi, I. (eds) Kindertraumatologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-44997-0_16

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  • DOI: https://doi.org/10.1007/978-3-642-44997-0_16

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